ATI RN MATERNAL NEWBORN 2019
ATI RN MATERNAL NEWBORN
2019EXAM STUDY GUIDE.
GRADED A+. QUESTIONS AND
100% VERIFIED ANSWERS.
LATEST 2025/2026 UPDATE
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of
gestation. Upon reviewing the client's medical record, which of the following
findings should the nurse report to the provider?
1-Hr Glucose Tolerance Test - 120 mg/dL
Hematocrit - 34%
Fundal Height Measurement - 30 cm
Fetal Heart Rate - 110 bpm ✔Ans✔ Fundal Height
A fundal height measurement of 30 cm should be reported to the provider. Fundal height should be
measured in centimeters and is the same as the number of gestational weeks plus or minus 2 weeks
from 18 to 32 weeks gestation. Therefore, the nurse should report this finding to the provider.
1-Hr GTT of 130-140 or greater indicates a need to report to provider.
Hematocrit above 33% is normal
,ATI RN MATERNAL NEWBORN 2019
FHR is normal (110-160/min)
A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat preterm labor. The nurse should
notify the provider of which of the following adverse effects?
Client reports nausea
Urinary output of 40 mL/hr
Respiratory rate 10/min
Client reports feeling flushed ✔Ans✔ RR 10/min
The nurse should report a respiratory rate of less than 12/min to the provider,
because this is a manifestation of magnesium toxicity. The nurse should ensure
that the antidote, calcium gluconate, is readily available.
,ATI RN MATERNAL NEWBORN 2019
Flushing and nausea are expected, but oliguria (levels of 25-30 mL/hr or less) is a sign
of toxicity.
A nurse is assessing a newborn 12 hr after birth. Which of the following
manifestations should the nurse report to the provider?
Acrocyanosis
Transient strabismus
Jaundice
Caput succedaneum ✔Ans✔ Jaundice
Jaundice occurring within the first 24 hr of birth is associated with ABO
incompatibility, hemolysis, or Rh- isoimmunization. The nurse should report this
manifestation to the provider.
Everything else is expected
A nurse is admitting a client to the labor and delivery unit when the client states,
"My water just broke." Which of the following interventions is the nurses
priority?
Perform Nitrazine testing.
Assess the fluid.
Check cervical dilation.
Begin FHR monitoring. ✔Ans✔ Begin FHR monitoring.
The greatest risk to the client and her fetus following a rupture of membranes is
umbilical cord prolapse (this is a common test question--Remember, cord
compression is associated with variable decelerations and can happen after
ROM). The nurse should monitor the fetus closely to ensure well-being.
, ATI RN MATERNAL NEWBORN 2019
Therefore, this is the priority action the nurse should take.
Other actions are correct, but not priority.
A nurse is performing a physical assessment of a newborn upon admission to the
nursery. Which of the following manifestations should the nurse expect? (select all
that apply)
ATI RN MATERNAL NEWBORN
2019EXAM STUDY GUIDE.
GRADED A+. QUESTIONS AND
100% VERIFIED ANSWERS.
LATEST 2025/2026 UPDATE
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of
gestation. Upon reviewing the client's medical record, which of the following
findings should the nurse report to the provider?
1-Hr Glucose Tolerance Test - 120 mg/dL
Hematocrit - 34%
Fundal Height Measurement - 30 cm
Fetal Heart Rate - 110 bpm ✔Ans✔ Fundal Height
A fundal height measurement of 30 cm should be reported to the provider. Fundal height should be
measured in centimeters and is the same as the number of gestational weeks plus or minus 2 weeks
from 18 to 32 weeks gestation. Therefore, the nurse should report this finding to the provider.
1-Hr GTT of 130-140 or greater indicates a need to report to provider.
Hematocrit above 33% is normal
,ATI RN MATERNAL NEWBORN 2019
FHR is normal (110-160/min)
A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat preterm labor. The nurse should
notify the provider of which of the following adverse effects?
Client reports nausea
Urinary output of 40 mL/hr
Respiratory rate 10/min
Client reports feeling flushed ✔Ans✔ RR 10/min
The nurse should report a respiratory rate of less than 12/min to the provider,
because this is a manifestation of magnesium toxicity. The nurse should ensure
that the antidote, calcium gluconate, is readily available.
,ATI RN MATERNAL NEWBORN 2019
Flushing and nausea are expected, but oliguria (levels of 25-30 mL/hr or less) is a sign
of toxicity.
A nurse is assessing a newborn 12 hr after birth. Which of the following
manifestations should the nurse report to the provider?
Acrocyanosis
Transient strabismus
Jaundice
Caput succedaneum ✔Ans✔ Jaundice
Jaundice occurring within the first 24 hr of birth is associated with ABO
incompatibility, hemolysis, or Rh- isoimmunization. The nurse should report this
manifestation to the provider.
Everything else is expected
A nurse is admitting a client to the labor and delivery unit when the client states,
"My water just broke." Which of the following interventions is the nurses
priority?
Perform Nitrazine testing.
Assess the fluid.
Check cervical dilation.
Begin FHR monitoring. ✔Ans✔ Begin FHR monitoring.
The greatest risk to the client and her fetus following a rupture of membranes is
umbilical cord prolapse (this is a common test question--Remember, cord
compression is associated with variable decelerations and can happen after
ROM). The nurse should monitor the fetus closely to ensure well-being.
, ATI RN MATERNAL NEWBORN 2019
Therefore, this is the priority action the nurse should take.
Other actions are correct, but not priority.
A nurse is performing a physical assessment of a newborn upon admission to the
nursery. Which of the following manifestations should the nurse expect? (select all
that apply)
