ATI MATERNAL + NEWBORN PRACTICE QUESTIONS AND
ANSWERS WITH VERIFIED SOLUTIONS GRADE A+.
A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago.
Which of the following instructions should the nurse include?
"You can resume sexual activity in 1 week."
"You won't need to do Kegel exercises since you had a cesarean."
"You can still become pregnant if you are breastfeeding."
"You are safe to start adding sit-ups to your exercise routine in 2 weeks."
"You can still become pregnant if you are breastfeeding."
A nurse is caring for a client who is experiencing preeclampsia and has a new prescription for
IV magnesium sulfate. Which of the following medications should the nurse anticipate
administering if the client develops magnesium toxicity?
Calcium gluconate
Hydralazine
Medroxyprogesterone acetate
Methylergonovine
Calcium gluconate
The nurse should anticipate administering calcium gluconate if the client develops
magnesium toxicity. Calcium gluconate is the antidote.
,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?
Exhibit 1:
Blood pressure 130/78 mm HgRespiratory rate 20/minHeart rate 90/min
2:
Hemoglobin 12 g/dL
Hematocrit 34%1-hr glucose tolerance test 120 mg/dL
3:
Fundal height 30 cmGood fetal movementNot experiencing headache, dizziness, blurred
vision, or vaginal bleedingFetal heart rate 110/min
1-hr glucose tolerance test
Hematocrit
Fundal height measurement
Fetal heart rate (FHR)
Fundal height measurement
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.
A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in preterm
labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The
nurse should set the IV infusion pump to administer how many mL/hr? (Round the answer to
the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
,50 mL/hr
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy.
Which of the following statements by the client indicates an understanding of the teaching?
"I should increase my protein intake to 60 grams each day."
"I should drink 2 liters of water each day."
"I should increase my overall daily caloric intake by 300 calories."
"I should take 600 micrograms of folic acid each day."
I should take 600 mcg of folic acid each day
A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of
the following techniques should the nurse use to help minimize the pain of the procedure for
the newborn?
Apply a cool pack for 10 min to the heel prior to the puncture.
Request a prescription for IM analgesic.
Use a manual lance blade to pierce the skin.
Place the newborn skin to skin on the mother's chest.
Place the newborn skin to skin on the mothers chest
Placing the newborn skin to skin on the mother's chest is an effective technique to
significantly decrease the newborn's pain level and anxiety. The nurse should implement this
technique before, during, and after the procedure.
, A nurse is performing a routine assessment on a client who is at 18 weeks of gestation.
Which of the following findings should the nurse expect?
Deep tendon reflexes 4+
Fundal height 14 cm
Urine protein 2+
FHR 152/min
FHR 152/min
The expected range for the FHR is 110/min to 160/min. The FHR is higher earlier in
gestation with an average of approximately 160/min at 20 weeks of gestation. Therefore, this
is an expected finding by the nurse.
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
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.
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to
perform Leopold maneuvers. Which of the following images indicates the first step of
Leopold maneuvers?
ANSWERS WITH VERIFIED SOLUTIONS GRADE A+.
A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago.
Which of the following instructions should the nurse include?
"You can resume sexual activity in 1 week."
"You won't need to do Kegel exercises since you had a cesarean."
"You can still become pregnant if you are breastfeeding."
"You are safe to start adding sit-ups to your exercise routine in 2 weeks."
"You can still become pregnant if you are breastfeeding."
A nurse is caring for a client who is experiencing preeclampsia and has a new prescription for
IV magnesium sulfate. Which of the following medications should the nurse anticipate
administering if the client develops magnesium toxicity?
Calcium gluconate
Hydralazine
Medroxyprogesterone acetate
Methylergonovine
Calcium gluconate
The nurse should anticipate administering calcium gluconate if the client develops
magnesium toxicity. Calcium gluconate is the antidote.
,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?
Exhibit 1:
Blood pressure 130/78 mm HgRespiratory rate 20/minHeart rate 90/min
2:
Hemoglobin 12 g/dL
Hematocrit 34%1-hr glucose tolerance test 120 mg/dL
3:
Fundal height 30 cmGood fetal movementNot experiencing headache, dizziness, blurred
vision, or vaginal bleedingFetal heart rate 110/min
1-hr glucose tolerance test
Hematocrit
Fundal height measurement
Fetal heart rate (FHR)
Fundal height measurement
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.
A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in preterm
labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The
nurse should set the IV infusion pump to administer how many mL/hr? (Round the answer to
the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
,50 mL/hr
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy.
Which of the following statements by the client indicates an understanding of the teaching?
"I should increase my protein intake to 60 grams each day."
"I should drink 2 liters of water each day."
"I should increase my overall daily caloric intake by 300 calories."
"I should take 600 micrograms of folic acid each day."
I should take 600 mcg of folic acid each day
A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of
the following techniques should the nurse use to help minimize the pain of the procedure for
the newborn?
Apply a cool pack for 10 min to the heel prior to the puncture.
Request a prescription for IM analgesic.
Use a manual lance blade to pierce the skin.
Place the newborn skin to skin on the mother's chest.
Place the newborn skin to skin on the mothers chest
Placing the newborn skin to skin on the mother's chest is an effective technique to
significantly decrease the newborn's pain level and anxiety. The nurse should implement this
technique before, during, and after the procedure.
, A nurse is performing a routine assessment on a client who is at 18 weeks of gestation.
Which of the following findings should the nurse expect?
Deep tendon reflexes 4+
Fundal height 14 cm
Urine protein 2+
FHR 152/min
FHR 152/min
The expected range for the FHR is 110/min to 160/min. The FHR is higher earlier in
gestation with an average of approximately 160/min at 20 weeks of gestation. Therefore, this
is an expected finding by the nurse.
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
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.
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to
perform Leopold maneuvers. Which of the following images indicates the first step of
Leopold maneuvers?
