2024 MATERNAL/NEWBORN ATI
PRACTICE TESTS EXAM WITH
CORRECT ANSWERS
A nurse is caring for a prenatal client who has parvovirus (5th
disease). Which of the following actions should the nurse take?
a. administer antiviral medication
b. schedule an ultrasound
c. administer Haemophilus influenzae type b vaccine
d. schedule and indirect Coomb's test - CORRECT ANSWERS- b.
The nurse should schedule serial US exams to monitor the fetus
during pregnancy to detect the possible development of fetal
hydrops. Also, the virus can cause miscarriage, IUGR, fetal
anemia, or stillbirth
Steps of Leopold Maneuver - CORRECT ANSWERS- The first step
the nurse should take when performing Leopold maneuvers is to
palpate the client's fundus to identify the fetal part. Second, the
nurse should determine the location of the fetal back. Third, the
nurse should palpate for the fetal part presenting at the inlet.
Finally, the nurse should palpate the cephalic prominence to
identify the attitude of the head.
,A nurse is assessing a client who is 30 weeks of gestation during a
routine prenatal visit. Which of the following findings should the
nurse report to the provider?
a. swelling of the face
b. varicose veins within the calves
c. nonpitting 1+ ankle edema
d. hyperpigmentation of the cheeks - CORRECT ANSWERS- a.
swelling of the face
Swelling of the face, sacral area, and fingers can indicate
gestational hypertension or preeclampsia. Reduction in renal
perfusion leads to sodium and water retention. Fluid moves out of
the intravascular compartment into the tissues, causing edema.
A nurse is teaching a new mother how to use a bulb syringe to
suction her newborn's secretions. Which of the following
instructions should the nurse include?
a. insert the syringe tip before compressing the bulb
b. suction each of the nares before suctioning the mouth
c. insert the tip of the syringe into the center of the newborn's
mouth
d. stop suctioning when the newborn's cry sounds clear -
CORRECT ANSWERS- d. stop suctioning when the newborn's cry
sounds clear
The nurse should instruct the client to stop suctioning when the
newborn's cry no longer sounds like it is coming through a bubble
of fluid or mucus.
, A nurse in an antepartum clinic is providing care for a client who
is at 26 weeks gestation. Upon reviewing the client's medical
record, which of the following findings should the nurse report to
the provider?
Medical Record: BP 130/78, RR 20, HR 90, Hg 12, Hct 34%, 1-hr
glucose tolerance test 120, fundal height 30 cm, FHR 110/min
a. 1-hr glucose tolerance test
b. hematocrit
c. fundal height
d. fetal heart rat - CORRECT ANSWERS- c. fundal height
A fundal height measurement of 30 cm should be reported.
Fundal height should be the same as the number of gestational
weeks, plus or minus 2.
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?
a. check client's temperature
b. observe for uterine contractions
c. administer Rho immune globulin
d. monitor FHR - CORRECT ANSWERS- d. monitor FHR
The greatest risk to the client and her fetus is fetal death.
Therefore, the priority nursing intervention is to monitor the FHR
following amniocentesis.
PRACTICE TESTS EXAM WITH
CORRECT ANSWERS
A nurse is caring for a prenatal client who has parvovirus (5th
disease). Which of the following actions should the nurse take?
a. administer antiviral medication
b. schedule an ultrasound
c. administer Haemophilus influenzae type b vaccine
d. schedule and indirect Coomb's test - CORRECT ANSWERS- b.
The nurse should schedule serial US exams to monitor the fetus
during pregnancy to detect the possible development of fetal
hydrops. Also, the virus can cause miscarriage, IUGR, fetal
anemia, or stillbirth
Steps of Leopold Maneuver - CORRECT ANSWERS- The first step
the nurse should take when performing Leopold maneuvers is to
palpate the client's fundus to identify the fetal part. Second, the
nurse should determine the location of the fetal back. Third, the
nurse should palpate for the fetal part presenting at the inlet.
Finally, the nurse should palpate the cephalic prominence to
identify the attitude of the head.
,A nurse is assessing a client who is 30 weeks of gestation during a
routine prenatal visit. Which of the following findings should the
nurse report to the provider?
a. swelling of the face
b. varicose veins within the calves
c. nonpitting 1+ ankle edema
d. hyperpigmentation of the cheeks - CORRECT ANSWERS- a.
swelling of the face
Swelling of the face, sacral area, and fingers can indicate
gestational hypertension or preeclampsia. Reduction in renal
perfusion leads to sodium and water retention. Fluid moves out of
the intravascular compartment into the tissues, causing edema.
A nurse is teaching a new mother how to use a bulb syringe to
suction her newborn's secretions. Which of the following
instructions should the nurse include?
a. insert the syringe tip before compressing the bulb
b. suction each of the nares before suctioning the mouth
c. insert the tip of the syringe into the center of the newborn's
mouth
d. stop suctioning when the newborn's cry sounds clear -
CORRECT ANSWERS- d. stop suctioning when the newborn's cry
sounds clear
The nurse should instruct the client to stop suctioning when the
newborn's cry no longer sounds like it is coming through a bubble
of fluid or mucus.
, A nurse in an antepartum clinic is providing care for a client who
is at 26 weeks gestation. Upon reviewing the client's medical
record, which of the following findings should the nurse report to
the provider?
Medical Record: BP 130/78, RR 20, HR 90, Hg 12, Hct 34%, 1-hr
glucose tolerance test 120, fundal height 30 cm, FHR 110/min
a. 1-hr glucose tolerance test
b. hematocrit
c. fundal height
d. fetal heart rat - CORRECT ANSWERS- c. fundal height
A fundal height measurement of 30 cm should be reported.
Fundal height should be the same as the number of gestational
weeks, plus or minus 2.
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?
a. check client's temperature
b. observe for uterine contractions
c. administer Rho immune globulin
d. monitor FHR - CORRECT ANSWERS- d. monitor FHR
The greatest risk to the client and her fetus is fetal death.
Therefore, the priority nursing intervention is to monitor the FHR
following amniocentesis.
