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Version 2 Mom & Baby ATI, Exams of Nursing

Beckfield CollegeNursing

version 2 ati proctor exam for mom and baby

Typology: Exams

2024/2025

Uploaded on 06/03/2026

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ATI RN MATERNAL NEWBORN CMS PROCTORED EXAM 2025
1. A nurse is caring for a newborn. The nurse should obtain informed consent before
taking which of the following actions?
a) administering erythromycin ophthalmic ointment
b) conducting a newborn hearing screening
c) giving the hepatitis B vaccine
d) screening for critical congenital heart disease
Answer: c) giving the hepatitis B vaccine
2. A nurse is caring for an adolescent who is in the second trimester of pregnancy. The
client states, "I've gotten used to the idea of this pregnancy. It will be fun to have a little
baby around the house." Which of the following is the appropriate response by the
nurse.
a) "Babies are not fun. They're a lot of work"
b) "I'm so glad to see you're happy about the baby"
c) "How are your parents reacting to the pregnancy?"
d) "Tell me how you think your life will be after the baby is born"
Answer: d) "Tell me how you think your life will be after the baby is born"
3. A postpartum nurse is caring for a client who is 4 hours postpartum and has a painful
third-degree perineal laceration. Which of the following interventions should the nurse
take?
a) prepare to initiate a warm water sitz bath for the client's perineum
b) encourage the client to sit on a soft pillow
c) apply cold ice packs to the client's perineum
d) administer an acetaminophen suppository rectally
Answer: c) apply cold ice packs to the client's perineum
4. A nurse is assessing a pregnant client at 26 weeks of gestation who reports an
episode of dizziness after lying on her back on the couch. Which of the following actions
should the nurse take?
a) request a prescription for preeclampsia laboratory studies
b) advise the client to lie on her side
c) request an ultrasound to evaluate fetal wellbeing
d) advise the client to add a calcium supplement to her diet
Answer: b) advise the client to lie on her side
5. A nurse is caring for a client who is in labor and is receiving an infusion of oxytocin.
The nurse should monitor the client for which of the following potential adverse effects?
a) diarrhea
b) thromboembolism
c) fetal asphyxia
d) oliguria
c) fetal asphyxia
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Download Version 2 Mom & Baby ATI and more Exams Nursing in PDF only on Docsity!

ATI RN MATERNAL NEWBORN CMS PROCTORED EXAM 2025

  1. A nurse is caring for a newborn. The nurse should obtain informed consent before taking which of the following actions? a) administering erythromycin ophthalmic ointment b) conducting a newborn hearing screening c) giving the hepatitis B vaccine d) screening for critical congenital heart disease Answer: c) giving the hepatitis B vaccine
  2. A nurse is caring for an adolescent who is in the second trimester of pregnancy. The client states, "I've gotten used to the idea of this pregnancy. It will be fun to have a little baby around the house." Which of the following is the appropriate response by the nurse. a) "Babies are not fun. They're a lot of work" b) "I'm so glad to see you're happy about the baby" c) "How are your parents reacting to the pregnancy?" d) "Tell me how you think your life will be after the baby is born" Answer: d) "Tell me how you think your life will be after the baby is born"
  3. A postpartum nurse is caring for a client who is 4 hours postpartum and has a painful third-degree perineal laceration. Which of the following interventions should the nurse take? a) prepare to initiate a warm water sitz bath for the client's perineum b) encourage the client to sit on a soft pillow c) apply cold ice packs to the client's perineum d) administer an acetaminophen suppository rectally Answer: c) apply cold ice packs to the client's perineum
  4. A nurse is assessing a pregnant client at 26 weeks of gestation who reports an episode of dizziness after lying on her back on the couch. Which of the following actions should the nurse take? a) request a prescription for preeclampsia laboratory studies b) advise the client to lie on her side c) request an ultrasound to evaluate fetal wellbeing d) advise the client to add a calcium supplement to her diet Answer: b) advise the client to lie on her side
  5. A nurse is caring for a client who is in labor and is receiving an infusion of oxytocin. The nurse should monitor the client for which of the following potential adverse effects? a) diarrhea b) thromboembolism c) fetal asphyxia d) oliguria c) fetal asphyxia
  1. A nurse is providing education to a client who is 4 weeks postpartum and is breastfeeding. The client asks about expected weight loss. Which of the following responses should the nurse make? a) "Losing 2.2 pounds each month would be acceptable" b) "Losing 4.4 pounds each month would be acceptable" c) "Losing 5.5 pounds each month would be acceptable" d) "Losing 6.6 pounds each month would be acceptable" Answer: a) "Losing 2.2 pounds each month would be acceptable"
  2. A nurse is talking with a client at 20 weeks of gestation who is scheduled for a sonogram. The client states, "I am here to have my regular prenatal checkup, but I do not want any pictures taken of my baby." Which of the following responses should the nurse make? a) "Do not worry. We can do the sonogram without showing you the sex of the baby" b) "I would like to hear more about why you do not want the sonogram, including any cultural reasons" c) "I think you should reconsider because the sonogram is an important part of the baby's checkup" d) "You have the right to tell the doctor that you do not want the sonogram" Answer: b) "I would like to hear more about why you do not want the sonogram, including any cultural reasons"
  3. A nurse is assessing a pregnant client who is at 38 weeks gestation. The client reports that her breathing has become easier but notes an increased frequency of urination. The nurse should document this occurrence as which of the following? a) effacement b) dilation c) lightening d) quickening Answer: c) lightening
  4. A nurse is providing teaching about weight gain during pregnancy for a client who is primigravida of normal pre-pregnancy weight. Which of the following statements should the nurse include? a) "You should plan to gain 25 to 35 pounds during your pregnancy" b) "You should plan to gain 11 to 20 pounds during your pregnancy" c) "Because you started pregnancy at a normal BMI and weight, your weight gain is not limited as long as you follow a healthy, balanced diet" d) "Because you are of normal weight prior to pregnancy, you are encouraged to gain 28 to 40 pounds during pregnancy" Answer: a) "You should plan to gain 25 to 35 pounds during your pregnancy"
  5. A nurse is teaching a client who is postpartum about keeping the newborn safe. Which of the following statements should the nurse identify as an indication that the client understands the instructions? a) "I will put bumper pads in the crib"
  1. A nurse is assessing a newborn who is 2 hr old. Which of the following findings should the nurse report to the provider? a) overlapping suture lines b) generalized petechiae c) acrocyanosis d) transient strabismus Answer: b) generalized petechiae
  2. A nurse is teaching a prenatal class for a group of antepartum clients. Which of the following pieces of information should the nurse include about the hepatitis B immunization? a) "The first dose should be administered at 3 months of age" b) "Your baby will receive this immunization subcutaneously, which means under the skin" c) "We will need your consent prior to administering the vaccine" d) "Your baby will receive this vaccine in a series of 5 doses" Answer: c) "We will need your consent prior to administering the vaccine"
  3. A nurse is caring for a client at 35 weeks gestation who has severe pre-eclampsia. Which of the following assessments provides the most accurate information regarding the client's fluid and electrolyte status? a) blood pressure b) intake and output c) daily weight d) severity of edema Answer: c) daily weight
  4. A nurse is teaching a client about a nonstress test. Which of the following statements by the client indicates an understanding of the teaching? a) "I know not to eat anything after midnight" b) "I will have medication given to me to cause contractions" c) "I should press the button on the handheld marker when my baby moves" d) "I will have to stimulate my breast to cause contractions" Answer: c) "I should press the button on the handheld marker when my baby moves"
  5. A nurse is providing education for a pregnant client about symptoms that should be reported immediately to the provider. Which of the following client responses indicates an understanding of the teaching? a) "I should call my provider if I develop melasma" b) "If I notice that my eyes are puffy, I should call my provider" c) "I should call my provider if I notice that my feet and ankles are swollen" d) "If I notice periodic numbness and tingling in my fingers, I should call my provider" Answer: b) "If I notice that my eyes are puffy, I should call my provider"
  6. A nurse is caring for a client who is using patterned-paced breathing during the first stage of labor. The client reports a lightheaded feeling and tingling of the fingers. Which

of the following actions should the nurse take? a) instruct the client to hold her breath and bear down b) ensure that the client's breathing rate is more than twice her normal rate c) apply counter-pressure to the client's lower back d) have the client breathe into a paper bag Answer: d) have the client breathe into a paper bag

  1. A nurse is teaching a parent of a newborn how to care for the newborn's umbilical cord stump. Which of the following instructions should the nurse include? a) "Cover the cord with the edge of the diaper" b) "Clean the cord stump with tap water" c) "Apply a damp cloth over the cord stump once each day" d) "You should gently tug on the cord stump in 5 days if it has not yet fallen off" Answer: b) "Clean the cord stump with tap water"
  2. A nurse in a prenatal clinic is reviewing the laboratory results of a client who is at 33 weeks of gestation. For which of the following results should the nurse notify the provider? a) Hgb 11.3 g/dL b) Platelet count 135,000/mm^ c) WBC count 10,500/mm^ d) Hct 38% Answer: b) Platelet count 135,000/mm^
  3. A nurse is assessing a newborn. Which of the following findings suggests the newborn is post-mature? a) pale, translucent skin b) nails extending over fingers c) weak gag reflex d) thin covering of fine hair on shoulders and back Answer: b) nails extending over fingers
  4. A nurse is teaching a client who is at 10 weeks gestation about an abdominal ultrasound in the first trimester. Which of the following pieces of information should the nurse include in the teaching? a) "You will have a non-stress test prior to the ultrasound" b) "You will need to have a full bladder during the ultrasound" c) "The ultrasound will determine the length of the cervix" d) "You will experience uterine cramping during the ultrasound" Answer: b) "You will need to have a full bladder during the ultrasound"
  5. A nurse is caring for a client in active labor who is experiencing hypotension following epidural placement. Which of the following actions should the nurse take? a) decrease IV fluids b) give oxygen at 2 L/min via nasal cannula

b) report of increasing pain and pressure in the perineal area c) slow trickle of bright vaginal bleeding and a firm fundus d) gush of rubra lochia when the uterus is massaged Answer: c) slow trickle of bright vaginal bleeding and a firm fundus

  1. A nurse is teaching a client with pre-eclampsia who is scheduled to receive magnesium sulfate via continuous IV infusion about expected adverse effects. Which of the following adverse effects should the nurse include in the teaching? a) elevated blood pressure b) feeling of warmth c) hyperactivity d) generalized pruritus Answer: b) feeling of warmth
  2. A nurse is providing counseling for a couple experiencing infertility issues. Which of the following statements by the nurse is appropriate? a) "Even though you can't have children biologically, you can always adopt a child" b) "You need to take a break from these attempts to conceive" c) "You might want to join our support group for couples who are experiencing similar problems" d) "Why didn't you get your immunizations when you were younger?" Answer: c) "You might want to join our support group for couples who are experiencing similar problems"
  3. A nurse is providing nutritional teaching for a pregnant client who had a prepregnancy body mass index (BMI) of 38. Which of the following statements by the client demonstrates an understanding of the teaching about her recommended weight gain during pregnancy? a) "I should plan to gain 12.7 to 18.1 kg during my pregnancy" b) "I should plan to gain 11.3 to 15.9 kg during my pregnancy" c) "I should plan to gain 6.8 to 11.3 kg during my pregnancy" d) "I should plan to gain 5 to 9.1 kg during my pregnancy" Answer: d) "I should plan to gain 5 to 9.1 kg during my pregnancy"
  4. A nurse is teaching a client who has active genital herpes simplex virus, type 2. Which of the following statements should the nurse include in the teaching? a) "You will have a cesarean birth prior to the onset of labor" b) "Your baby will receive erythromycin eye ointment after birth to treat the infection" c) "You should take oral metronidazole for 7 days prior to 37 weeks gestation" d) "You should schedule a cesarean birth after your water breaks" Answer: a) "You will have a cesarean birth prior to the onset of labor"
  5. A nurse is providing care to a client who is in labor and experienced a spontaneous rupture of membranes. Which of the following findings requires intervention by the nurse? a) intense contractions lasting less than 30 seconds

b) rest periods between contractions lasting longer than 90 seconds c) fetal heart rate decreased by 15/min d) maternal temperature of 37.8°C (100°F) after ruptured membranes Answer: c) fetal heart rate decreased by 15/min

  1. A nurse is preparing to administer morphine oral solution 0.04 mg/kg to a newborn who weighs 2.5 kg. The amount available is morphine oral solution 0.4mg/mL. How many mL should the nurse administer? Answer: 0.
  2. A nurse is discussing the expected changes related to pregnancy with a client who is at 8 weeks gestation. Which of the following findings should the client report to the provider during the first trimester? a) breast tenderness b) urinary frequency c) persistent vomiting d) no fetal movement Answer: c) persistent vomiting
  3. A nurse is teaching a client who is pregnant and has pregestational diabetes about dietary changes. Which of the following statements should the nurse include in the teaching? a) "Carbohydrates should make up 55% of your diet" b) "Protein should make up 70% of your diet" c) "Fats should make up 45% of your diet" d) "Fiber should make up 10% of your diet" Answer: a) "Carbohydrates should make up 55% of your diet"
  4. A nurse is caring for a preterm infant in the NICU. Which of the following actions by the nurse will promote the infant's optimal development? a) avoiding swaddling b) placing the infant in supine position c) providing physical care at short, frequent intervals d) reducing ambient noise and lighting Answer: d) reducing ambient noise and lighting
  5. A nurse is caring for a client who is in labor and has received epidural analgesia. The client's blood pressure is 88/50 mmHg, and the fetal heart tracing shows late decelerations. Which of the following actions should the nurse take? a) assist the client to the bathroom to empty her bladder b) increase the rate of the primary IV infusion c) position the client in a semi-Fowler's position d) provide glucose via oral hydration or IV Answer: b) increase the rate of the primary IV infusion
  1. A nurse is assisting with monitoring the fetal heart rate tracings of a client who is in labor. Which of the following findings should the nurse report to the provider? a) baseline fetal heart rate of 110 to 130/min b) moderate baseline variability c) accelerations in response to fetal stimulation d) late decelerations with fetal bradycardia Answer: d) late decelerations with fetal bradycardia
  2. A nurse is reviewing the medical record of a client at 39 weeks gestation who has polyhydroamnios. Which of the following findings should the nurse expect? a) fundal height of 34 cm (13.4 in) b) total pregnancy weight gain of 3.6 kg (8lb) c) gestational hypertension d) fetal gastrointestinal anomaly Answer: d) fetal gastrointestinal anomaly
  3. A nurse is assessing a 2-day-old newborn and notes an egg-shaped, edematous, bluish discoloration that does not cross the suture line. Which of the following pieces of information should the nurse provide to the mother when she asks about this finding? a) "This will resolve in 3 to 6 weeks without treatment" b) "This will resolve on its own within 3 to 4 days" c) "The provider might drain this area with a syringe" d) "This appearance is expected at birth, so you don't need to worry" Answer: a) "This will resolve in 3 to 6 weeks without treatment"
  4. A nurse is preparing to obtain a newborn's temperature. Which of the following methods should the nurse use? a) axillary b) temporal c) tympanic d) rectal Answer: a) axillary
  5. A nurse in an antepartum clinic is caring for a client who is at 24 weeks gestation. Which of the following findings should the nurse report to the provider? a) frequent headaches b) leukorrhea c) epistaxis d) periodic numbness of fingers Answer: a) frequent headaches
  6. A nurse is providing teaching about exercise to a client who is pregnant. Which of the following pieces of information should the nurse include? a) "You can continue participating in whatever sports or activities you did prior to becoming pregnant" b) "Intermittent exercise is a great way to stay healthy during pregnancy"

c) "You should limit your exercise to walking if you did not exercise prior to becoming pregnant" d) "Vigorous exercises should be limited and should not be performed in hot, humid weather" Answer: d) "Vigorous exercises should be limited and should not be performed in hot, humid weather"

  1. A nurse is caring for a newborn directly after birth. Which of the following medications should the nurse administer to the newborn within 1-2 hr of delivery? a) naloxone b) erythromycin ophthalmic ointment c) poractant alfa d) rotavirus immunization Answer: b) erythromycin ophthalmic ointment
  2. A nurse is obtaining the blood pressure of a client who is pregnant. The client's blood pressure is 142/90 mmHg. Which of the following actions should the nurse take? a) repeat the measurement immediately using the opposite arm b) repeat the measurement after allowing the client to sit for 5 to 10 minutes c) repeat the measurement after repositioning the client so that her feet are off the floor d) repeat the measurement while ensuring the client's arm is dangling at her side Answer: b) repeat the measurement after allowing the client to sit for 5 to 10 minutes
  3. A nurse is assessing a newborn who was circumcised 24 hours ago. Which of the following findings should the nurse report to the provider? a) a scant amount of serosanguineous drainage is noted in the newborn's diaper b) the newborn's circumcision site is covered with yellow exudate c) the newborn has urinated once since the circumcision d) the newborn fusses during each diaper change Answer: c) the newborn has urinated once since the circumcision
  4. A nurse at a clinic is preparing to teach the process of involution to a group of antenatal clients. Which of the following information should the nurse provide? a) the fundus is approximately 2 cm (0.79 in) above the level of the umbilicus at the end of the third stage of labor b) the fundus is approximately 3 cm (1.18 in) above the umbilicus within 12 hours after delivery c) the fundus is located halfway between the umbilicus and mons pubis on the sixth day postpartum d) the fundus is not palpable abdominally at 2 weeks postpartum Answer: d) the fundus is not palpable abdominally at 2 weeks postpartum
  5. A nurse is reviewing laboratory results for a client who is at 37 weeks gestation. The nurse notes that the client is rubella non-immune, is positive for group A beta-hemolytic streptococcus, and has a blood type of O negative. Which of the following actions should the nurse take?

a) copper intrauterine device b) combination pill c) vaginal ring d) medroxyprogesterone injection Answer: a) copper intrauterine device

  1. A nurse is providing education about continuous heparin therapy for a client who is 18 hours postpartum and has developed a deep vein thrombosis (DVT). Which of the following statements should the nurse include in the teaching? a) "An adverse effect of this medication is drowsiness" b) "This medication will require frequent monitoring of WBC levels" c) "Use a soft toothbrush to brush your teeth gently" d) "Avoid taking acetaminophen while receiving this medication" Answer: c) "Use a soft toothbrush to brush your teeth gently"
  2. A nurse is caring for a client who has eclampsia and just had a tonic-clonic seizure. After turning the client's head to the side, which of the following actions should the nurse take next? a) administer magnesium sulfate 4 g IV bolus b) insert an indwelling urinary catheter c) give oxygen at 10 L/min via face mask d) keep the environment quiet and the lights dimmed Answer: c) give oxygen at 10 L/min via face mask
  3. A nurse is providing discharge teaching to a client following the removal of a hydatidiform mole. Which of the following statements should the nurse include in the teaching? a) "Do not become pregnant for at least 1 year" b) "Seek genetic counseling for yourself and your partner prior to getting pregnant again" c) "You should have an hCG level drawn in 6 weeks" d) "Have your blood pressure checked weekly for the next month" Answer: a) "Do not become pregnant for at least 1 year"
  4. A postpartum nurse is providing care for a client who is breastfeeding and has a perineal hematoma. The nurse should recommend that the client use which of the following breastfeeding positions? a) side-lying b) clutch hold c) across-the-lap d) cross-cradle Answer: a) side-lying
  5. A nurse is teaching a client who is pregnant about toxoplasmosis. Which of the following instructions should the nurse include? a) "To prevent toxoplasmosis, you will need to receive a measles, mumps, and rubella

vaccination during your pregnancy" b) "You should avoid gardening during your pregnancy to decrease your risk of contracting toxoplasmosis" c) "You will get a body rash if you are infected with toxoplasmosis" d) "Toxoplasmosis is transmitted through a bite from an infected mosquito" Answer: b) "You should avoid gardening during your pregnancy to decrease your risk of contracting toxoplasmosis"

  1. A nurse is caring for a client in the early stage of labor who has preeclampsia with severe features. Which of the following interventions should the nurse perform? a) assess the fetal heart rate and contractions hourly b) encourage oral intake of clear, low-sodium fluids c) instruct the client to ambulate during the early phase of labor d) implement seizure precautions Answer: d) implement seizure precautions
  2. A nurse in a clinic is providing teaching to a client who is at 37 weeks of gestation and is scheduled for an external cephalic version. Which of the following statements should the nurse make? a) "Your provider will insert a hand into your uterus and turn your baby around" b) "You will receive a medication to relax your uterus prior to the procedure" c) "This procedure will be performed in the clinic at your next visit" d) "Your baby's heartbeat will be monitored occasionally throughout the procedure" Answer: b) "You will receive a medication to relax your uterus prior to the procedure"
  3. A nurse is caring for a client who is in labor and received meperidine for pain 1 hr prior to entering the second stage of labor. Which of the following actions should the nurse take? a) assess the client's reflexes b) assess the newborn for respiratory depression c) assess the client for bradycardia d) assess the newborn for signs of opiate withdrawal Answer: b) assess the newborn for respiratory depression
  4. A nurse is performing a nonstress test (NST) on a client who is at 41 weeks of gestation. The client asks what the purpose of the test is. Which of the following responses should the nurse provide? a) "This test will determine if you are likely to deliver within the next week" b) "This test will help determine if your baby is healthy" c) "This test can see how your baby responds when you have contractions" d) "This test will determine if your baby's lungs are mature" Answer: b) "This test will help determine if your baby is healthy"
  5. A nurse is assessing a client who missed 2 menstrual cycles and reports that she might be pregnant. Which of the following findings is a positive sign of pregnancy? a) quickening
  1. A nurse is caring for a client who had a cesarean birth 36 hours ago and is experiencing pain due to gas. Which of the following strategies should the nurse recommend? a) sip a carbonated beverage throughout the day b) rock in a rocking chair c) lie flat in bed with the legs extended d) use a straw when drinking fluids Answer: b) rock in a rocking chair
  2. A nurse is assessing the Moro response of a newborn. Which of the following findings should the nurse expect? a) abduction and extension of the arms are asymmetric b) the opposite leg flexes while a leg is extended and the sole of the foot is stimulated c) toes hyperextend with dorsiflexion of the great toe d) the legs move in a similar pattern of response to the arms Answer: d) the legs move in a similar pattern of response to the arms
  3. A nurse is caring for a client at 39 weeks gestation who is in the active phase of labor. The nurse observes late decelerations in the fetal heart rate (FHR). Which of the following findings should the nurse identify as the cause of late decelerations? a) uteroplacental insufficiency b) fetal head compression c) fetal ventricular septal defect d) umbilical cord compression Answer: a) uteroplacental insufficiency
  4. A nurse is caring for a client who experienced a spontaneous rupture of membranes and has prolonged decelerations on the fetal monitor. Which of the following conditions should the nurse expect? a) uterine rupture b) placental abruption c) prolapsed umbilical cord d) amniotic fluid embolus Answer: c) prolapsed umbilical cord
  5. A nurse is assessing a newborn 1 hr after birth. Which of the following findings should the nurse report to the provider? a) jaundice of the sclera b) respiratory rate 50/min c) acrocyanosis d) blood glucose 60 mg/dL Answer: a) jaundice of the sclera
  6. A nurse is assessing a newborn 1 min after birth and notes a heart rate of 136/min and respiratory rate of 36/min. The newborn has well-flexed extremities, responds to stimuli with a cry, and has blue hands and feet. Which Apgar score should the nurse

assign to the newborn? a) 7 b) 8 c) 9 d) 10 Answer: c) 9

  1. A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks the nurse how to provider will confirm her pregnancy. Which of the following laboratory tests will be used to confirm this client's pregnancy? a) a blood test for the presence of estrogen b) a blood test for the amount of circulating progesterone c) a urine test for the presence of human chorionic somatomammotropin d) A urine test for the presence of human chorionic gonadotropin Answer: d) A urine test for the presence of human chorionic gonadotropin
  2. A nurse is teaching a client who is in labor about the use of nitrous oxide analgesia for pain control. Which of the following statements by the client indicates an understanding of the teaching? a) "Nitrous oxide could make my baby sleepy when he is born" b) "I should inhale the nitrous oxide between contractions" c) "I will feel the effects of the nitrous oxide almost immediately" d) "Nitrous oxide can make me feel disoriented" Answer: c) "I will feel the effects of the nitrous oxide almost immediately"
  3. A client who is pregnant tells the nurse that she is financially unable to buy the food and vitamins recommended during pregnancy. Which of the following actions should the nurse take? a) explain to the client that improper nutrition could lead to birth defects in her baby b) instruct the client to return to the clinic for weekly weigh-ins for the remainder of the pregnancy c) provide the client with sample menus to promote nutritious meal preparation d) refer the client to a community resource that could assist with providing nutrition Answer: d) refer the client to a community resource that could assist with providing nutrition
  4. A nurse is assessing a client who is at 20 weeks gestation and reports frequent episodes of indigestion and heartburn. Which of the following instructions should the nurse give to the client? a) "Limit your intake of food to twice per day" b) "Decrease your intake of spicy foods" c) "Rest in a supine position for a few minutes after eating" d) "Increase your intake of water and carbonated beverages" Answer: b) "Decrease your intake of spicy foods"
  1. A nurse is teaching a postpartum client how to swaddle her newborn. Which of the following statements by the parent demonstrates an understanding of the teaching? a) "I should stop swaddling my baby once she is able to roll over by herself" b) "My baby's legs should be extended straight out when I swaddle her" c) "I should be able to slide just 1 finger between my baby's chest and the swaddled blanket" d) "After swaddling, I should place my baby on her side in her crib or bassinet" Answer: a) "I should stop swaddling my baby once she is able to roll over by herself"
  2. A nurse in an outpatient setting is providing education for a client who is pregnant. Which of the following statements should the nurse include in the teaching? a) "During the last trimester, you should sleep mainly on your back" b) "During the second trimester, you will notice increased urinary frequency and urgency" c) "You will probably first notice your baby moving when you are around 20 weeks gestation" d) "You should plan to gain 40 to 45 pounds during your pregnancy" Answer: c) "You will probably first notice your baby moving when you are around 20 weeks gestation"
  3. A nurse is caring for a client who had pelvic measurements recorded by the provider. The client asks, "Since my pelvis is gynecoid, will I be able to deliver vaginally?" Which of the following responses should the nurse make? a) "The shape of your pelvis will make vaginal childbirth difficult, but it is still possible" b) "The shape of your pelvis will require a cesarean delivery" c) "The shape of your pelvis is ideal for vaginal childbirth" d) "The shape of your pelvis will change as you near delivery, and the provider will determine if vaginal delivery is possible" Answer: c) "The shape of your pelvis is ideal for vaginal childbirth"
  4. A nurse is caring for a client who is at 38 weeks of gestation and is receiving an oxytocin IV for labor augmentation. The nurse notes variable decelerations on the FHR tracing. Which of the following actions should the nurse take first? a) place the client in a side-lying position b) discontinue the oxytocin infusion c) apply oxygen to the client via a face mask d) check for umbilical cord prolapse Answer: a) place the client in a side-lying position
  5. A nurse is caring for a client who is attempting a trial of labor (TOL) after several cesarean births. The client reports a sudden onset of constant abdominal pain, and the nurse observes a prolonged deceleration on the fetal heart rate tracing. Which of the following actions should the nurse take? a) assist the client to the bathroom to empty her bladder b) place the client in a knee-chest position

c) plan to administer calcium gluconate d) prepare the client for an emergency cesarean delivery Answer: d) prepare the client for an emergency cesarean delivery

  1. A nurse is caring for a newborn who is receiving treatment for jaundice with traditional phototherapy lights. Which of the following interventions should the nurse perform? a) turn the newborn every 2 hr b) supplement with 5% glucose water between scheduled feedings c) dress the infant lightly in a t-shirt and diaper d) apply lotion to the skin every 4 hr Answer: a) turn the newborn every 2 hr
  2. A nurse at a prenatal clinic is teaching a client how to perform a kick count. Which of the following statements should the nurse include in the teaching? a) "Drop by the clinic any day this week so we can count your baby's kicks" b) "Count fetal kicks once a day for a total of 30 minutes" c) "Before bedtime is a good time to start counting the kicks" d) "Wear loose clothing when performing the kick count" Answer: c) "Before bedtime is a good time to start counting the kicks"
  3. A nurse is monitoring a client who is receiving spinal anesthesia. The nurse should identify which of the following findings as a complication of the infusion? a) maternal hypotension b) fetal tachycardia c) increased fetal heart rate variability d) maternal hypothermia Answer: a) maternal hypotension