ATI Maternal Newborn Practice A & B
With Fully Correct Passed Answers
A nurse is caring for a client who is at 15 weeks gestation, is Rh negative, and
has just had an amniocentesis. Which of the following interventions is the
nurse's priority following the procedure?
Check the client's temperature.
Observe for uterine contractions.
Administer Rho(D) immune globulin.
Monitor the FHR. - Ans--Monitor the FHR.
A nurse is teaching a newly licensed nurse about collecting a specimen for
the universal newborn screening. Which of the following statements should
the nurse include in the teaching?
"Obtain an informed consent prior to obtaining the specimen."
"Collect at least 1 milliliter of urine for the test."
"Ensure that the newborn has been receiving feedings for 24 hours prior to
obtaining the specimen."
"Premature newborns may have false negative tests due to immature
development of liver enzymes." - Ans--"Ensure that the newborn has been
receiving feedings for 24 hours prior to obtaining the specimen."
A nurse in an antepartum clinic is assessing a client who is at 32 weeks
gestation. Which of the following findings should the nurse report to the
provider?
Fundal height 34 cm
Report of decreased fetal movement
Report of occasional ankle swelling
BP 110/80 mm Hg - Ans--Report of decreased fetal movement
A nurse is caring for a client who is experiencing preeclampsia and has a new
prescription for IV magnesium sulfate. Which of the following medications
should the nurse anticipate administering if the client develops magnesium
toxicity?
Calcium gluconate
Hydralazine
,Medroxyprogesterone acetate
Methylergonovine - Ans--Calcium gluconate
A nurse is assessing a client who is 1 day postpartum and has a vaginal
hematoma. Which of the following manifestations should the nurse expect?
Lochia serosa vaginal drainage
Vaginal pressure
Intermittent vaginal pain
Yellow exudate vaginal drainage - Ans--Vaginal pressure
A nurse is caring for a client who is at 35 weeks of gestation and is undergoing
a nonstress test that reveals a variable deceleration in the FHR. Which of the
following actions should the nurse take?
Give the client orange juice
Elevate the client's legs
Have the client change position
Establish IV access - Ans--Have the client change position
A nurse is providing teaching for a client who has a new prescription for
combined oral contraceptives. Which of the following findings should the
nurse include as an adverse effect of this medication?
Depression
Polyuria
Hypotension
Urticaria - Ans--Depression
A nurse is caring for a client who is at 24 weeks of gestation and has a
suspected placental abruption. Which of the following laboratory tests
should the nurse expect the provider to prescribe?
Kleihauer-Betke test
Progesterone serum level
Lecithin/sphingomyelin (L/S) ratio
Maternal Alpha-fetoprotein (AFP) - Ans--Kleihauer-Betke test
A nurse is creating a plan of care for a client who is postpartum and adheres to
traditional Hispanic cultural beliefs. Which of the following cultural practices
should the nurse include in the plan of care?
Protect the client's head and feet from cold air.
, Bathe the client within 12 hr following birth.
Ambulate the client within 24 hr following birth.
Offer the client a glass of cold milk with her first meal. - Ans--Protect the
client's head and feet from cold air.
A nurse is teaching a client who is at 10 weeks of gestation about nutrition
during pregnancy. Which of the following statements by the client indicated
an understanding of the teaching?
"I should increase my protein intake to 60 grams each day."
"I should drink 2 liters of water each day."
"I should increase my overall daily caloric intake by 300 calories."
"I should take 600 micrograms of folic acid each day." - Ans--"I should take
600 micrograms of folic acid each day."
A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat preterm labor. The nurse
should notify the provider of which of the following adverse effects?
Client reports nausea
Urinary output of 40 ml/hr
Respiratory rate 10/min
Client reports feelings flushed - Ans--Respiratory rate 10/min
A nurse in a prenatal clinic is assessing a group of clients. Which of the
following clients should the nurse see first?
A client who is at 11 weeks of gestation and reports abdominal cramping
A client who is at 15 weeks of gestation and reports tingling and numbness in
right hand
A client who is at 20 weeks of gestation and reports constipation for the past 4
days
A client who is at 8 weeks of gestation and reports having three bloody noses
in the past week - Ans--A client who is at 11 weeks of gestation and reports
abdominal cramping
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy.
The nurse enters the room and observes the client having a seizure. After
turning the client's head to one side, which of the following actions should the
nurse take immediately after the seizure?
Monitor the FHR.
With Fully Correct Passed Answers
A nurse is caring for a client who is at 15 weeks gestation, is Rh negative, and
has just had an amniocentesis. Which of the following interventions is the
nurse's priority following the procedure?
Check the client's temperature.
Observe for uterine contractions.
Administer Rho(D) immune globulin.
Monitor the FHR. - Ans--Monitor the FHR.
A nurse is teaching a newly licensed nurse about collecting a specimen for
the universal newborn screening. Which of the following statements should
the nurse include in the teaching?
"Obtain an informed consent prior to obtaining the specimen."
"Collect at least 1 milliliter of urine for the test."
"Ensure that the newborn has been receiving feedings for 24 hours prior to
obtaining the specimen."
"Premature newborns may have false negative tests due to immature
development of liver enzymes." - Ans--"Ensure that the newborn has been
receiving feedings for 24 hours prior to obtaining the specimen."
A nurse in an antepartum clinic is assessing a client who is at 32 weeks
gestation. Which of the following findings should the nurse report to the
provider?
Fundal height 34 cm
Report of decreased fetal movement
Report of occasional ankle swelling
BP 110/80 mm Hg - Ans--Report of decreased fetal movement
A nurse is caring for a client who is experiencing preeclampsia and has a new
prescription for IV magnesium sulfate. Which of the following medications
should the nurse anticipate administering if the client develops magnesium
toxicity?
Calcium gluconate
Hydralazine
,Medroxyprogesterone acetate
Methylergonovine - Ans--Calcium gluconate
A nurse is assessing a client who is 1 day postpartum and has a vaginal
hematoma. Which of the following manifestations should the nurse expect?
Lochia serosa vaginal drainage
Vaginal pressure
Intermittent vaginal pain
Yellow exudate vaginal drainage - Ans--Vaginal pressure
A nurse is caring for a client who is at 35 weeks of gestation and is undergoing
a nonstress test that reveals a variable deceleration in the FHR. Which of the
following actions should the nurse take?
Give the client orange juice
Elevate the client's legs
Have the client change position
Establish IV access - Ans--Have the client change position
A nurse is providing teaching for a client who has a new prescription for
combined oral contraceptives. Which of the following findings should the
nurse include as an adverse effect of this medication?
Depression
Polyuria
Hypotension
Urticaria - Ans--Depression
A nurse is caring for a client who is at 24 weeks of gestation and has a
suspected placental abruption. Which of the following laboratory tests
should the nurse expect the provider to prescribe?
Kleihauer-Betke test
Progesterone serum level
Lecithin/sphingomyelin (L/S) ratio
Maternal Alpha-fetoprotein (AFP) - Ans--Kleihauer-Betke test
A nurse is creating a plan of care for a client who is postpartum and adheres to
traditional Hispanic cultural beliefs. Which of the following cultural practices
should the nurse include in the plan of care?
Protect the client's head and feet from cold air.
, Bathe the client within 12 hr following birth.
Ambulate the client within 24 hr following birth.
Offer the client a glass of cold milk with her first meal. - Ans--Protect the
client's head and feet from cold air.
A nurse is teaching a client who is at 10 weeks of gestation about nutrition
during pregnancy. Which of the following statements by the client indicated
an understanding of the teaching?
"I should increase my protein intake to 60 grams each day."
"I should drink 2 liters of water each day."
"I should increase my overall daily caloric intake by 300 calories."
"I should take 600 micrograms of folic acid each day." - Ans--"I should take
600 micrograms of folic acid each day."
A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat preterm labor. The nurse
should notify the provider of which of the following adverse effects?
Client reports nausea
Urinary output of 40 ml/hr
Respiratory rate 10/min
Client reports feelings flushed - Ans--Respiratory rate 10/min
A nurse in a prenatal clinic is assessing a group of clients. Which of the
following clients should the nurse see first?
A client who is at 11 weeks of gestation and reports abdominal cramping
A client who is at 15 weeks of gestation and reports tingling and numbness in
right hand
A client who is at 20 weeks of gestation and reports constipation for the past 4
days
A client who is at 8 weeks of gestation and reports having three bloody noses
in the past week - Ans--A client who is at 11 weeks of gestation and reports
abdominal cramping
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy.
The nurse enters the room and observes the client having a seizure. After
turning the client's head to one side, which of the following actions should the
nurse take immediately after the seizure?
Monitor the FHR.
