MGCCC Class of Fall 2025 Nursing ATI
Maternal Child 1 Questions With Complete
Solutions
24hrs post-delivery, a newborn is getting
circumcised. Hasn't been fed for several hrs & is
restrained on the circumcision board. RN will
provide care after circumcision and prior to D/C.
Identify priority RN Intervention after circumcision
care. Correct Answers Observe the newborn for
bleeding by conducting checks every 15 min for 1
hr and then every hour for at least 12 hr.
4 hrs after admission to the nursery a newborn is
taken to his mother for his 1st feeding. The mother
wants to bottle feed. The RN educates on bottle
feeding. Which observations by the nurse indicates
that the mother needs additional teaching?
Correct Answers The mother places the newborn
in a supine position during feeding.
A client at 14 weeks of gestation who is diagnosed
with hyperemesis gravidarum. Which of the
following are risk factors for this client? Correct
Answers Risk factors for hyperemesis gravidarum
include obesity, multifetal gestation, vitamin B
deficiencies, and maternal age less than 20.
A client at 32 weeks gestation, is diagnosed with
preterm labor. Which medication should the PCP
,prescribe to hasten fetal lung maturity? Correct
Answers Betamethasone (Celestone) a
glucocorticoid that is given to clients in preterm
labor to hasten surfactant production.
A client experiences a large gush of fluid from her
vagina while walking. The first RN action after
establishing that the fluid is amniotic fluid Correct
Answers Should be to monitor FHR for distress.
A client in active labor who's vaginal exam 1 hr ago
showed that she was 3 cm dilated, 50 percent
effaced, and had a - 3 station. Her membranes
ruptured spontaneously. The nurse should assess
her for which sign? Correct Answers The nurse
should always assess for signs of a prolapsed cord
when membranes rupture.
A client is in the transition phase of labor and feels
that she needs to have a BM with the peak of
contractions. An appropriate Correct Answers
Nursing intervention is to Prepare for an impending
delivery.
A client presents to L&D with stabbing abdominal
pain, rigid abdomen and heavy, bright red
bleeding. The nurse is aware that these findings
are Correct Answers Associated with Abruptio
placenta.
,*Abruptio placenta is the sudden onset of intense
localized uterine pain with bright red vaginal
bleeding. An abdomen that is both rigid and tender
is also a common assessment finding.
A client who has meconium stained fluid. Which
solutions does the nurse anticipate the provider to
prescribe for an amnioinfusion? Correct Answers
Lactated Ringer's solution and 0.9% sodium
chloride
A client who is 2 weeks postpartum and
breastfeeding reports breast engorgement. Which
recommendation should the nurse make? Correct
Answers "Apply cold compresses between
feedings"
A client who is at 32 weeks gestation, is diagnosed
with placenta previa & is actively bleeding. The RN
anticipates what medication to be ordered Correct
Answers Corticosteroids (Betamethasone) will be
prescribed for fetal lung maturation if delivery of
the fetus is anticipated (cesarean birth).
A client who is at 7 weeks of gestation is
experiencing N/V in the morning. The nurse in the
prenatal clinic provides teaching that should
include: Correct Answers Eat crackers or plain
toast before getting out of bed.
, Nausea and vomiting may occur during the first
trimester. The client should eat crackers or dry
toast ½ to 1 hr before rising in the morning to
relieve discomfort.
A client who is at 8 weeks of gestation tells the RN
that she isn't sure she is happy about being
pregnant. The RN should respond to the client by
Correct Answers stating, "It is normal to have
feelings during the first few months of pregnancy."
Ambivalence during the first trimester is a normal
response. The client usually overcomes
ambivalence before the second trimester.
A client who is at the greatest risk for postpartum
infection is the client who Correct Answers Has
premature rupture of membranes and prolonged
labor.
A client who is in active labor and reports severe
back pain. During assessment, the fetus is noted to
be in the occiput posterior position. Which
maternal position should the nurse suggest to the
client to help facilitate normal labor progress?
Correct Answers Hands and Knees
A client who is pregnant should promptly report
which of the following symptoms to the primary
care provider? Correct Answers Vaginal bleeding
Maternal Child 1 Questions With Complete
Solutions
24hrs post-delivery, a newborn is getting
circumcised. Hasn't been fed for several hrs & is
restrained on the circumcision board. RN will
provide care after circumcision and prior to D/C.
Identify priority RN Intervention after circumcision
care. Correct Answers Observe the newborn for
bleeding by conducting checks every 15 min for 1
hr and then every hour for at least 12 hr.
4 hrs after admission to the nursery a newborn is
taken to his mother for his 1st feeding. The mother
wants to bottle feed. The RN educates on bottle
feeding. Which observations by the nurse indicates
that the mother needs additional teaching?
Correct Answers The mother places the newborn
in a supine position during feeding.
A client at 14 weeks of gestation who is diagnosed
with hyperemesis gravidarum. Which of the
following are risk factors for this client? Correct
Answers Risk factors for hyperemesis gravidarum
include obesity, multifetal gestation, vitamin B
deficiencies, and maternal age less than 20.
A client at 32 weeks gestation, is diagnosed with
preterm labor. Which medication should the PCP
,prescribe to hasten fetal lung maturity? Correct
Answers Betamethasone (Celestone) a
glucocorticoid that is given to clients in preterm
labor to hasten surfactant production.
A client experiences a large gush of fluid from her
vagina while walking. The first RN action after
establishing that the fluid is amniotic fluid Correct
Answers Should be to monitor FHR for distress.
A client in active labor who's vaginal exam 1 hr ago
showed that she was 3 cm dilated, 50 percent
effaced, and had a - 3 station. Her membranes
ruptured spontaneously. The nurse should assess
her for which sign? Correct Answers The nurse
should always assess for signs of a prolapsed cord
when membranes rupture.
A client is in the transition phase of labor and feels
that she needs to have a BM with the peak of
contractions. An appropriate Correct Answers
Nursing intervention is to Prepare for an impending
delivery.
A client presents to L&D with stabbing abdominal
pain, rigid abdomen and heavy, bright red
bleeding. The nurse is aware that these findings
are Correct Answers Associated with Abruptio
placenta.
,*Abruptio placenta is the sudden onset of intense
localized uterine pain with bright red vaginal
bleeding. An abdomen that is both rigid and tender
is also a common assessment finding.
A client who has meconium stained fluid. Which
solutions does the nurse anticipate the provider to
prescribe for an amnioinfusion? Correct Answers
Lactated Ringer's solution and 0.9% sodium
chloride
A client who is 2 weeks postpartum and
breastfeeding reports breast engorgement. Which
recommendation should the nurse make? Correct
Answers "Apply cold compresses between
feedings"
A client who is at 32 weeks gestation, is diagnosed
with placenta previa & is actively bleeding. The RN
anticipates what medication to be ordered Correct
Answers Corticosteroids (Betamethasone) will be
prescribed for fetal lung maturation if delivery of
the fetus is anticipated (cesarean birth).
A client who is at 7 weeks of gestation is
experiencing N/V in the morning. The nurse in the
prenatal clinic provides teaching that should
include: Correct Answers Eat crackers or plain
toast before getting out of bed.
, Nausea and vomiting may occur during the first
trimester. The client should eat crackers or dry
toast ½ to 1 hr before rising in the morning to
relieve discomfort.
A client who is at 8 weeks of gestation tells the RN
that she isn't sure she is happy about being
pregnant. The RN should respond to the client by
Correct Answers stating, "It is normal to have
feelings during the first few months of pregnancy."
Ambivalence during the first trimester is a normal
response. The client usually overcomes
ambivalence before the second trimester.
A client who is at the greatest risk for postpartum
infection is the client who Correct Answers Has
premature rupture of membranes and prolonged
labor.
A client who is in active labor and reports severe
back pain. During assessment, the fetus is noted to
be in the occiput posterior position. Which
maternal position should the nurse suggest to the
client to help facilitate normal labor progress?
Correct Answers Hands and Knees
A client who is pregnant should promptly report
which of the following symptoms to the primary
care provider? Correct Answers Vaginal bleeding
