ATI Maternal newborn assessment A
Study online at https://quizlet.com/_808zm1
1. A nurse on the postpar- b. amount of lochia
tum unit is caring for a pt.
following a cesarean birth. when using the ABCs approach to client care, the nurse should
Which of the following as- place the priority in the immediate postpartum period on assessing
sessments is the nurse's the amount of postpartum lochia. the greatest risk to the client is
priority? bleeding and postpartum hemorrhage.
a. parent-child attachment
b. amount of lochia
c. patency of the IV
catheter
d. quality and quantity of
urine
2. a nurse is caring for a a. apply sacral counter pressure
client who is in labor
and whose fetus is in the the nurse should apply sacral counter pressure to assist in relieving
right occiput posterior po- back labor pain related to fetal posterior position
sition. the client is dilated
b. the nurse should perform TENS during the first stage of labor.
to 8cm and reports back
pain. which of the following
c. the nurse should transition a client to pattern-paced breathing
actions should the nurse
during this stage of labor.
take?
d. The nurse should teach the client about biofeedback during the
a. apply sacral counter
prenatal period for it to be effective during labor.
pressure
b. perform trancutaneous
electrical nerve stimulation
(TENS)
, ATI Maternal newborn assessment A
Study online at https://quizlet.com/_808zm1
c. initiate slow-paced
breathing
d. assist with biofeedback
3. a nurse is demonstrating a. wipe the newborn's eyes from inner canthus outward
to a client how to bathe
her newborn. in which or- c. wash the newborn's neck by lifting the newborn's chin
der should the nurse per-
d. cleanse the skin around the newborn's umbilical stump
form the following actions
b. wash the newborn's legs and feet
a. wipe the newborn's eyes
from inner canthus out-
e. clean the newborn's diaper area
ward
The nurse should demonstrate how to bathe a newborn by using a
b. wash the newborn's legs
head to toe, clean to dirty, approach.
and feet
c. wash the newborn's neck
by lifting the newborn's
chin
d. cleanse the skin around
the newborn's umbilical
stump
e. clean the newborn's dia-
per area
4. a nurse is caring for a a. take photos of the newborn to give to the parents
client and her partner who
have experienced a fetal the nurse should create a memory box that includes mementos of
the newborn (ex: photos, ID bands, newborn hat and blanket)
, ATI Maternal newborn assessment A
Study online at https://quizlet.com/_808zm1
death. which of the fol-
lowing actions should the b. Organ donation can be considered if a newborn is delivered
nurse take? alive.
a. take photos of the new- c. The nurse should encourage the client to allow older children to
born to give to the parents come to the hospital as a beneficial part of the grieving process.
b. tell the parents that they d. The nurse should explain to the client that naming the baby can
can consider organ dona- be helpful during the grieving process, but it is not a requirement.
tion
c. encourage the parents
to avoid allowing older chil-
dren to visit them in the
hospital
d. explain to the parents
the need to name the new-
born
5. a nurse is caring for a client a. biophysical profile
who is 36 weeks gestation
and has a positive contrac- a positive contraction stress test indicate further evaluation of the fe-
tion stress test. the nurse tus is necessary. a biophysical profile will provide further evaluation
should plan to prepare the with real-time ultrasound
clients for which of the fol-
b. An amniocentesis is used to determine lung maturity, detect
lowing diagnostic tests?
congenital anomalies, and diagnose fetal hemolytic disease.
a. biophysical profile
c. A cordocentesis is used to identify fetal blood type and RBC when
b. amniocentesis there is a risk of isoimmune hemolytic anemia.
c. cordocentesis d. The Kleihauer-Betke test is used to determine the amount of fetal
, ATI Maternal newborn assessment A
Study online at https://quizlet.com/_808zm1
blood in the maternal circulation when there is a risk of Rh-isoim-
d. Kleihauer- Burke test munization.
6. a nurse is reviewing the d. platelets 50,000/mm3
medical record of a client
who is postpartum and a platelet count of 50,000/mm3 is below the expected reference
has preeclampsia. which of range, which can indicate disseminated intravascular coagulation.
the following laboratory re- the nurse should report this result to the provider
sults should the nurse re-
a. An Hct of 39% is within the expected reference range and is not
port to the provider?
indicative of a postpartum complication.
a. hct 39%
b. A serum albumin level of 4.5 g/dL is within the expected reference
b. serum albumin 4.5 g/dL range. This finding is consistent with mild preeclampsia and does
not indicate a worsening of the condition.
c. WBC 9,000/mm3
c. A WBC of 9,000/mm3 is within the expected reference range.
d. platelets 50,000/mm3
7. a nurse is assessing a new- a. minimal arm recoil
born who was born at 26
weeks gestation using the the nurse should expect a newborn that was born at 26 weeks to
Ballard score. which of the have decreased muscular tone or minimal arm recoil
following findings should
b. A popliteal angle of 90° is an indicator of physical maturity with
the nurse expect?
increasing gestational age after 26 weeks.
a. minimal arm recoil
c. Creases over the entire sole of a newborn's foot are an indicator
b. popliteal angle of 90 of physical maturity with increasing gestational age after 26 weeks.
c. creases over the entire d. Raised areolas with 3 to 4 mm buds is an indicator of physical
foot sole maturity with increasing gestational age after 26 weeks.
Study online at https://quizlet.com/_808zm1
1. A nurse on the postpar- b. amount of lochia
tum unit is caring for a pt.
following a cesarean birth. when using the ABCs approach to client care, the nurse should
Which of the following as- place the priority in the immediate postpartum period on assessing
sessments is the nurse's the amount of postpartum lochia. the greatest risk to the client is
priority? bleeding and postpartum hemorrhage.
a. parent-child attachment
b. amount of lochia
c. patency of the IV
catheter
d. quality and quantity of
urine
2. a nurse is caring for a a. apply sacral counter pressure
client who is in labor
and whose fetus is in the the nurse should apply sacral counter pressure to assist in relieving
right occiput posterior po- back labor pain related to fetal posterior position
sition. the client is dilated
b. the nurse should perform TENS during the first stage of labor.
to 8cm and reports back
pain. which of the following
c. the nurse should transition a client to pattern-paced breathing
actions should the nurse
during this stage of labor.
take?
d. The nurse should teach the client about biofeedback during the
a. apply sacral counter
prenatal period for it to be effective during labor.
pressure
b. perform trancutaneous
electrical nerve stimulation
(TENS)
, ATI Maternal newborn assessment A
Study online at https://quizlet.com/_808zm1
c. initiate slow-paced
breathing
d. assist with biofeedback
3. a nurse is demonstrating a. wipe the newborn's eyes from inner canthus outward
to a client how to bathe
her newborn. in which or- c. wash the newborn's neck by lifting the newborn's chin
der should the nurse per-
d. cleanse the skin around the newborn's umbilical stump
form the following actions
b. wash the newborn's legs and feet
a. wipe the newborn's eyes
from inner canthus out-
e. clean the newborn's diaper area
ward
The nurse should demonstrate how to bathe a newborn by using a
b. wash the newborn's legs
head to toe, clean to dirty, approach.
and feet
c. wash the newborn's neck
by lifting the newborn's
chin
d. cleanse the skin around
the newborn's umbilical
stump
e. clean the newborn's dia-
per area
4. a nurse is caring for a a. take photos of the newborn to give to the parents
client and her partner who
have experienced a fetal the nurse should create a memory box that includes mementos of
the newborn (ex: photos, ID bands, newborn hat and blanket)
, ATI Maternal newborn assessment A
Study online at https://quizlet.com/_808zm1
death. which of the fol-
lowing actions should the b. Organ donation can be considered if a newborn is delivered
nurse take? alive.
a. take photos of the new- c. The nurse should encourage the client to allow older children to
born to give to the parents come to the hospital as a beneficial part of the grieving process.
b. tell the parents that they d. The nurse should explain to the client that naming the baby can
can consider organ dona- be helpful during the grieving process, but it is not a requirement.
tion
c. encourage the parents
to avoid allowing older chil-
dren to visit them in the
hospital
d. explain to the parents
the need to name the new-
born
5. a nurse is caring for a client a. biophysical profile
who is 36 weeks gestation
and has a positive contrac- a positive contraction stress test indicate further evaluation of the fe-
tion stress test. the nurse tus is necessary. a biophysical profile will provide further evaluation
should plan to prepare the with real-time ultrasound
clients for which of the fol-
b. An amniocentesis is used to determine lung maturity, detect
lowing diagnostic tests?
congenital anomalies, and diagnose fetal hemolytic disease.
a. biophysical profile
c. A cordocentesis is used to identify fetal blood type and RBC when
b. amniocentesis there is a risk of isoimmune hemolytic anemia.
c. cordocentesis d. The Kleihauer-Betke test is used to determine the amount of fetal
, ATI Maternal newborn assessment A
Study online at https://quizlet.com/_808zm1
blood in the maternal circulation when there is a risk of Rh-isoim-
d. Kleihauer- Burke test munization.
6. a nurse is reviewing the d. platelets 50,000/mm3
medical record of a client
who is postpartum and a platelet count of 50,000/mm3 is below the expected reference
has preeclampsia. which of range, which can indicate disseminated intravascular coagulation.
the following laboratory re- the nurse should report this result to the provider
sults should the nurse re-
a. An Hct of 39% is within the expected reference range and is not
port to the provider?
indicative of a postpartum complication.
a. hct 39%
b. A serum albumin level of 4.5 g/dL is within the expected reference
b. serum albumin 4.5 g/dL range. This finding is consistent with mild preeclampsia and does
not indicate a worsening of the condition.
c. WBC 9,000/mm3
c. A WBC of 9,000/mm3 is within the expected reference range.
d. platelets 50,000/mm3
7. a nurse is assessing a new- a. minimal arm recoil
born who was born at 26
weeks gestation using the the nurse should expect a newborn that was born at 26 weeks to
Ballard score. which of the have decreased muscular tone or minimal arm recoil
following findings should
b. A popliteal angle of 90° is an indicator of physical maturity with
the nurse expect?
increasing gestational age after 26 weeks.
a. minimal arm recoil
c. Creases over the entire sole of a newborn's foot are an indicator
b. popliteal angle of 90 of physical maturity with increasing gestational age after 26 weeks.
c. creases over the entire d. Raised areolas with 3 to 4 mm buds is an indicator of physical
foot sole maturity with increasing gestational age after 26 weeks.
