ATI MATERNAL 2026 LABOR, DELIVERY, AND
POSTPARTUM MASTER REVIEW
◉A nurse is caring for a client who is at 22 weeks of gestation and
reports concern about blotchy hyperpigmentation on her forehead
which of the following actions should the nurse take
Tell the client to follow up with a dermatologist.
Explain to the client this is an expected occurrence.
Instruct the client to increase her intake of vitamin D.
Inform the client she might have an allergy to her skin care
products.. Answer: Explain to the client that this is an expected
occurrence
Chloasma, also referred to as the mask of pregnancy, is a blotchy,
brown hyperpigmentation of the skin over the cheeks, nose, and
forehead. It is seen most often in dark-skinned women and is caused
by an increase in melanotropin during pregnancy. This condition
appears after 16 weeks of gestation and increases gradually until
delivery for 50 to 70% of women. Therefore, the nurse should
reassure the client that this is an expected occurrence which usually
fades after delivery.
,◉A nurse is teaching a client who is in preterm labor about
terbutaline which of the following statements by the client indicates
an understanding of the teaching
"I will get injections of the medication once daily until my labor
stops."
"My blood sugar may be low while I'm on this medication."
"I will have blood tests because my potassium might decrease."
"My blood pressure may increase while I'm on this medication.".
Answer: I will have blood tests because my potassium might
decrease
An adverse effect of terbutaline is hypokalemia.
◉A nurse is assessing a newborn of a client who took a selective
serotonin reuptake inhibitor during pregnancy which of the
following manifestations should the nurse identify as an indication
of withdrawal from an SSRI
Large for gestational age
Hyperglycemia
Bradypnea
Vomiting. Answer: Vomiting
,Expected manifestations associated with fetal exposure to SSRIs
include irritability, agitation, tremors, diarrhea, and vomiting. These
manifestations typically last 2 days.
◉A nurse is assessing a newborn who is 12 hours old which of the
following manifestations require interventions by the nurse
Acrocyanosis of the extremities
Murmur at the left sternal border
Substernal chest retractions while sleeping
Positive Babinski reflex. Answer: Substernal chest retractions while
sleeping
Substernal chest retractions can indicate respiratory distress
syndrome in the newborn. This manifestation requires further
assessment and intervention by the nurse.
◉A nurse in the antepartum clinic is assessing a client adaptation of
pregnancy the client states that she is happy one minute and crying
the next the nurse should interpret the clients statement as an
indication of which of the following
Emotional lability
Focusing phase
Cognitive restructuring
, Couvade syndrome. Answer: Emotional lability
The nurse should recognize and interpret the client's statement as
an indication of emotional lability. Many clients experience rapid
and unpredictable changes in mood during pregnancy. Intense
hormonal changes may be responsible for mood changes that occur
during pregnancy. Tears and anger alternate with feelings of joy or
cheerfulness for little or no reason.
◉A nurse on a antepartum unit is caring for four clients which of the
following client to the nurse identify as a priority
A client who has gestational diabetes and a fasting blood glucose
level of 120 mg/dL
A client who is at 34 weeks of gestation and reports epigastric pain
A client who is at 28 weeks of gestation and has an Hgb of 10.4 g/dL
A client who is at 39 weeks of gestation and reports urinary
frequency and dysuria. Answer: A client who is at 34 weeks of
gestation and reports epigastric pain
When using the urgent vs nonurgent approach to client care, the
nurse should assess the client who reports epigastric pain.
Epigastric pain is a manifestation of preeclampsia and indicates
hepatic involvement, which is an urgent finding. Therefore, the
nurse should identify this client as the priority.
POSTPARTUM MASTER REVIEW
◉A nurse is caring for a client who is at 22 weeks of gestation and
reports concern about blotchy hyperpigmentation on her forehead
which of the following actions should the nurse take
Tell the client to follow up with a dermatologist.
Explain to the client this is an expected occurrence.
Instruct the client to increase her intake of vitamin D.
Inform the client she might have an allergy to her skin care
products.. Answer: Explain to the client that this is an expected
occurrence
Chloasma, also referred to as the mask of pregnancy, is a blotchy,
brown hyperpigmentation of the skin over the cheeks, nose, and
forehead. It is seen most often in dark-skinned women and is caused
by an increase in melanotropin during pregnancy. This condition
appears after 16 weeks of gestation and increases gradually until
delivery for 50 to 70% of women. Therefore, the nurse should
reassure the client that this is an expected occurrence which usually
fades after delivery.
,◉A nurse is teaching a client who is in preterm labor about
terbutaline which of the following statements by the client indicates
an understanding of the teaching
"I will get injections of the medication once daily until my labor
stops."
"My blood sugar may be low while I'm on this medication."
"I will have blood tests because my potassium might decrease."
"My blood pressure may increase while I'm on this medication.".
Answer: I will have blood tests because my potassium might
decrease
An adverse effect of terbutaline is hypokalemia.
◉A nurse is assessing a newborn of a client who took a selective
serotonin reuptake inhibitor during pregnancy which of the
following manifestations should the nurse identify as an indication
of withdrawal from an SSRI
Large for gestational age
Hyperglycemia
Bradypnea
Vomiting. Answer: Vomiting
,Expected manifestations associated with fetal exposure to SSRIs
include irritability, agitation, tremors, diarrhea, and vomiting. These
manifestations typically last 2 days.
◉A nurse is assessing a newborn who is 12 hours old which of the
following manifestations require interventions by the nurse
Acrocyanosis of the extremities
Murmur at the left sternal border
Substernal chest retractions while sleeping
Positive Babinski reflex. Answer: Substernal chest retractions while
sleeping
Substernal chest retractions can indicate respiratory distress
syndrome in the newborn. This manifestation requires further
assessment and intervention by the nurse.
◉A nurse in the antepartum clinic is assessing a client adaptation of
pregnancy the client states that she is happy one minute and crying
the next the nurse should interpret the clients statement as an
indication of which of the following
Emotional lability
Focusing phase
Cognitive restructuring
, Couvade syndrome. Answer: Emotional lability
The nurse should recognize and interpret the client's statement as
an indication of emotional lability. Many clients experience rapid
and unpredictable changes in mood during pregnancy. Intense
hormonal changes may be responsible for mood changes that occur
during pregnancy. Tears and anger alternate with feelings of joy or
cheerfulness for little or no reason.
◉A nurse on a antepartum unit is caring for four clients which of the
following client to the nurse identify as a priority
A client who has gestational diabetes and a fasting blood glucose
level of 120 mg/dL
A client who is at 34 weeks of gestation and reports epigastric pain
A client who is at 28 weeks of gestation and has an Hgb of 10.4 g/dL
A client who is at 39 weeks of gestation and reports urinary
frequency and dysuria. Answer: A client who is at 34 weeks of
gestation and reports epigastric pain
When using the urgent vs nonurgent approach to client care, the
nurse should assess the client who reports epigastric pain.
Epigastric pain is a manifestation of preeclampsia and indicates
hepatic involvement, which is an urgent finding. Therefore, the
nurse should identify this client as the priority.
