ATI RN MATERNAL NEWBORN PRACTICE 209 A
2026 COMPREHENSIVE QUESTIONS AND
ANSWERS
◉ A nurse is using Neagel's rule to determine the estimated date of
birth (EDB) for a client who first day of her last menstrual period
was February 2, 2018. The nurse should identify which of the
following as the client's EDB?
November 16, 2018
October 19, 2018
October 26, 2018
November 9, 2018. Answer: November 9, 2018
Rationale: This would be the correct EDB because Naegle's rule
involves counting backward 3 calendar months from the first day of
the client's last menstrual period and then adding 7 days.
◉ A nurse is providing postpartum discharge teaching for a client
who is breastfeeding. The client states, "I've heard that I can't use
,any birth control until I stop breastfeeding." Which of the following
responses should the nurse make?
"You will not get pregnant while you are breastfeeding, so you will
not need any birth control."
"A birth control pull that contains only estrogen is available for use
while you are breastfeeding."
"Condoms are the only method of contraception that is appropriate
while you are breastfeeding."
"A progestin-only or injection is available for use while you are
breastfeeding.". Answer: "A progestin-only or injection is available
for use while you are breastfeeding."
Rationale: Pregestin-only injections, implants, and birth control pills
are acceptable options for clients who are breastfeeding, although
some experts recommend waiting until 6 weeks postpartum to
initiate the medication.
◉ A nurse is assisting with the care of a client who is 2 hours
postpartum and is exhibiting signs of hypovolemic shock. Which of
the following actions should the nurse take?
,Saline lock the IV catheter
Provide oxygen via nasal cannula
Elevate the client's legs to a 30° angle.
Place the client in a semi-Fowler's position. Answer: Elevate the
client's legs to a 30° angle.
Rationale: The nurse should position the client on her side with her
right hip evaluated by a pillow or in a supine position with her legs
elevation to at least a 30° angle. This improves blood flow and
reduces manifestations of hypotension.
◉ A nurse is contributing to the plan of care for a newborn who has
hyperbilirubinemia and a prescription for phototherapy. Which of
the following interventions should the nurse recommend?
Discontinue therapy if a fine rash appears.
Place moisturizing lotion on the newborn's skin
Supplement feedings with 1 oz of glucose water every 4 hours.
, Change the newborn's position every 3 to 3 hours. Answer: Change
the newborn's position every 3 to 3 hours
Rationale: Change the newborn's position every 3 to 3 hours
◉ A nurse is caring for a client who recently gave birth and plans to
breastfeed. Which of the following actions should the nurse take?
Place the unwrapped newborn on the mother's bare chest
Feed the infant 5 to 15 mg of 5% glucose water to assess the
suck/swallow reflex
Bathe the newborn under running warm water before feeding
Administer vitamin K and eye prophylaxis prior to feeding. Answer:
Place the unwrapped newborn on the mother's bare chest
Rationale: Skin-to-skin contact will maintain the newborn's
temperature and elicit instinctive newborn feeding behaviors.
2026 COMPREHENSIVE QUESTIONS AND
ANSWERS
◉ A nurse is using Neagel's rule to determine the estimated date of
birth (EDB) for a client who first day of her last menstrual period
was February 2, 2018. The nurse should identify which of the
following as the client's EDB?
November 16, 2018
October 19, 2018
October 26, 2018
November 9, 2018. Answer: November 9, 2018
Rationale: This would be the correct EDB because Naegle's rule
involves counting backward 3 calendar months from the first day of
the client's last menstrual period and then adding 7 days.
◉ A nurse is providing postpartum discharge teaching for a client
who is breastfeeding. The client states, "I've heard that I can't use
,any birth control until I stop breastfeeding." Which of the following
responses should the nurse make?
"You will not get pregnant while you are breastfeeding, so you will
not need any birth control."
"A birth control pull that contains only estrogen is available for use
while you are breastfeeding."
"Condoms are the only method of contraception that is appropriate
while you are breastfeeding."
"A progestin-only or injection is available for use while you are
breastfeeding.". Answer: "A progestin-only or injection is available
for use while you are breastfeeding."
Rationale: Pregestin-only injections, implants, and birth control pills
are acceptable options for clients who are breastfeeding, although
some experts recommend waiting until 6 weeks postpartum to
initiate the medication.
◉ A nurse is assisting with the care of a client who is 2 hours
postpartum and is exhibiting signs of hypovolemic shock. Which of
the following actions should the nurse take?
,Saline lock the IV catheter
Provide oxygen via nasal cannula
Elevate the client's legs to a 30° angle.
Place the client in a semi-Fowler's position. Answer: Elevate the
client's legs to a 30° angle.
Rationale: The nurse should position the client on her side with her
right hip evaluated by a pillow or in a supine position with her legs
elevation to at least a 30° angle. This improves blood flow and
reduces manifestations of hypotension.
◉ A nurse is contributing to the plan of care for a newborn who has
hyperbilirubinemia and a prescription for phototherapy. Which of
the following interventions should the nurse recommend?
Discontinue therapy if a fine rash appears.
Place moisturizing lotion on the newborn's skin
Supplement feedings with 1 oz of glucose water every 4 hours.
, Change the newborn's position every 3 to 3 hours. Answer: Change
the newborn's position every 3 to 3 hours
Rationale: Change the newborn's position every 3 to 3 hours
◉ A nurse is caring for a client who recently gave birth and plans to
breastfeed. Which of the following actions should the nurse take?
Place the unwrapped newborn on the mother's bare chest
Feed the infant 5 to 15 mg of 5% glucose water to assess the
suck/swallow reflex
Bathe the newborn under running warm water before feeding
Administer vitamin K and eye prophylaxis prior to feeding. Answer:
Place the unwrapped newborn on the mother's bare chest
Rationale: Skin-to-skin contact will maintain the newborn's
temperature and elicit instinctive newborn feeding behaviors.
