ATI Maternity Practice Questions And
Answers With Verified Solutions Graded
A+ Latest Update 2025.
A nurse caring for a newborn who was transferred to the nursey 30 min after birth because of mild
respiratory distress. Which of the following actions should the nurse take first?
Confirm the newborn's APGAR score.
Verify the newborn's identification.
Administer vitamin K to the newborn.
Determine obstetrical risk factors. - ANSWER Verify the newborn's identification.
-When using the safety/risk reduction approach to client care, the first action the nurse should take is to
verify the newborn's identity upon arrival to the nursery.
APGAR score - ANSWER Physiological assessment that occurs 1 min following birth and
again at 5 min. The nurse should confirm the score when the new born arrives in the nursery.
Vitamin K administration for infant - ANSWER -The nurse should administer IM vitamin K to
the newborn soon after birth to increase clotting factors and prevent bleeding.
-Injection can be delayed until after initial bonding time and first breastfeeding if necessary.
-Vitamin K is not produced in the GI tract of the newborn until around day 7.
-Vitamin K is produced in the colon by bacteria that forms once formula or breast milk is introduced into
the gut of the newborn.
-Administer 0.5 to 1 mg IM into the vastus lateralis (where muscle development is adequate) within 1 hr
after birth.
-Do NOT give vit K and hep B injections in the same thigh. Alternate sites.
A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing
contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that her
cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of
labor?
Active
Transition
,Latent
Descent - ANSWER Transition
-The nurse should identify that the client is in the transition phase of labor. This phase is characterized by
a cervical dilation of 8 to 10 cm and contractions every 2 to 3 min, each lasting 45 to 90 seconds.
Active phase of labor - ANSWER Characterized by cervical dilation of 4-7 cm and contractions
every 3-5min, each lasting 40-70 seconds.
Latent phase of labor - ANSWER Characterized by cervical dilation of 0-3 cm and contractions
every 5 to 30 min, each lasting 30-45 seconds.
Descent phase of labor - ANSWER Characterized by active pushing with contractions every 1
to 2 min, each lasting for 90 seconds.
A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose tolerance test. Which
of the following statements should the nurse include in the teaching?
"You will need to drink the glucose solution 2 hours prior to the test."
"Limit your carb intake for 3 days prior to the test."
"A blood glucose of 130 to 140 is considered a positive screening result."
"You will need to fast for 12 hours prior to the test." - ANSWER "A blood glucose of 130 to
140 is considered a positive screening result."
-The nurse should instruct the client that a blood glucose level of 130 to 140 mg/dL is considered a
positive screening. If the client receives a positive result, she will need to undergo a 3-hr glucose
tolerance test to confirm if she has gestational diabetes mellitus.
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her uterus to the right above
the umbilicus. Which of the following interventions should the nurse perform?
Reassess the client in 2 hr.
Administer simethicone.
Assist the client to empty her bladder.
Instruct the client to lie on her right side. - ANSWER Assist the client to empty her bladder.
-The nurse should assist the client to empty her bladder because the assessment findings indicate that the
clients bladder is distended. This can prevent the uterus from contracting, resulting in increased vaginal
bleeding or postpartum hemorrhage.
, A nurse is calculating a client's expected date of birth using Nagele's rule. The client tells the nurse that
her last menstrual cycle started on November 27th. Which of the following dates is the client's expected
date of birth?
September 3
September 20
August 3
August 20 - ANSWER September 3
-When using Nagele's rule to calculate the estimated date of birth for a client, the nurse should subtract 3
months from the first day of the client's last menstrual cycle and then add 7 days. November 27th minus 3
months equals August 27th. August 27th plus 7 days equals September 3.
A nurse is providing teaching about family planning to a client who has a new prescription for a
diaphragm. Which of the following statements should the nurse include in the teaching?
"You should replace the diaphragm every 5 years."
"You should leave the diaphragm in place for at least 6 hours after intercourse."
"You should use an oil-based product as a lubricant when inserting the diaphragm."
"You should insert the diaphragm when your bladder is full." - ANSWER "You should leave the
diaphragm in place for at least 6 hours after intercourse."
-The client should keep the diaphragm in place for at least 6 hours after intercourse to provide protection
against pregnancy.
Diaphragm - ANSWER -Client should be properly fitted by a provider.
-Replace every 2 years.
-Avoid oil-based products because they can weaken the rubber in the diaphragm.
-The client should have an empty bladder prior to inserting the diaphragm.
-Prior to sex the diaphragm is inserted vaginally over the cervix with spermicidal jelly or cream that is
applied to the cervical side of the dome and around the rim.
-Spermicide must be reapplied every time they ****
-Diaphragm should be washed with mild soap and warm water after each use.
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions
should the nurse include in the plan of care?
Answers With Verified Solutions Graded
A+ Latest Update 2025.
A nurse caring for a newborn who was transferred to the nursey 30 min after birth because of mild
respiratory distress. Which of the following actions should the nurse take first?
Confirm the newborn's APGAR score.
Verify the newborn's identification.
Administer vitamin K to the newborn.
Determine obstetrical risk factors. - ANSWER Verify the newborn's identification.
-When using the safety/risk reduction approach to client care, the first action the nurse should take is to
verify the newborn's identity upon arrival to the nursery.
APGAR score - ANSWER Physiological assessment that occurs 1 min following birth and
again at 5 min. The nurse should confirm the score when the new born arrives in the nursery.
Vitamin K administration for infant - ANSWER -The nurse should administer IM vitamin K to
the newborn soon after birth to increase clotting factors and prevent bleeding.
-Injection can be delayed until after initial bonding time and first breastfeeding if necessary.
-Vitamin K is not produced in the GI tract of the newborn until around day 7.
-Vitamin K is produced in the colon by bacteria that forms once formula or breast milk is introduced into
the gut of the newborn.
-Administer 0.5 to 1 mg IM into the vastus lateralis (where muscle development is adequate) within 1 hr
after birth.
-Do NOT give vit K and hep B injections in the same thigh. Alternate sites.
A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing
contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that her
cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of
labor?
Active
Transition
,Latent
Descent - ANSWER Transition
-The nurse should identify that the client is in the transition phase of labor. This phase is characterized by
a cervical dilation of 8 to 10 cm and contractions every 2 to 3 min, each lasting 45 to 90 seconds.
Active phase of labor - ANSWER Characterized by cervical dilation of 4-7 cm and contractions
every 3-5min, each lasting 40-70 seconds.
Latent phase of labor - ANSWER Characterized by cervical dilation of 0-3 cm and contractions
every 5 to 30 min, each lasting 30-45 seconds.
Descent phase of labor - ANSWER Characterized by active pushing with contractions every 1
to 2 min, each lasting for 90 seconds.
A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose tolerance test. Which
of the following statements should the nurse include in the teaching?
"You will need to drink the glucose solution 2 hours prior to the test."
"Limit your carb intake for 3 days prior to the test."
"A blood glucose of 130 to 140 is considered a positive screening result."
"You will need to fast for 12 hours prior to the test." - ANSWER "A blood glucose of 130 to
140 is considered a positive screening result."
-The nurse should instruct the client that a blood glucose level of 130 to 140 mg/dL is considered a
positive screening. If the client receives a positive result, she will need to undergo a 3-hr glucose
tolerance test to confirm if she has gestational diabetes mellitus.
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her uterus to the right above
the umbilicus. Which of the following interventions should the nurse perform?
Reassess the client in 2 hr.
Administer simethicone.
Assist the client to empty her bladder.
Instruct the client to lie on her right side. - ANSWER Assist the client to empty her bladder.
-The nurse should assist the client to empty her bladder because the assessment findings indicate that the
clients bladder is distended. This can prevent the uterus from contracting, resulting in increased vaginal
bleeding or postpartum hemorrhage.
, A nurse is calculating a client's expected date of birth using Nagele's rule. The client tells the nurse that
her last menstrual cycle started on November 27th. Which of the following dates is the client's expected
date of birth?
September 3
September 20
August 3
August 20 - ANSWER September 3
-When using Nagele's rule to calculate the estimated date of birth for a client, the nurse should subtract 3
months from the first day of the client's last menstrual cycle and then add 7 days. November 27th minus 3
months equals August 27th. August 27th plus 7 days equals September 3.
A nurse is providing teaching about family planning to a client who has a new prescription for a
diaphragm. Which of the following statements should the nurse include in the teaching?
"You should replace the diaphragm every 5 years."
"You should leave the diaphragm in place for at least 6 hours after intercourse."
"You should use an oil-based product as a lubricant when inserting the diaphragm."
"You should insert the diaphragm when your bladder is full." - ANSWER "You should leave the
diaphragm in place for at least 6 hours after intercourse."
-The client should keep the diaphragm in place for at least 6 hours after intercourse to provide protection
against pregnancy.
Diaphragm - ANSWER -Client should be properly fitted by a provider.
-Replace every 2 years.
-Avoid oil-based products because they can weaken the rubber in the diaphragm.
-The client should have an empty bladder prior to inserting the diaphragm.
-Prior to sex the diaphragm is inserted vaginally over the cervix with spermicidal jelly or cream that is
applied to the cervical side of the dome and around the rim.
-Spermicide must be reapplied every time they ****
-Diaphragm should be washed with mild soap and warm water after each use.
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions
should the nurse include in the plan of care?
