ATI Maternal newborn Exam Questions With
100% Verified Answers Graded A+
A nurse is obtaining a capillary blood sample from a newborn for phenylketonuria
testing. Identify the sequence of steps the nurse should follow - 1. Wrap a
warm, moist cloth around the heel to dilate the blood vessels, which makes it
easier to obtain the blood sample.
2. Cleanse the heel with an antiseptic to reduce the risk of infection
3. Puncture the heel and collect the blood
4. Apply pressure with a dry gauze
5. Cover the heel with an adhesive bandage
A nurse is caring for a client who had a vaginal delivery 1 day ago. The nurse
determines that the client's fundus is firm, located 2 fingerbreadths above the
umbilicus, and deviated to the left. Which of the following actions should the
nurse take first? - Assist the client to empty her bladder
A nurse is caring for a client who is at 12 weeks gestation and hyperemesis
gravidarum. Which of the following manifestations should the nurse expect? -
Decreased BP; due to dehydration and hypovolemia
A nurse has just received change-of-shift report about four clients who are
postpartum. Which of the following clients should the nurse plan to see first? -
A client who received magnesium sulfate during labor because Magnesium
sulfate can cause side effect like: respiratory depression, decreased reflexes and
altered mental status
A nurse in a providers office is reviewing the medical record of a client who is
requesting a diaphragm. Which of the following findings in the clients history
should the nurse identify as a contraindication for this type of contraception? -
Recurrent urinary tract infections; the presence of a foreign object in the
vagina can increase the risk of UTIs.
, A nurse is reinforcing teaching about safety precautions to take when driving a car
with a client is in the first trimester of pregnancy. Which of the following
instructions should the nurse include in the teaching? - Move the seat as
far away as possible from the steering wheel.
A nurse is administering a miconazole vaginal suppository to a client who has
vaginal candidiasis. Which of the following actions should the nurse take? -
Insert the suppository along the posterior vaginal wall. this helps ensure it
reaches the area where it is needed
A nurse in the newborn nursey is caring for an infant who has trisomy 21. When
collecting data, which of the following findings should the nurse expect? - A
single crease in the palm. (simian line is a common finding in infants with trisomy
21)
A nurse is reinforcing teaching about outpatient resources for a client who is
recovering from a molar pregnancy. Which of the following statements by the
client indicates an understanding of the teaching? - I will need to attend a
support group when I get home
A nurse is collecting data from a newborn who was delivered at 40 weeks
gestation. Which of the following is an expected finding when eliciting reflexes
from the newborn? - The newborns fingers curl around the nurses finger
when placed in the newborns palm
A nurse is reinforcing teaching about risk factors for preeclampsia with a group of
clients who are pregnant. Which of the following risk factors should the nurse
include in the teaching? - Chronic HTN
A nurse is caring for a client who is postpartum and has inverted nipples? Which
of the following actions should the nurse take? - Place breast shells in the
clients bra.
A nurse is caring for a client who reports discomfort due to afterpains following
breastfeeding. Which of the following actions should the nurse take? -
Administer ibuprofen to client
100% Verified Answers Graded A+
A nurse is obtaining a capillary blood sample from a newborn for phenylketonuria
testing. Identify the sequence of steps the nurse should follow - 1. Wrap a
warm, moist cloth around the heel to dilate the blood vessels, which makes it
easier to obtain the blood sample.
2. Cleanse the heel with an antiseptic to reduce the risk of infection
3. Puncture the heel and collect the blood
4. Apply pressure with a dry gauze
5. Cover the heel with an adhesive bandage
A nurse is caring for a client who had a vaginal delivery 1 day ago. The nurse
determines that the client's fundus is firm, located 2 fingerbreadths above the
umbilicus, and deviated to the left. Which of the following actions should the
nurse take first? - Assist the client to empty her bladder
A nurse is caring for a client who is at 12 weeks gestation and hyperemesis
gravidarum. Which of the following manifestations should the nurse expect? -
Decreased BP; due to dehydration and hypovolemia
A nurse has just received change-of-shift report about four clients who are
postpartum. Which of the following clients should the nurse plan to see first? -
A client who received magnesium sulfate during labor because Magnesium
sulfate can cause side effect like: respiratory depression, decreased reflexes and
altered mental status
A nurse in a providers office is reviewing the medical record of a client who is
requesting a diaphragm. Which of the following findings in the clients history
should the nurse identify as a contraindication for this type of contraception? -
Recurrent urinary tract infections; the presence of a foreign object in the
vagina can increase the risk of UTIs.
, A nurse is reinforcing teaching about safety precautions to take when driving a car
with a client is in the first trimester of pregnancy. Which of the following
instructions should the nurse include in the teaching? - Move the seat as
far away as possible from the steering wheel.
A nurse is administering a miconazole vaginal suppository to a client who has
vaginal candidiasis. Which of the following actions should the nurse take? -
Insert the suppository along the posterior vaginal wall. this helps ensure it
reaches the area where it is needed
A nurse in the newborn nursey is caring for an infant who has trisomy 21. When
collecting data, which of the following findings should the nurse expect? - A
single crease in the palm. (simian line is a common finding in infants with trisomy
21)
A nurse is reinforcing teaching about outpatient resources for a client who is
recovering from a molar pregnancy. Which of the following statements by the
client indicates an understanding of the teaching? - I will need to attend a
support group when I get home
A nurse is collecting data from a newborn who was delivered at 40 weeks
gestation. Which of the following is an expected finding when eliciting reflexes
from the newborn? - The newborns fingers curl around the nurses finger
when placed in the newborns palm
A nurse is reinforcing teaching about risk factors for preeclampsia with a group of
clients who are pregnant. Which of the following risk factors should the nurse
include in the teaching? - Chronic HTN
A nurse is caring for a client who is postpartum and has inverted nipples? Which
of the following actions should the nurse take? - Place breast shells in the
clients bra.
A nurse is caring for a client who reports discomfort due to afterpains following
breastfeeding. Which of the following actions should the nurse take? -
Administer ibuprofen to client
