MATERNITY ATI REVIEW |150 QUESTIONS
WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS)
Cord compression during pregnancy is a risk for: - CORRECT ANSWER - fetal anoxia
Maternal hypertension usually results in a baby with: - CORRECT ANSWER - no
complications
Alcohol use during pregnancy can result in: - CORRECT ANSWER - fetal alcohol
syndrome, developmental delay, birth defects.
Prematurity is a risk factor for: - CORRECT ANSWER - RDS: Respiratory distress
syndrome. a premature newborn has inadequate surfactant production, which can lead
to RDS.
What food is a good source of folate? - CORRECT ANSWER - cooked spinach. 1 cup
contains 262 mcg folate.
newborn has an obstructed airway and needs nasopharyngeal suctioning with a
mechanical suction. ID the sequence of actions the nurse should take in order. -
CORRECT ANSWER - 1. Adjust pressure of wall suction to below 80 mm Hg.
2. Lubricate tip of catheter in sterile water.
3. Insert cath nasally, up and back into the nares.
4. Create suction by placing thumb over the control.
5. Suction for 5 sec while rotating and withdrawing the cath.
Discussing a vasectomy with a male client, what statement indicates the client
understands: - CORRECT ANSWER - "after, we will need to use alternative
contraception temporarily" : Residual sperm may remain in the sperm ducts following
the procedure and can result in pregnancy. Use alternative birth control until 2
consecutive sperm counts are 0.
Instruction to new mothers re: formula feeding: - CORRECT ANSWER - Allow 20-30min
for feeding, so the newborn does not eat too fast and swallow too much air.
What postpartum issue should be reported to MD? - CORRECT ANSWER - Leg
soreness 24 hours post C-Section: Clotting factors remain elevated in the first days
postpartum, inc risk for thrombophlebitis. Pain and tenderness are clinical findings of
thrombophlebitis, as well as heat, redness, swelling.
, NurseBernie
Expected findings in postpartum mothers: - CORRECT ANSWER - Diaphoresis occurs
as the body rids itself of excess fluids; Bowel movements may not occur for 2-3 days
after birth; Diastasis recti abdominis, a seperation of abdominal muscles, is also
expected.
A pt with an incompetent cervix is scheduled for cerclage and should be taught: -
CORRECT ANSWER - after the procedure the pt should remain on bed rest, an
elevated temperature indicates infection and should be reported, and The cerclage will
be removed @ 37 wks gestation
Reinforcing teaching in a client who wants to use jet hydrotherapy to promote
comfort/relaxation during labor: - CORRECT ANSWER - "You should be in the active
phase of the first stage of labor to use the tub." : Starting jet hydrotherapy BEFORE pt is
in active stage of labor can slow down contractions and delay the progression of labor.
Reviewing pregnant pts prenatal record, what is a desired outcome? - CORRECT
ANSWER - Reactive nonstress test indicates fetal well being.
What is a complication related to the birth of a newborn who is LGA: large for
gestational age? - CORRECT ANSWER - Hemorrhage; birthing a LGA newborn inc risk
for hemorrhage due to risk for uterine atony.
Premature rupture of membranes puts client at risk for: - CORRECT ANSWER -
Umbilical cord prolapse. Fetal heart rate should be evaluated.
Fundal height should be measured - CORRECT ANSWER - between 18-32 wks of
gestation
Obtaining a blood sample for Maternal Serum Alpha-Fetoprotein (MSAFP) screen -
CORRECT ANSWER - between 16-18 wks gestation
A vaginal and anal specimen for Group B Streptococcus should be collected -
CORRECT ANSWER - between 35-37 wks gestation
An ultrasound stethoscope should be used to listen to fetal heart tones at: - CORRECT
ANSWER - 12 weeks/ end of the first trimester.
Care for a postpartum Pt with a second degree perineal laceration - CORRECT
ANSWER - during first 24 hours apply an icepack to the perineum, it decreases perineal
edema and reduces discomfort; avoid aspirin it interferes with blood clotting; avoid soft
pillows and donuts, they cause seperation of the buttocks and decrease blood flow,
increasing perineal discomfort; encourage pt to use a sitz bath for 20 mins 2-3xday.
Baby should be in a rear facing car seat until - CORRECT ANSWER - atleast 1 year old
and 20+ lbs, or the max height/weight for the car seat.