Maternal Newborn ATI Prep Questions And Actual Answers 2024., Exams of Nursing

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Maternal Newborn ATI Prep Questions

And Actual Answers 2024.

A nurse in a health clinic is reviewing contraceptive use with a group of adolescent clients. Which of the following statements by an adolescent reflects an understanding of the teaching? a. "A water-soluble lubricant should be used with condoms." b. "A diaphragm should be removed 2 hours after intercourse." c. "Oral contraceptives can worsen a case of acne." d. "A contraceptive patch is replaced once a month." - Answer A. A nurse is instructing a client who is taking an oral contraceptive about danger signs to report to her provider. The nurse determines the client understands the teaching when the client states the need to report which of the following? a. Reduced menstrual flow b. Breast tenderness c. SOB d. Headaches - Answer C. A nurse in a OB clinic is teaching a client about using an IUD for contraception. Which of the following statements by the client indicates an understanding of the teaching? a. "An IUD should be replaced annually during a pelvic exam." b. "I cannot get an IUD until after I've had a child." c. "I should expect intermittent abdominal pain while the IUD is in place." d. "A change in the string length of my IUD is unexpected." - Answer D. A nurse is teaching a client about potential adverse effects of implantable progestins. Which of the following adverse effects should the nurse include? (SATA)

a. Tinnitus b. Irregular vaginal bleeding c. Weight gain d. Breast changes e. Gingival hyperplasia - Answer B., C., D. A nurse in a clinic is teaching a client about her new prescription for medroxyprogesterone. Which of the following information should the nurse include in the teaching? (SATA) a. "Weight loss can occur." b. "You are protected against STIs" c. "You should increase your intake of calcium." d. "You should avoid taking antibiotics." e. "Irregular vaginal spotting can occur." - Answer C., E. A nurse in a clinic is caring for a group of female clients who are being evaluated for infertility. Which of the following clients should the nurse anticipate the provider will refer to a genetic counselor? a. A client whose sister has alopecia b. A client whose partner has von Willebrand disease c. A client who has an allergy to sulfa d. A client who had rubella 3 months ago - Answer B. A nurse is caring for a couple who is being evaluated for infertility. Which of the following statements by the nurse indicates understanding of the infertility assessment process? a. "You will need to see a genetic counselor as part of the assessment." b. "It is usually the woman who is having trouble, so the man doesn't have to be involved." c. "The man is the easiest to assess, and the provider will usually begin there."

d. "Think about adopting first because there are many babies that need good homes." - Answer C. A nurse in an infertility clinic is providing care to a couple who has been unable to conceive for 18 months. Which of the following data should be included in the assessment? (SATA) a. Occupation b. Menstrual history c. Childhood infectious diseases d. History of falls e. Recent blood transfusions - Answer A., B., C. A nurse in a clinic is caring for a client who is to be seen by the provider for a post-op appointment following a salpingectomy due to an ectopic pregnancy. Which of the following statements by the client requires clarification? a. "It is good to know that I won't have a tubal pregnancy in the future." b. "The doctor said that this surgery can affect my ability to get pregnant again." c. "I understand that one of my fallopian tubes had to be removed." d. "Ovulation can still occur because my ovaries were not affected." - Answer A. A nurse is reviewing the health record of a client who is to undergo hysterosalpingography. Which of the following data alert the nurse that the client is at risk for a complication related to this procedure? Vital: temp 98.9 and BMI of 40. H&P: radiology technician Lab: glucose 103 and total cholesterol of 265 mg/dL a. Vital signs b. H&P c. Lab findings d. Medications - Answer B.

A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? (SATA) a. Montgomery's glands b. Goodell's sign c. Ballottement d. Chadwick's sign e. Quickening - Answer B., C., D. A nurse is reviewing postpartum nutrition needs with a group of new mothers who are breastfeeding their newborns. Which of the following statements by a member of the group indicates an understanding of the teaching? a. "I am glad I can have my morning coffee." b. "I should take folic acid to increase my milk supply." c. "I will continue adding 330 calories per day to my diet." d. "I will continue my calcium supplements because I don't like milk." - Answer D. A nurse is caring for a client who is at 42 weeks of gestation and is admitted to the labor and delivery unit. During an ultrasound, it is noted that the fetus is large for gestational age. The nurse reviews the prescription from the provider to begin an amnioinfusion. Which of the following conditions should the nurse plan to prepare an amnioinfusion? (SATA) a. Oligohydramnios b. Hydrmanios c. Fetal cord compression d. Hydration e. Fetal immaturity - Answer A., C.

A nurse is caring for a client who had no prenatal care, is Rh-negative, and will undergo an external version at 37 weeks of gestation. Which of the following medication should the nurse plan to administer prior to the version? a. Prostaglandin gel b. Magnesium sulfate c. Rho(D) immune globulin d. Oxytocin - Answer C. A nurse is caring for a client who is receiving oxytocin for induction of labor and has an intrauterine pressure catheter placed to monitor uterine contractions. For which of the following contraction patterns should the nurse discontinue the infusion of oxytocin? a. Frequency of every 2 minutes b. Duration of 90-120 seconds c. Intensity of 60-90 mmHg d. Resting tone of 15 mmHg - Answer B. A nurse is performing a fundal assessment for a client who is 2 days postpartum and observes the perineal pad for lochia. She notes the pad to be saturated approximately 12 cm with lochia that is bright red and contains small clots. Which of the following findings should the nurse document? a. Moderate lochia rubra b. Excessive blood loss c. Light lochia rubra d. Scant lochia serosa - Answer A. During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops. On assessment, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus. Which of the following findings should the nurse interpret this data as being? a. Evidence of a possible vaginal hematoma

b. An indication of a cervical or perineal laceration c. A normal postural discharge of lochia d. Abnormally excessive lochia rubra flow - Answer C. A nurse is completing postpartum discharge teaching to a client who had no immunity to varicella and was given varicella vaccine. Which of the following statements by the client indicates understanding of the teaching? a. "I will need to use contraception for 3 months before considering pregnancy." b. "I need a second vaccination at my postpartum visit." c. "I was given the vaccine because my baby is O-positive." d. "I will be tested in 3 months to see if I have developed immunity." - Answer B. A nurse is assessing a postpartum client for fundal height, location, and consistency. The fundus is noted to be displaced laterally to the right, and there is uterine atony. The nurse should identify which of the following conditions as the cause of the uterine atony? a. Poor involution b. Urinary retention c. Hemorrhage d. Infection - Answer B. A nurse is caring for a client who is 1 hour postpartum following a vaginal birth and experiencing uncontrollable shaking. The nurse should understand that the shaking is due to which of the following factors? (SATA) a. Change in body fluids b. Metabolic effort of labor c. Diaphoresis d. Decrease in body temperature e. Decrease in prolactin levels - Answer A., B.

A nurse concludes that the father of an infant's not showing positive signs of parent-infant bonding. He appears very anxious and nervous when the infant's mother asks him to bring her the infant. Which of the following actions should the nurse use to promote father-infant bonding? a. Hand the father the infant, and suggest that he change the diaper b. Ask the father why he is so anxious and nervous c. Tell the father that he will grow accustomed to the infant d. Provide education about infant care when the father is present - Answer D. A client in the early postpartum period is very excited and talkative. She is repeatedly telling the nurse every detail of her labor and birth. Because the client will not stop talking, the nurse is having difficulty completing the postpartum assessments. Which of the following action should the nurse take? a. Come back later when the client is more cooperative b. Give the client time to express her feelings c. Tell the client she needs to be quiet so the assessment can be completed d. Redirect the client's focus so that she will become quiet - Answer B. A nurse is caring for a client who is 1 day postpartum. The nurse is assessing for maternal adaptation and mother-infant bonding. Which of the following behaviors by the client indicates a need for the nurse to intervene? (SATA) a. Demonstrates apathy when the infant cries b. Touches the infant and maintains close physical proximity c. Views the infant's behavior as uncooperative during diaper changing d. Identifies and relates infant's characteristics to those of family members e. Interprets the infant's behavior as meaningful and a way of expressing needs - Answer A., C. A nurse is caring for a client who is 2 days postpartum. The client states, "My 4-year-old son was toilet trained and now he is frequently wetting himself." Which of the following should the nurse provide to the client?

a. "Your son was probably not ready for toilet training and should wear training pants." b. "Your son is showing an adverse sibling response." c. "Your son may need counseling." d. "You should try sending your son to the preschool to resolve the behavior - Answer B. A nurse in the delivery room is planning to promote maternal-infant bonding for a client who just delivered. Which of the following is the priority action by the nurse? a. Encourage the parents to touch and explore the neonate's features b. Limit noise and interruption in the delivery room c. Place the neonate at the client's breast d. Position the neonate skin-to-skin on the client's chest - Answer D. A nurse is conducting a home visit for a client who is 1 week postpartum and breastfeeding. The client reports breast engorgement. Which of the following recommendations should the nurse make? a. "Apply cold compresses between feedings." b. "Take a warm shower right after feedings." c. "Apply breast milk to the nipples and allow them to air dry." d. "Use the various infant positions for feedings." - Answer A. A nurse is providing discharge instructions for a client. At 4 weeks postpartum, the client should contact her provider for which of the following client findings? a. Scant, non-odorous white vaginal discharge b. Uterine cramping during breastfeeding c. Sore nipple with cracks and fissures d. Decreased response with sexual activity - Answer C.

A nurse is providing discharge teaching for a nonlactating client. Which of the following instructions should the nurse include in the teaching? a. "Wear a supportive bra continuously for the first 72 hours." b. "Pump your breast every 4 hours to relieve discomfort." c. "Use breast shells throughout the day to decrease milk supply." d. "Apply warm compresses until milk suppression occurs." - Answer A. A nurse is providing discharge instructions to a postpartum client following a c-section. The client reports leaking urine every time she sneezes or coughs. Which of the following interventions should the nurse suggest? a. Sit-ups b. Pelvic tilt exercises c. Kegel exercises d. Abdominal crunches - Answer C. A nurse is providing care to four clients on the postpartum unit. Which of the following clients is at greatest risk for developing a postpartum infection? a. A client who has an episiotomy that is erythematous and has extended into a third-degree laceration b. A client who does not wash her hands between perineal care and breastfeeding c. A client who is not breastfeeding and is using measures to suppress lactation d. A client who has a c-section incision that is well-approximated with no drainage - Answer B. A nurse is caring for a client who is postpartum. The nurse should identify which of the following findings as an early indicator of hypovolemia caused by hemorrhage? a. Increasing pulse and decreasing blood pressure b. Dizziness and increasing respiratory rate

c. Cool, clammy skin, and pale mucous membranes d. Altered mental status and level of consciousness - Answer A. A nurse educator on the postpartum unit is reviewing risk factors for postpartum hemorrhage with a group of nurses. Which of the following factors should the nurse include in the teaching? (SATA) a. Precipitous delivery b. Obesity c. Inversion of the uterus d. Oligohydramnios e. Retained placental fragments - Answer A., C., E. A nurse on the postpartum unit is performing a physical assessment of a client who is being admitted with a suspected DVT. Which of the following clinical findings should the nurse expect? (SATA) a. Calf tenderness to palpation b. Mottling of the affected extremity c. Elevated temperature d. Area of warmth e. Report of nausea - Answer A., C., D. A nurse on the postpartum unit is planning care for a client who has thrombophlebitis. Which of the following nursing interventions should the nurse include in the plan of care? a. Apply cold compresses to the affected extremity b. Massage the affected extremity c. Allow the client to ambulate d. Measure the leg circumferences - Answer D.

A nurse is caring for a client who has DIC. Which of the following antepartum complications should the nurse understand is a risk factor for this condition? a. Pre-eclampsia b. Thrombophlebitis c. Placenta previa d. Hyperemesis gravidarum - Answer A. A nurse on the postpartum unit is caring for four clients. Which of the following clients should the nurse recognize as the greatest risk for development of a postpartum infection? a. A client who experienced a precipitous labor has less than 3 hours in duration b. A client who had premature rupture of membranes and prolonged labor c. A client who delivered a large for gestational infant d. A client who had a boggy uterus that was not well contracted - Answer B. A nurse is teaching a client who is breastfeeding and has mastitis. Which of the following responses should the nurse make? a "Limit the amount of time the infant nurses on each breast." b. "Nurse the infant only on the unaffected breast until resolved." c. "Completely empty each breast at each feeding or use a pump." d. "Wear a tight-fitting bra until lactation has ceased." - Answer C. A nurse is reviewing discharge teaching with a client who has a UTI. Which of the following statements by the client indicates understanding of the teaching? (SATA) a. "I will perform peri care and apply a perineal pad in a back-to-front direction." b. "I will drink cranberry and prune juice to make my urine more acidic." c. "I will drink large amounts of fluids to flush the bacteria from my urinary tract."

d. "I will go back to breastfeeding after I have finished taking the antibiotic." e. "I will take Tylenol for any discomfort." - Answer B., C., E. A nurse is caring for a client who has mastitis. Which of the following is the typical causative agent of mastitis? a. Staphylococcus aureus b. Chlamydia trachomatis c. Klebsiella pneumonia d. Clostridium perfringens - Answer A. A nurse is discussing risk factors for UTI with a newly licensed nurse. Which of the following conditions should the nurse include in the teaching? (SATA) a. Epidural anesthesia b. Urinary bladder catheterization c. Frequent pelvic examinations d. History of UTIs e. Vaginal birth - Answer A., B., C., D. A nurse is assessing a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite, and a feeling of letdown. Which of the following conditions are associated with these clinical findings? a. Postpartum fatigue b. Postpartum psychosis c. Letting-go phase d. Postpartum blues - Answer D. A nurse is caring for a postpartum client who delivered her third infant 2 days ago. The nurse recognizes that which of the following findings are suggestive of postpartum depression? (SATA)

a. Fatigue b. Insomnia c. Euphoria d. Flat affect e. Delusions - Answer A., B., D. A nurse is assessing a client who has postpartum depression. The nurse should expect which of the following findings? (SATA) a. Paranoia that her infant will be harmed b. Concerns about lack of income to pay bills c. Anxiety about assuming a new role as a mother d. Rapid decline in estrogen and progesterone e. Feeling of inadequacy with the new role as a mother - Answer B., C., D., E. A nurse is caring for a client who has postpartum psychosis. Which of the following actions is the nurse's priority? a. Reinforce the need to take antipsychotics as prescribed b. Ask the client if she has thoughts of harming herself or her infant c. Monitor the infant for indications of failure to thrive d. Review the client's medical record for a history of bipolar disorder - Answer B. A nurse is caring for a newborn who was born at 38 weeks of gestation, weighs 3,200 g, and is in the 60th percentile for weight. Based on the weight and gestational age, the nurse should classify this neonate as which of the following? a. Low birth weight b. Appropriate for gestational age

c. Small for gestational age d. Large for gestational age - Answer B. A nurse is completing a newborn assessment and observes small white nodules on the roof of the newborn's mouth. This finding is a characteristic of which of the following conditions? a. Mongolian spots b. Mila spots c. Erythema toxicum d. Epstein's pearls - Answer A nurse is assessing the reflexes of a newborn. In checking for the Moro reflex, the nurse should perform which of the following? a. Hold the newborn vertically under arms and allow one foot to touch the table b. Stimulate the pads of the newborn's hands with stroking or massage c. Stimulate the soles of the newborn's feet on the outer lateral surface of each foot d. Hold the newborn in a semi-sitting position, then allow the newborn's head and trunk to fall backward

• Answer D. A nurse is completing an assessment. Which of the following data indicate the newborn is adapting to extrauterine life? (SATA) a. Expiratory grunting b. Inspiratory nasal flaring c. Apnea for 10-second periods d. Obligatory nose breathing e. Crackles and wheezes - Answer C., D.

A nurse is teaching a newly licensed nurse how to bathe a newborn and observes a bluish marking across the newborn's lower back. The nurse should include which of the following information in the teaching? a. "This is frequently seen in newborns who have dark skin." b. "This is a finding indicating hyperbilirubinemia." c. "This is a forceps mark from an operative delivery." d. "This is related to prolonged birth or trauma during delivery." - Answer A. A nurse is preparing to administer prophylactic eye ointment to a newborn to prevent ophthalmia neonatorum. Which of the following medications should the nurse anticipate administering? a. Ofloxacin b. Nystatin c. Erythromycin d. Ceftriaxone - Answer C. A newborn was not dried completely after birth. Which of the following mechanisms should the nurse understand causes heat loss? a. Conduction b. Convection c. Evaporation d. Radiation - Answer C. A nurse is caring for a newborn immediately following birth. Which of the following nursing interventions is the highest priority? a. Initiating breastfeeding b. Performing the initial bath c. Giving a vitamin K injection

d. Covering the newborn's head with a cap - Answer D. A nurse is preparing to administer a vitamin K (phytonadione) injection to a newborn. Which of the following responses should the nurse make to the newborn's mother regarding why this medication is given? a. "It assists with blood clotting." b. "It promotes maturation of the bowel." c. "It is a preventative vaccine." d. "It provides immunity." - Answer A. A nurse is taking a newborn to a mother following a circumcision. Which of the following actions should the nurse take for security purposes? a. Ask the mother to state her full name b. Look at the name on the newborn's bassinet c. Match the mother's identification band with the newborn's band d. Compare name on the bassinet and room number - Answer C. A nurse is giving instructions to a mother about how to breastfeed her newborn. Which of the following actions by the mother indicates understanding of the teaching? a. The mother places a few drops of water on her nipple before feeding b. The mother gently removes her nipple from the infant's mouth to break the suction c. When she is ready to breastfeed, the mother gently strokes the newborn's neck with her finger d. When latched on, the infant's nose, cheek, and chin are touching the breast - Answer D. A nurse is teaching a group of new parents about proper techniques for bottle feeding. Which of the following instructions should the nurse provide?

a. Burp the newborn at the end of the feeding b. Hold the newborn close in a supine position c. Keep the nipple full of formula throughout the feeding d. Refrigerate any unused formula - Answer C. A nurse is caring for a newborn. Which of the following actions by the newborn indicates readiness to feed? a. Spits up clear mucus b. Attempts to place his hand in his mouth c. Turns his head toward sounds d. Lies quietly with his eyes open - Answer B. A nurse is reviewing formula preparation with parents who plan to bottle-feed their newborn. Which of the following information should the nurse include in the teaching? (SATA) a. Use a disinfectant wipe to clean the lid of the formula can b. Store prepared formula in the refrigerator for up to 72 hours. Place used bottles in the dishwasher c. Place used bottles in the dishwater d. Check the nipple for appropriate flow of formula e. Use tap water to dilute concentrated formula - Answer C., D., E. A nurse is reviewing breastfeeding positions with the mother of a newborn. Which of the following positions should the nurse discuss? a. Over-the-shoulder b. Supine c. Chin supported d. Cradle - Answer D.

A nurse is reviewing care of the umbilical cord with the parent of a newborn. Which of the following instructions should the nurse include in the teaching? a. Cover the cord with a small gauze square b. Trickle clean water over the cord with each diaper change c. Apply hydrogen peroxide to the cord twice a day d. Keep the diaper folded below the cord - Answer D. A nurse is reviewing contraindications for circumcision with a newly hired nurse. Which of the following conditions are contraindications? (SATA) a. Hypospadias b. Hydrocele c. Family history of hemophilia d. Hyperbilirubinemia e. Epispadias - Answer A., C., E. A nurse is providing discharge teaching to the parents of a newborn regarding circumcision care. Which of the following statements made by a parent indicates an understanding of the teaching? a. "His circumcision will heal within a couple of days." b. "I should remove the yellow mucus that will form." c. "I will clean his penis with each diaper change." d. "I will give him a tub bath within a couple of days." - Answer C. A nurse is caring for a newborn immediately following a circumcision using a Gomco procedure. Which of the following actions should the nurse implement? a. Apply Gelfoam powder to the site b. Place the newborn in the prone position

c. Apply petroleum gauze to the site d. Avoid changing the diaper until the first voiding - Answer C. A nurse is reviewing car seat safety with the parents of a newborn. Which of the following instructions should the nurse include in the teaching regarding car seat position? a. Front seat, rear-facing b. Front seat, forward-facing c. Back seat, rear-facing d. Back seat, forward-facing - Answer C. A nurse is caring for a client who is at 42 weeks gestation and in labor. The client asks the nurse what should she expect because her baby is postmature. Which of the following statements should the nurse make? a. "Your baby will have excess body fat." b. "Your baby will have flat areola without breast buds." c. "Your baby's heels will easily move to his ears." d. "Your baby's skin will have a leathery appearance." - Answer D. A nurse is caring for an infant who has a high bilirubin level and is receiving phototherapy. Which of the following ins is the priority finding in the newborn? a. Conjunctivitis b. Bronze skin discoloration c. Sunken fontanels d. Maculopapular skin rash - Answer C. A nurse is called to the birthing room to assist with the assessment of a newborn who was born at 32 weeks of gestation. The newborn's birth weight is 1,000 g. Which of the following are expected findings in this newborn? (SATA)

a. Lanugo b. Long nails c. Weak grasp reflex d. Translucent skin e. Plump face - Answer A., C., D. A nurse is caring for a newborn who is preterm and has respiratory distress syndrome. Which of the following should the nurse monitor to evaluate the newborn's condition following the administration of synthetic surfactant? a. Oxygen saturation b. Body temperature c. Serum bilirubin d. Heart rate - Answer A. A nurse is teaching a newly licensed nurse about neonatal abstinence syndrome. Which of the following statements by the newly licensed nurse indicate understanding of the teaching? a. "The newborn will have decreased muscle tone." b. "The newborn will have a continuous high-pitched cry." c. "The newborn will sleep for 2-3 hours after a feeding." d. "The newborn will have mild tremors when disturbed." - Answer B.