CMS Maternal Newborn Practice A /
CMS Maternal-Newborn Practice A –
ATI Exam Prep Guide
A nurse is collecting data from a client who is at 36 weeks of gestation during a
prenatal examination. Which of the following findings should the nurse report to
the provider? - ---✔✔✔ANSWER----Blurred vision - indication of
preeclampsia
Expected findings: non pitting ankle edema, 10 fetal movements in 2 hr, leg
cramps
A nurse is caring or a newborn who is receiving phototherapy. Which of the
following actions should the nurse take? - ---✔✔✔ANSWER----Place an
opaque mask over the newborn's eyes - to prevent damage to the retinas
- Should remove mask for feedings
DO NOT apply a thin layer of lotion to the newborn's skin
,A nurse is caring for a client who is at 11 weeks of gestation and reports frequent
vomiting. Which of the following findings should the nurse identify as an
indication that the client has hyperemesis gravidarum? - ---✔✔✔ANSWER--
--Ketonuria
Occurs due to the breakdown of fat secondary to malnutrition or starvation
Tachycardia and tachypnea due to dehydration
A nurse is caring for a newborn who has a high-pitched cry and does not respond
to consoling efforts. Which of the following neonatal data collection tools should
the nurse expect to complete? - ---✔✔✔ANSWER----Neonatal Abstinence
Scoring System: exhibiting opioid withdrawal
Additional manifestations: restlessness, tremors, increased muscle tone, and an
exaggerated Moro reflex
- Apgar score: heart rate, respiratory rate, muscle tone, reflex irritability and skin
color
- Newborn Hearing Screen should be completed before the newborn is discharged
from the hospital
- Critical Congenital Heart Disease screen should be completed 24- 28 hours
following birth and before the newborn is discharged from the hospital
A nurse is assisting in the care of a newborn immediately following birth. Which of
the following images should the nurse identify as an indication that the newborn
has a myelomeningocele? - ---✔✔✔ANSWER----Occurs when the neural
tube fails to close, and the meninges and spinal cord herniate
, Occurs in the lumbar area and may be covered by a thin membranous sac
- Exstrophy of the bladder; occurs from abnormal development of the abdominal
wall, symphysis pubis and bladder ; visible in the suprapubic area and requires
surgical intervention soon after birth
- Omphalocel: occurs when abdominal organs herniate through the umbilical ring
at the base of the umbilical cord
- Cephalohematoma; collection of blood between the skull bone and its covering,
the periosteum. A cephalohematoma does not cross the suture lines of the
newborn's skull and will spontaneously resolve in 2-8 weeks
A nurse is collecting data from a newborn who is 8hr old. Which of the following
findings should the nurse report to the provider? - ---✔✔✔ANSWER----
Apical heart rate of 90/min while crying - normal range 110 - 160 for a newborn,
heart rate of 80-100/min while asleep and up to 180/min while crying
- Apneic episode of 20 seconds or less - normal; newborns respirations are
normally shallow and irregular
- Positive moro reflex present from birth up to 8 weeks
- Vernix in the skin folds - normal
A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed
her newborn. The client reports perineal pain of 6 on a scale from 0 to 10. The
nurse also notes mild perineal edema and ecchymosis, with a fundus that is 2 cm
above the umbilicus with deviation to the right. Which of the following actions is
the nurse's priority?
a. administer analgesics
b. apply an ice pack to the perineum
c. assist the client with breastfeeding
CMS Maternal-Newborn Practice A –
ATI Exam Prep Guide
A nurse is collecting data from a client who is at 36 weeks of gestation during a
prenatal examination. Which of the following findings should the nurse report to
the provider? - ---✔✔✔ANSWER----Blurred vision - indication of
preeclampsia
Expected findings: non pitting ankle edema, 10 fetal movements in 2 hr, leg
cramps
A nurse is caring or a newborn who is receiving phototherapy. Which of the
following actions should the nurse take? - ---✔✔✔ANSWER----Place an
opaque mask over the newborn's eyes - to prevent damage to the retinas
- Should remove mask for feedings
DO NOT apply a thin layer of lotion to the newborn's skin
,A nurse is caring for a client who is at 11 weeks of gestation and reports frequent
vomiting. Which of the following findings should the nurse identify as an
indication that the client has hyperemesis gravidarum? - ---✔✔✔ANSWER--
--Ketonuria
Occurs due to the breakdown of fat secondary to malnutrition or starvation
Tachycardia and tachypnea due to dehydration
A nurse is caring for a newborn who has a high-pitched cry and does not respond
to consoling efforts. Which of the following neonatal data collection tools should
the nurse expect to complete? - ---✔✔✔ANSWER----Neonatal Abstinence
Scoring System: exhibiting opioid withdrawal
Additional manifestations: restlessness, tremors, increased muscle tone, and an
exaggerated Moro reflex
- Apgar score: heart rate, respiratory rate, muscle tone, reflex irritability and skin
color
- Newborn Hearing Screen should be completed before the newborn is discharged
from the hospital
- Critical Congenital Heart Disease screen should be completed 24- 28 hours
following birth and before the newborn is discharged from the hospital
A nurse is assisting in the care of a newborn immediately following birth. Which of
the following images should the nurse identify as an indication that the newborn
has a myelomeningocele? - ---✔✔✔ANSWER----Occurs when the neural
tube fails to close, and the meninges and spinal cord herniate
, Occurs in the lumbar area and may be covered by a thin membranous sac
- Exstrophy of the bladder; occurs from abnormal development of the abdominal
wall, symphysis pubis and bladder ; visible in the suprapubic area and requires
surgical intervention soon after birth
- Omphalocel: occurs when abdominal organs herniate through the umbilical ring
at the base of the umbilical cord
- Cephalohematoma; collection of blood between the skull bone and its covering,
the periosteum. A cephalohematoma does not cross the suture lines of the
newborn's skull and will spontaneously resolve in 2-8 weeks
A nurse is collecting data from a newborn who is 8hr old. Which of the following
findings should the nurse report to the provider? - ---✔✔✔ANSWER----
Apical heart rate of 90/min while crying - normal range 110 - 160 for a newborn,
heart rate of 80-100/min while asleep and up to 180/min while crying
- Apneic episode of 20 seconds or less - normal; newborns respirations are
normally shallow and irregular
- Positive moro reflex present from birth up to 8 weeks
- Vernix in the skin folds - normal
A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed
her newborn. The client reports perineal pain of 6 on a scale from 0 to 10. The
nurse also notes mild perineal edema and ecchymosis, with a fundus that is 2 cm
above the umbilicus with deviation to the right. Which of the following actions is
the nurse's priority?
a. administer analgesics
b. apply an ice pack to the perineum
c. assist the client with breastfeeding
