Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A
Maternity/Newborn ATI Questions with
Answers
Amniocentesis
Ans: An amniocentesis is used to determine lung maturity, detect congenital anomalies,
and diagnose fetal hemolytic disease.
Cordocentesis
Ans: A cordocentesis is used to identify fetal blood type and RBC when there is a risk of
isoimmune hemolytic anemia.
Kleihauer-Betke test
Ans: The Kleihauer-Betke test is used to determine the amount of fetal blood in the
maternal circulation when there is a risk of Rh-isoimmunization.
A positive contraction stress test indicates that further evaluation of the fetus is
necessary.
Ans: A biophysical profile will provide further evaluation with a real-time ultrasound.
Side effects of combined oral contraceptives
Ans: The nurse should instruct the client that depression is a common adverse effect of
combined oral contraceptives. Other common adverse effects of the medication include
amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and breast
tenderness.
A nurse is assessing four newborns. Which of the following findings should the nurse
report to the provider?
a. A newborn who is 26 hr old and has erythema toxicum on his face
b. A newborn who is 32 hr old and has not passed a meconium stool
c. A newborn who is 12 hr old and has pink-tinged urine
d. A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F)
Q&A
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Ans: Answer:
d. A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F)
An axillary temperature greater than 37.5° C (99.5° F) is above the expected reference range
for a newborn and can be an indication of sepsis. Therefore, the nurse should report this
finding to the provider.
Explanation:
Erythema toxicum is a transient rash that can appear anywhere on a newborn's body during
the first 24 to 72 hr following birth and can last up to 3 weeks. This finding requires no
treatment.
A newborn should pass the first meconium stool within the first 24 to 48 hr following birth.
Failure to pass a meconium stool can indicate a bowel obstruction or congenital disorder.
This finding is within the expected reference range.
Pink-tinged urine is an indication of uric acid crystals and is an expected finding for a
newborn during the first week following birth.
side effects of magnesium sulfate
Q&A
, Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A
Ans: - Hypotension
- Sedation
- Confusion
- N/V
- Bradycardia
- Pruritis
- Arrhythmias
- Decreased deep tendon reflexes
- Respiratory depression/paralysis
- Drowsiness
- Muscle weakness
- Complete heart block
- When used immediately prior to delivery it can cause fetal hypoxia, asphyxia, arrhythmias
and possible fetal intracranial bleeding
How much folic acid should a pregnant person take daily?
Ans: A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic acid
assists with preventing neural tube birth defects.
Caloric intake for a pregnant person?
Ans: A client who is pregnant should increase caloric intake by 340 cal during the second
trimester and by 452 cal during the third trimester.
How much water should a pregnant patient drink daily?
Ans: A client who is pregnant should consume 3 L of water each day.
How much protein should a pregnant patient eat per day?
Ans: A client who is pregnant should increase protein intake to 71 g each day during the
second and third trimesters.
Manifestations of hypoglycemia in the newborn
Q&A
Maternity/Newborn ATI Questions with
Answers
Amniocentesis
Ans: An amniocentesis is used to determine lung maturity, detect congenital anomalies,
and diagnose fetal hemolytic disease.
Cordocentesis
Ans: A cordocentesis is used to identify fetal blood type and RBC when there is a risk of
isoimmune hemolytic anemia.
Kleihauer-Betke test
Ans: The Kleihauer-Betke test is used to determine the amount of fetal blood in the
maternal circulation when there is a risk of Rh-isoimmunization.
A positive contraction stress test indicates that further evaluation of the fetus is
necessary.
Ans: A biophysical profile will provide further evaluation with a real-time ultrasound.
Side effects of combined oral contraceptives
Ans: The nurse should instruct the client that depression is a common adverse effect of
combined oral contraceptives. Other common adverse effects of the medication include
amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and breast
tenderness.
A nurse is assessing four newborns. Which of the following findings should the nurse
report to the provider?
a. A newborn who is 26 hr old and has erythema toxicum on his face
b. A newborn who is 32 hr old and has not passed a meconium stool
c. A newborn who is 12 hr old and has pink-tinged urine
d. A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F)
Q&A
, Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A
Ans: Answer:
d. A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F)
An axillary temperature greater than 37.5° C (99.5° F) is above the expected reference range
for a newborn and can be an indication of sepsis. Therefore, the nurse should report this
finding to the provider.
Explanation:
Erythema toxicum is a transient rash that can appear anywhere on a newborn's body during
the first 24 to 72 hr following birth and can last up to 3 weeks. This finding requires no
treatment.
A newborn should pass the first meconium stool within the first 24 to 48 hr following birth.
Failure to pass a meconium stool can indicate a bowel obstruction or congenital disorder.
This finding is within the expected reference range.
Pink-tinged urine is an indication of uric acid crystals and is an expected finding for a
newborn during the first week following birth.
side effects of magnesium sulfate
Q&A
, Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A
Ans: - Hypotension
- Sedation
- Confusion
- N/V
- Bradycardia
- Pruritis
- Arrhythmias
- Decreased deep tendon reflexes
- Respiratory depression/paralysis
- Drowsiness
- Muscle weakness
- Complete heart block
- When used immediately prior to delivery it can cause fetal hypoxia, asphyxia, arrhythmias
and possible fetal intracranial bleeding
How much folic acid should a pregnant person take daily?
Ans: A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic acid
assists with preventing neural tube birth defects.
Caloric intake for a pregnant person?
Ans: A client who is pregnant should increase caloric intake by 340 cal during the second
trimester and by 452 cal during the third trimester.
How much water should a pregnant patient drink daily?
Ans: A client who is pregnant should consume 3 L of water each day.
How much protein should a pregnant patient eat per day?
Ans: A client who is pregnant should increase protein intake to 71 g each day during the
second and third trimesters.
Manifestations of hypoglycemia in the newborn
Q&A
