ATI MATERNAL NEWBORN FINAL QUIZ/ QUESTIONS AND CORRECT
ATI Maternal Newborn Final Quiz
DETAILED ANSWERS LATEST UPDATE ALREADY A GRADED
Study online at https://quizlet.com/_d8fz4d
1. A nurse is assessing a client on the first Ask the client when she last voided
postpartum day. Findings include fun-
dus firm and one fingerbreadth above Because the muscles supporting the uterus
and to the right of the umbilicus, mod- have been stretched during pregnancy, the fun-
erate lochia rubra with small clots, tem- dus is easily displaced when the bladder is full.
perature 37.3 C (99.2 F), and pulse rate The fundus should be found firm at midline. A
52/min. Which of the following actions deviated, firm fundus indicates a full bladder.
should the nurse take? The nurse should assist the client to void.
Report the vital signs to the provider.
Massage the fundus.
Ask the client when she last voided.
Administer an oxytocic agent.
2. A nurse is preparing to administer nalox- IV narcotics administered to the mother during
one to a newborn. Which of the following labor
conditions can require administration of
this medication? The nurse should administer naloxone to re-
IV narcotics administered to the mother verse respiratory depression due to acute nar-
during labor cotic toxicity, which can result from IV narcotics
Maternal drug use administration during labor.
Hyaline membrane disease
Meconium aspiration
3. A nurse is discussing epidural anesthe- An epidural given too early can prolong labor
sia with a client who is receiving oxy-
tocin for induction of labor. Which of the Clients who receive anesthesia before the active
following statements should the nurse phase of labor usually find the progression of
make? their labor to slow. The medication depresses
"An epidural given too early during labor the central nervous system. Therefore, it will take
can cause maternal hypertension." longer for the cervix to dilate and efface.
"An epidural given too early during labor
will not be effective in active labor."
, ATI Maternal Newborn Final Quiz
Study online at https://quizlet.com/_d8fz4d
"An epidural given too early can cause
fetal depression."
"An epidural given too early can prolong
labor."
4. A nurse is caring for a client who is You should eat some crackers before rising from
pregnant and reports nausea and vom- bed in the morning
iting. Which of the following instructions
should the nurse provide the client? Morning sickness is caused by the buildup of
"You should eat some crackers before human chorionic gonadotropin (hCG) in the
rising from bed in the morning." mother's system. Dry foods eaten before rising
"You should eat foods served at warm in the morning tend to reduce the risk of nausea
temperatures." in clients who are pregnant.
"You should sip whole milk with break-
fast."
"You should brush your teeth immedi-
ately after meals."
5. A nurse is planning care for a client who At 28 weeks of gestion
is pregnant and is Rh-negative. In which
of the following situations should the The nurse should administer Rh(D) Immune
nurse administer Rh(D) Immune Globu- Globulin to a client who is pregnant and has
lin? Rh-negative blood at 28 weeks of gestation.
While the client is in labor Rh(D) Immune Globulin consists of passive an-
Following an episode of influenza during tibodies against the Rh factor, which will destroy
pregnancy any fetal RBCs in the maternal circulation and
Prior to a blood transfusion block maternal antibody production.
At 28 weeks of gestation
6. A nurse is caring for a newborn whose Respiratory depression
mother received magnesium sulfate to
treat preterm labor. Which of the follow- Magnesium sulfate can cause respiratory and
neuromuscular depression in the newborn. The
, ATI Maternal Newborn Final Quiz
Study online at https://quizlet.com/_d8fz4d
ing clinical manifestations in the new- nurse should monitor the newborn for clinical
born indicates toxicity due to the mag- manifestations of respiratory depression.
nesium sulfate therapy?
Respiratory depression
Hypothermia
Hypoglycemia
Jaundice
7. A nurse is caring for a newborn who was Frequent stimulation
born to a client who has a narcotic use
disorder. Which of the following nursing This newborn needs a quiet, calm environment
actions should the nurse identify as a with minimal stimulation to promote rest and
contraindication for the care of the new- reduce stress. A stimulating environment can
born? trigger irritability and hyperactive behaviors.
Promoting maternal-newborn bonding
Tight swaddling of the newborn
Small frequent feedings
Frequent stimulation
8. A nurse is caring for a client who is Vertex
in labor. A vaginal examination reveals
the following information: 2cm, 50%, +1, ROA describes the relationship of the present-
right occiput anterior. Based on this in- ing part of the fetus to the client's pelvis. In
formation, which of the following posi- this case, the occipital bone is the presenting
tion should the nurse document in the part and is located anteriorly in the client's right
medical record? side. Based on the presentation of the fetus, the
Transverse position is vertex.
Breech
Vertex
Mentum
9. Menorrhagia
ATI Maternal Newborn Final Quiz
DETAILED ANSWERS LATEST UPDATE ALREADY A GRADED
Study online at https://quizlet.com/_d8fz4d
1. A nurse is assessing a client on the first Ask the client when she last voided
postpartum day. Findings include fun-
dus firm and one fingerbreadth above Because the muscles supporting the uterus
and to the right of the umbilicus, mod- have been stretched during pregnancy, the fun-
erate lochia rubra with small clots, tem- dus is easily displaced when the bladder is full.
perature 37.3 C (99.2 F), and pulse rate The fundus should be found firm at midline. A
52/min. Which of the following actions deviated, firm fundus indicates a full bladder.
should the nurse take? The nurse should assist the client to void.
Report the vital signs to the provider.
Massage the fundus.
Ask the client when she last voided.
Administer an oxytocic agent.
2. A nurse is preparing to administer nalox- IV narcotics administered to the mother during
one to a newborn. Which of the following labor
conditions can require administration of
this medication? The nurse should administer naloxone to re-
IV narcotics administered to the mother verse respiratory depression due to acute nar-
during labor cotic toxicity, which can result from IV narcotics
Maternal drug use administration during labor.
Hyaline membrane disease
Meconium aspiration
3. A nurse is discussing epidural anesthe- An epidural given too early can prolong labor
sia with a client who is receiving oxy-
tocin for induction of labor. Which of the Clients who receive anesthesia before the active
following statements should the nurse phase of labor usually find the progression of
make? their labor to slow. The medication depresses
"An epidural given too early during labor the central nervous system. Therefore, it will take
can cause maternal hypertension." longer for the cervix to dilate and efface.
"An epidural given too early during labor
will not be effective in active labor."
, ATI Maternal Newborn Final Quiz
Study online at https://quizlet.com/_d8fz4d
"An epidural given too early can cause
fetal depression."
"An epidural given too early can prolong
labor."
4. A nurse is caring for a client who is You should eat some crackers before rising from
pregnant and reports nausea and vom- bed in the morning
iting. Which of the following instructions
should the nurse provide the client? Morning sickness is caused by the buildup of
"You should eat some crackers before human chorionic gonadotropin (hCG) in the
rising from bed in the morning." mother's system. Dry foods eaten before rising
"You should eat foods served at warm in the morning tend to reduce the risk of nausea
temperatures." in clients who are pregnant.
"You should sip whole milk with break-
fast."
"You should brush your teeth immedi-
ately after meals."
5. A nurse is planning care for a client who At 28 weeks of gestion
is pregnant and is Rh-negative. In which
of the following situations should the The nurse should administer Rh(D) Immune
nurse administer Rh(D) Immune Globu- Globulin to a client who is pregnant and has
lin? Rh-negative blood at 28 weeks of gestation.
While the client is in labor Rh(D) Immune Globulin consists of passive an-
Following an episode of influenza during tibodies against the Rh factor, which will destroy
pregnancy any fetal RBCs in the maternal circulation and
Prior to a blood transfusion block maternal antibody production.
At 28 weeks of gestation
6. A nurse is caring for a newborn whose Respiratory depression
mother received magnesium sulfate to
treat preterm labor. Which of the follow- Magnesium sulfate can cause respiratory and
neuromuscular depression in the newborn. The
, ATI Maternal Newborn Final Quiz
Study online at https://quizlet.com/_d8fz4d
ing clinical manifestations in the new- nurse should monitor the newborn for clinical
born indicates toxicity due to the mag- manifestations of respiratory depression.
nesium sulfate therapy?
Respiratory depression
Hypothermia
Hypoglycemia
Jaundice
7. A nurse is caring for a newborn who was Frequent stimulation
born to a client who has a narcotic use
disorder. Which of the following nursing This newborn needs a quiet, calm environment
actions should the nurse identify as a with minimal stimulation to promote rest and
contraindication for the care of the new- reduce stress. A stimulating environment can
born? trigger irritability and hyperactive behaviors.
Promoting maternal-newborn bonding
Tight swaddling of the newborn
Small frequent feedings
Frequent stimulation
8. A nurse is caring for a client who is Vertex
in labor. A vaginal examination reveals
the following information: 2cm, 50%, +1, ROA describes the relationship of the present-
right occiput anterior. Based on this in- ing part of the fetus to the client's pelvis. In
formation, which of the following posi- this case, the occipital bone is the presenting
tion should the nurse document in the part and is located anteriorly in the client's right
medical record? side. Based on the presentation of the fetus, the
Transverse position is vertex.
Breech
Vertex
Mentum
9. Menorrhagia
