COURSE CODE: NUR-406
EXAM DATE TIME ALLOWED
COURSE TITLE: ATI Skill Modules — Maternal Newborn Care
— / — / —— 120 Minutes
INSTRUCTOR: —
◇
ATI Skill Modules — Maternal Newborn
Comprehensive Assessment Examination
ALL QUESTIONS ARE COMPULSORY
A MULTIPLE CHOICE QUESTIONS (100 Marks)
Choose the single best answer for each question. Write the correct letter in the space provided.
1. A nurse is auscultating fetal heart rate on a client at 12 weeks of gestation. Which technique should
the nurse use?
A. Place the fetoscope at the level of the umbilicus and apply light pressure.
B. Apply conductive gel and position the ultrasound device at midline just above the symphysis pubis.
C. Use a regular stethoscope over the fetal back area.
D. Perform Leopold maneuvers before auscultation in the first trimester.
◆
✦ CORRECT ANSWER: B. Apply conductive gel and position the ultrasound device at midline just above the symphysis pubis.
Rationale: Toward the end of the first trimester, around the 10th or 11th week of gestation, it is possible to hear fetal heart rate
with an ultrasound fetoscope. A regular stethoscope or fetoscope can detect fetal heart sounds at 18 to 20 weeks. At 12 weeks, the
ultrasound device should be placed at midline just above the symphysis pubis with conductive gel applied.
, 2. A nurse is measuring fundal height on a client at 28 weeks of gestation. The measurement is 24 cm.
What should the nurse suspect?
A. Hydramnios
B. Multiple pregnancy
C. Intrauterine growth restriction
D. Large-for-gestational-age fetus
◆
✦ CORRECT ANSWER: C. Intrauterine growth restriction
Rationale: From weeks 20 to 32, the number of centimeters of fundal height is approximately equivalent to the weeks of
gestation. At 28 weeks, expected fundal height is 28 cm. A measurement of 24 cm is below expected and might suggest
intrauterine growth restriction, miscalculation of due dates, or fetal anomaly. Measurements above gestational age suggest
hydramnios, large-for-gestational-age fetus, or multiple pregnancy.
3. A nurse is caring for a client in labor who is experiencing lower back pain due to a posterior fetal
position. Which nonpharmacological technique should the nurse recommend?
A. Effleurage
B. Therapeutic touch
C. Counterpressure
D. Pattern-paced breathing
◆
✦ CORRECT ANSWER: C. Counterpressure
Rationale: Counterpressure is steady pressure applied to the sacral area of the patient's back. This is especially helpful for
patients who have pain and internal pressure in the lower back because the fetal head is in a posterior position. The support
person uses the heel of the hand or a fist to achieve adequate counterpressure. Effleurage is light stroking on the abdomen,
therapeutic touch involves energy fields, and patterned breathing helps with contraction coping.
EXAM DATE TIME ALLOWED
COURSE TITLE: ATI Skill Modules — Maternal Newborn Care
— / — / —— 120 Minutes
INSTRUCTOR: —
◇
ATI Skill Modules — Maternal Newborn
Comprehensive Assessment Examination
ALL QUESTIONS ARE COMPULSORY
A MULTIPLE CHOICE QUESTIONS (100 Marks)
Choose the single best answer for each question. Write the correct letter in the space provided.
1. A nurse is auscultating fetal heart rate on a client at 12 weeks of gestation. Which technique should
the nurse use?
A. Place the fetoscope at the level of the umbilicus and apply light pressure.
B. Apply conductive gel and position the ultrasound device at midline just above the symphysis pubis.
C. Use a regular stethoscope over the fetal back area.
D. Perform Leopold maneuvers before auscultation in the first trimester.
◆
✦ CORRECT ANSWER: B. Apply conductive gel and position the ultrasound device at midline just above the symphysis pubis.
Rationale: Toward the end of the first trimester, around the 10th or 11th week of gestation, it is possible to hear fetal heart rate
with an ultrasound fetoscope. A regular stethoscope or fetoscope can detect fetal heart sounds at 18 to 20 weeks. At 12 weeks, the
ultrasound device should be placed at midline just above the symphysis pubis with conductive gel applied.
, 2. A nurse is measuring fundal height on a client at 28 weeks of gestation. The measurement is 24 cm.
What should the nurse suspect?
A. Hydramnios
B. Multiple pregnancy
C. Intrauterine growth restriction
D. Large-for-gestational-age fetus
◆
✦ CORRECT ANSWER: C. Intrauterine growth restriction
Rationale: From weeks 20 to 32, the number of centimeters of fundal height is approximately equivalent to the weeks of
gestation. At 28 weeks, expected fundal height is 28 cm. A measurement of 24 cm is below expected and might suggest
intrauterine growth restriction, miscalculation of due dates, or fetal anomaly. Measurements above gestational age suggest
hydramnios, large-for-gestational-age fetus, or multiple pregnancy.
3. A nurse is caring for a client in labor who is experiencing lower back pain due to a posterior fetal
position. Which nonpharmacological technique should the nurse recommend?
A. Effleurage
B. Therapeutic touch
C. Counterpressure
D. Pattern-paced breathing
◆
✦ CORRECT ANSWER: C. Counterpressure
Rationale: Counterpressure is steady pressure applied to the sacral area of the patient's back. This is especially helpful for
patients who have pain and internal pressure in the lower back because the fetal head is in a posterior position. The support
person uses the heel of the hand or a fist to achieve adequate counterpressure. Effleurage is light stroking on the abdomen,
therapeutic touch involves energy fields, and patterned breathing helps with contraction coping.
