ATI RN Maternal Newborn Online Practice 2019
A ELABORATED EXAM (A+ GRADED 100%
VERIFIED) QUESTIONS & ANSWERS 2025
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A nurse in an antepartum Fundal Height
clinic is providing care
for a client who is at 26 A fundal height measurement of 30 cm should be
weeks of gestation. Upon reported to the provider. Fundal height should be
reviewing the client's measured in centimeters and is the same as the
medical record, which of number of gestational weeks plus or minus 2 weeks
the following findings from 18 to 32 weeks gestation. Therefore, the nurse
should the nurse report should report this finding to the provider.
to the provider?
1-Hr GTT of 130-140 or greater indicates a need to
1-Hr Glucose Tolerance report to provider.
Test - 120 mg/dL Hematocrit above 33% is normal
Hematocrit - 34% FHR is normal (110-160/min)
Fundal Height
Measurement - 30 cm
Fetal Heart Rate - 110
bpm
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,6/2/25, 8:59 AM ATI RN Maternal Newborn Online Practice 2019 A ELABORATED EXAM (A+ GRADED 100% VERIFIED) QUESTIONS & ANS…
A nurse is caring for a RR 10/min
client who is at 30 weeks
of gestation and has a The nurse should report a respiratory rate of less
prescription for than 12/min to the provider, because this is a
magnesium sulfate IV to manifestation of magnesium toxicity. The nurse
treat preterm labor. The should ensure that the antidote, calcium gluconate,
nurse should notify the is readily available.
provider of which of the
following adverse Flushing and nausea are expected, but oliguria
effects? (levels of 25-30 mL/hr or less) is a sign of toxicity.
Client reports nausea
Urinary output of 40
mL/hr
Respiratory rate 10/min
Client reports feeling
flushed
A nurse is assessing a Jaundice
newborn 12 hr after birth. Jaundice occurring within the first 24 hr of birth is
Which of the following associated with ABO incompatibility, hemolysis, or
manifestations should the Rh-isoimmunization. The nurse should report this
nurse report to the manifestation to the provider.
provider?
Everything else is expected
Acrocyanosis
Transient strabismus
Jaundice
Caput succedaneum
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,6/2/25, 8:59 AM ATI RN Maternal Newborn Online Practice 2019 A ELABORATED EXAM (A+ GRADED 100% VERIFIED) QUESTIONS & ANS…
A nurse is admitting a Begin FHR monitoring.
client to the labor and The greatest risk to the client and her fetus following
delivery unit when the a rupture of membranes is umbilical cord prolapse
client states, "My water (this is a common test question--Remember, cord
just broke." Which of the compression is associated with variable
following interventions is decelerations and can happen after ROM). The
the nurses priority? nurse should monitor the fetus closely to ensure
well-being. Therefore, this is the priority action the
Perform Nitrazine testing. nurse should take.
Assess the fluid. Other actions are correct, but not priority.
Check cervical dilation.
Begin FHR monitoring.
Acrocyanosis is an expected finding for at least the
first 24 hr following birth. Poor peripheral perfusion
leads to bluish discoloration in the newborn's hands
and feet.
Newborns should exhibit a positive Babinski sign
A nurse is performing a following birth. The nurse should stroke the
physical assessment of a newborn's foot upward from the heel to the toes.
newborn upon admission The toes should hyperextend, and dorsal flexion of
to the nursery. Which of the big toe should occur. The absence of this finding
the following requires neurological evaluation. The Babinski reflex
manifestations should the is no longer present after 1 year of age.
nurse expect? (select all The nurse should observe two arteries and one vein
that apply) in the umbilical cord. The presence of only one
artery can indicate a renal anomaly.
Yellow sclera
Acrocyanosis INCORRECT:
Posterior fontanel larger
than the anterior fontanel Yellow sclera is an indication of hyperbilirubinemia
Positive Babinski reflex and is not an expected manifestation.
Two umbilical arteries Posterior fontanel larger than the anterior fontanel is
visible incorrect. The posterior fontanel is located on the
back of the newborn's head and is a small triangular
shape. The anterior fontanel is diamond shaped and
approximately 5 cm (2 in) long. It is located on the
top of the newborn's head and is larger than the
posterior fontanel.
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, 6/2/25, 8:59 AM ATI RN Maternal Newborn Online Practice 2019 A ELABORATED EXAM (A+ GRADED 100% VERIFIED) QUESTIONS & ANS…
A nurse is transporting a Verify that the parent's identification band matches
newborn back to the the newborn's identification band.
parent's room following a
procedure. Which of the The nurse should verify the newborn's identity every
following actions should time the newborn is returned to the parents. The
the nurse take? nurse should match the information on the parent's
identification band to the information on the
Verify that the parent's newborn's identification band.
identification band
matches the newborn's
identification band.
Scan the newborn's
identification band to
verify their identity.
Check the newborn's
security tag number to
ensure it matches the
newborn's medical
record.
Match the newborn's
date and time of birth to
the information in the
parent's medical record.
A nurse is assessing a A weight gain of 2.2 kg (4.8 lb) in a week is above
client who is at 38 weeks the expected reference range and could indicate
of gestation during a complications. Therefore, this finding should be
weekly prenatal visit. reported to the provider.
Which of the following
findings should the nurse All other findings are expected
report to the provider?
Blood pressure 136/88
mm Hg
Report of insomnia
Weight gain of 2.2 kg (4.8
lb)
Report of Braxton Hicks
contractions
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