RN Maternal Newborn
ATI RN Maternal Newborn Online Practice B With NGN Exam
Questions And Answers Newest Update
A nurse is calculating a client's expected date of birth using Nägele'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?
A. September 3rd
B. September 20th
C. August 3rd
D. August 20th - A. September 3rd
When using Nägele'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 3rd.
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should
follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the
steps.)
A. Identify the attitude of the head.
B. Plapate the fundus to identify the fetal part.
C. Determine the loctation of the fetal back.
D. Palpate for the fetal part presenting at the inlet. - B. Plapate the fundus to identify the fetal part.
A. Determine the loctation of the fetal back.
B. Palpate for the fetal part presenting at the inlet.
A. Identify the attitude of the head.
The first step the nurse should take when performing Leopold maneuvers is to palpate the client's fundus to
identify the fetal part. Second, the nurse should determine the location of the fetal back. Third, the nurse
should palpate for the fetal part presenting at the inlet. Finally, the nurse should palpate the cephalic
prominence to identify the attitude of the head.
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,RN Maternal Newborn
A nurse is planning discharge for a client who is 3 days postpartum. Which of the following
nonpharmacological interventions should the nurse include in the plan of care for lactation suppression?
A. Place warm, moist packs on the breasts.
B. Apply cabbage leaves to the breasts.
C. Wear a loose-fitting bra.
D. Put green tea bags on the breasts. - B. Apply cabbage leaves to the breasts.
Plant sterols and salicylates from cabbage leaves can help to relieve swelling and discomfort caused by
breast engorgement.
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is,
"happy one minute and crying the next." The nurse should interpret the client's statement as an indication of
which of the following?
A. Emotional lability
B. Focusing phase
C. Cognitive restructuring
D. Couvade syndrome - A. Emotional lability
The nurse should recognize and interpret the client's statement as an indication of emotional lability. Many
clients experience rapid and unpredictable changes in mood during pregnancy. Intense hormonal changes
may be responsible for mood changes that occur during pregnancy. Tears and anger alternate with feelings
of joy or cheerfulness for little or no reason.
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,RN Maternal Newborn
A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential
adverse effects of the medication. For which of the following findings should the nurse instruct the client to
notify the provider?
A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness - A. Shortness of breath
The nurse should instruct the client to notify the provider immediately of any shortness of breath. Shortness
of breath and chest pain can indicate a pulmonary embolus or myocardial infarction. Also, the nurse should
instruct the client to notify the provider of other adverse effects that can indicate potential complications,
including abdominal pain, sudden or persistent headaches, blurred vision, and severe leg pain.
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the
following findings should the nurse report to the provider?
A. Swelling of the face
B. Varicose veins in the calves
C. Nonpitting 1+ ankle edema
D. Hyperpigmentation of the cheeks - A. Swelling of the face
Swelling of the face, sacral area, and fingers can indicate gestational hypertension or preeclampsia.
Reduction in renal perfusion leads to sodium and water retention. Fluid moves out of the intravascular
compartment into the tissues, causing edema.
A nurse is providing discharge teaching to the parents of a newborn about car seat safety. Which of the
following instructions should the nurse include?
A. Place the shoulder harness in the slots above the newborn's shoulders.
B. Place the retainer clip at the level of the newborn's armpits.
C. Place the newborn at a 60° angle in the car seat.
D. Place the newborn in a blanket before securing them in the car seat. - B. Place the retainer clip at the level
of the newborn's armpits.
The nurse should instruct the parents to place the newborn in a federally approved car seat with the retainer
clip snugly at the level of the newborn's armpits.
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, RN Maternal Newborn
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth because of mild
respiratory distress. Which of the following actions should the nurse take first?
A. Confirm the newborn's Apgar score.
B. Verify the newborn's identification.
C. Administer vitamin K to the newborn.
D. Determine obstetrical risk factors. - B. 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.
A nurse is assessing a newborn for manifestations of hypoglycemia. Which of the following findings should
the nurse expect?
A. Jitteriness
B. Hypertonia
C. Abdominal distention
D. Mottling - A. Jitteriness
Jitteriness, tachypnea, retractions, nasal flaring, lethargy, temperature instability, apnea, abnormal cry, poor
feeding, and seizures are expected findings of hypoglycemia. Newborns who are small or large for
gestational age and late preterm newborns are at an increased risk for hypoglycemia.
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's secretions. Which of the
following instructions should the nurse include?
A. Insert the syringe tip before compressing the bulb.
B. Suction each of the nares before suctioning the mouth.
C. Insert the tip of the syringe into the center of the newborn's mouth.
D. Stop suctioning when the newborn's cry sounds clear. - D. Stop suctioning when the newborn's cry sounds
clear.
The nurse should instruct the client to stop suctioning when the newborn's cry no longer sounds like it is
coming through a bubble of fluid or mucus.
A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the
following laboratory results should the nurse report to the provider?
A. Hct 39%
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ATI RN Maternal Newborn Online Practice B With NGN Exam
Questions And Answers Newest Update
A nurse is calculating a client's expected date of birth using Nägele'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?
A. September 3rd
B. September 20th
C. August 3rd
D. August 20th - A. September 3rd
When using Nägele'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 3rd.
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should
follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the
steps.)
A. Identify the attitude of the head.
B. Plapate the fundus to identify the fetal part.
C. Determine the loctation of the fetal back.
D. Palpate for the fetal part presenting at the inlet. - B. Plapate the fundus to identify the fetal part.
A. Determine the loctation of the fetal back.
B. Palpate for the fetal part presenting at the inlet.
A. Identify the attitude of the head.
The first step the nurse should take when performing Leopold maneuvers is to palpate the client's fundus to
identify the fetal part. Second, the nurse should determine the location of the fetal back. Third, the nurse
should palpate for the fetal part presenting at the inlet. Finally, the nurse should palpate the cephalic
prominence to identify the attitude of the head.
©® 1
,RN Maternal Newborn
A nurse is planning discharge for a client who is 3 days postpartum. Which of the following
nonpharmacological interventions should the nurse include in the plan of care for lactation suppression?
A. Place warm, moist packs on the breasts.
B. Apply cabbage leaves to the breasts.
C. Wear a loose-fitting bra.
D. Put green tea bags on the breasts. - B. Apply cabbage leaves to the breasts.
Plant sterols and salicylates from cabbage leaves can help to relieve swelling and discomfort caused by
breast engorgement.
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is,
"happy one minute and crying the next." The nurse should interpret the client's statement as an indication of
which of the following?
A. Emotional lability
B. Focusing phase
C. Cognitive restructuring
D. Couvade syndrome - A. Emotional lability
The nurse should recognize and interpret the client's statement as an indication of emotional lability. Many
clients experience rapid and unpredictable changes in mood during pregnancy. Intense hormonal changes
may be responsible for mood changes that occur during pregnancy. Tears and anger alternate with feelings
of joy or cheerfulness for little or no reason.
©® 2
,RN Maternal Newborn
A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential
adverse effects of the medication. For which of the following findings should the nurse instruct the client to
notify the provider?
A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness - A. Shortness of breath
The nurse should instruct the client to notify the provider immediately of any shortness of breath. Shortness
of breath and chest pain can indicate a pulmonary embolus or myocardial infarction. Also, the nurse should
instruct the client to notify the provider of other adverse effects that can indicate potential complications,
including abdominal pain, sudden or persistent headaches, blurred vision, and severe leg pain.
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the
following findings should the nurse report to the provider?
A. Swelling of the face
B. Varicose veins in the calves
C. Nonpitting 1+ ankle edema
D. Hyperpigmentation of the cheeks - A. Swelling of the face
Swelling of the face, sacral area, and fingers can indicate gestational hypertension or preeclampsia.
Reduction in renal perfusion leads to sodium and water retention. Fluid moves out of the intravascular
compartment into the tissues, causing edema.
A nurse is providing discharge teaching to the parents of a newborn about car seat safety. Which of the
following instructions should the nurse include?
A. Place the shoulder harness in the slots above the newborn's shoulders.
B. Place the retainer clip at the level of the newborn's armpits.
C. Place the newborn at a 60° angle in the car seat.
D. Place the newborn in a blanket before securing them in the car seat. - B. Place the retainer clip at the level
of the newborn's armpits.
The nurse should instruct the parents to place the newborn in a federally approved car seat with the retainer
clip snugly at the level of the newborn's armpits.
©® 3
, RN Maternal Newborn
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth because of mild
respiratory distress. Which of the following actions should the nurse take first?
A. Confirm the newborn's Apgar score.
B. Verify the newborn's identification.
C. Administer vitamin K to the newborn.
D. Determine obstetrical risk factors. - B. 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.
A nurse is assessing a newborn for manifestations of hypoglycemia. Which of the following findings should
the nurse expect?
A. Jitteriness
B. Hypertonia
C. Abdominal distention
D. Mottling - A. Jitteriness
Jitteriness, tachypnea, retractions, nasal flaring, lethargy, temperature instability, apnea, abnormal cry, poor
feeding, and seizures are expected findings of hypoglycemia. Newborns who are small or large for
gestational age and late preterm newborns are at an increased risk for hypoglycemia.
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's secretions. Which of the
following instructions should the nurse include?
A. Insert the syringe tip before compressing the bulb.
B. Suction each of the nares before suctioning the mouth.
C. Insert the tip of the syringe into the center of the newborn's mouth.
D. Stop suctioning when the newborn's cry sounds clear. - D. Stop suctioning when the newborn's cry sounds
clear.
The nurse should instruct the client to stop suctioning when the newborn's cry no longer sounds like it is
coming through a bubble of fluid or mucus.
A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the
following laboratory results should the nurse report to the provider?
A. Hct 39%
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