ATI RN maternal newborn Exam New Latest Version
with All Questions from Actual Past Exam, 100%
Correct Answers and Rationale
a nurse is caring for a client who is at 38 weeks of gestation. which of the following actions
should the nurse take prior to applying an external transducer for fetal monitoring? - answers -
:perform leopold maneuvers
The nurse should perform Leopold maneuvers to assess the position of the fetus to best
determine the optimal placement for the external fetal monitoring transducer.
a nurse in a prenatal clinic is assessing a group of clients. which of the following clients should
the nurse see first? - answers -:a client who is at 11 weeks of gestation and reports abdominal
cramping.
When using the urgent vs nonurgent approach to client care, the nurse should determine that
the priority finding is a client who is at 11 weeks of gestation and reports abdominal cramping.
Abdominal cramping can indicate an ectopic pregnancy or manifestations of spontaneous
abortion. The nurse should request that the provider see this client first.
oligohydraminos - answers -:presence of an insufficient amount of amniotic fluid
a nurse is caring for a client who is at 32 weeks of gestation and has gonorrhea. the nurse
should identify that the client is at an increased risk for which of the following complications ? -
answers -:premature rupture of membranes
, The nurse should identify that a client who is pregnant and has gonorrhea is at an increased risk
for premature rupture of membranes, chorioamnionitis, preterm birth, neonatal sepsis, and
intrauterine growth restriction.
a nurse is assessing four newborns. which of the following findings should the nurse report to
the provider? - answers -:A newborn who is 18 hr old and has an axillary temperature of 37.7° C
(99.9° F)
An axillary temperature greater than 37.5° C (99.5° F) is above the expected reference range for
a newborn and can be an indication of sepsis. Therefore, the nurse should report this finding to
the provider.
a nurse is caring for a postpartum client who is receiving heparin via a continuous iv infusion for
thrombophlebitis in her left calf. which of the following actions should the nurse take? -
answers -:maintain the client on bed rest.
The client should remain on bed rest to decrease the risk of dislodging the clot, which could
cause a pulmonary embolism. Elevation of the affected leg is recommended.
a nurse is providing discharge teaching to a client who had a c section birth 3 days ago. which of
the following instructions should the nurse include? - answers -:"You can still become pregnant
if you are breastfeeding."
The nurse should instruct the client that breastfeeding does not prevent ovulation. Therefore,
the client can become pregnant. The nurse should discuss contraception that is safe to use
while breastfeeding.
a nurse is performing a physical assessment of a newborn. which of the following clinical
findings should the nurse expect? - answers -:Heart rate 154/min is correct. The expected
reference range for a newborn's heart rate is from 110/min to 160/min while awake.
with All Questions from Actual Past Exam, 100%
Correct Answers and Rationale
a nurse is caring for a client who is at 38 weeks of gestation. which of the following actions
should the nurse take prior to applying an external transducer for fetal monitoring? - answers -
:perform leopold maneuvers
The nurse should perform Leopold maneuvers to assess the position of the fetus to best
determine the optimal placement for the external fetal monitoring transducer.
a nurse in a prenatal clinic is assessing a group of clients. which of the following clients should
the nurse see first? - answers -:a client who is at 11 weeks of gestation and reports abdominal
cramping.
When using the urgent vs nonurgent approach to client care, the nurse should determine that
the priority finding is a client who is at 11 weeks of gestation and reports abdominal cramping.
Abdominal cramping can indicate an ectopic pregnancy or manifestations of spontaneous
abortion. The nurse should request that the provider see this client first.
oligohydraminos - answers -:presence of an insufficient amount of amniotic fluid
a nurse is caring for a client who is at 32 weeks of gestation and has gonorrhea. the nurse
should identify that the client is at an increased risk for which of the following complications ? -
answers -:premature rupture of membranes
, The nurse should identify that a client who is pregnant and has gonorrhea is at an increased risk
for premature rupture of membranes, chorioamnionitis, preterm birth, neonatal sepsis, and
intrauterine growth restriction.
a nurse is assessing four newborns. which of the following findings should the nurse report to
the provider? - answers -:A newborn who is 18 hr old and has an axillary temperature of 37.7° C
(99.9° F)
An axillary temperature greater than 37.5° C (99.5° F) is above the expected reference range for
a newborn and can be an indication of sepsis. Therefore, the nurse should report this finding to
the provider.
a nurse is caring for a postpartum client who is receiving heparin via a continuous iv infusion for
thrombophlebitis in her left calf. which of the following actions should the nurse take? -
answers -:maintain the client on bed rest.
The client should remain on bed rest to decrease the risk of dislodging the clot, which could
cause a pulmonary embolism. Elevation of the affected leg is recommended.
a nurse is providing discharge teaching to a client who had a c section birth 3 days ago. which of
the following instructions should the nurse include? - answers -:"You can still become pregnant
if you are breastfeeding."
The nurse should instruct the client that breastfeeding does not prevent ovulation. Therefore,
the client can become pregnant. The nurse should discuss contraception that is safe to use
while breastfeeding.
a nurse is performing a physical assessment of a newborn. which of the following clinical
findings should the nurse expect? - answers -:Heart rate 154/min is correct. The expected
reference range for a newborn's heart rate is from 110/min to 160/min while awake.
