MATERNAL NEWBORN ATI EXAM/ ATI NEWBORN MATERNAL FINAL EXAM 2023/24 VERSION
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Course
ATI MATERNAL NEWBORN
Institution
ATI MATERNAL NEWBORN
A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client
reports urinary frequency and asks the nurse if this will continue throughout her
pregnancy. Which of the following responses by the nurse is appropriate? - ANSWER No, it
should only last until about...
MATERNAL NEWBORN ATI EXAM/ ATI NEWBORN MATERNAL
FINAL EXAM 2023
A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client
reports urinary frequency and asks the nurse if this will continue throughout her
pregnancy. Which of the following responses by the nurse is appropriate? - ANSWER No, it
should only last until about your 12th week, but it will return near the end of the
pregnancy."
Urinary frequency usually disappears at about 12 weeks of gestation but returns near term
as the enlarging uterus presses on the bladder. It can also worsen following fetal descent.
A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a
client. Which of the following statements by the newly licensed nurse requires
intervention by the nurse? - ANSWER "Implantation occurs between two and three weeks
after conception."
A nurse in a prenatal clinic is caring for a client who is at 12 weeks of gestation. The client
asks about the cause of her heartburn. Which of the following responses should the nurse
make? - ANSWER Increased progesterone production causes decreased motility of smooth
muscle.
Increased progesterone production causes a relaxation of the cardiac sphincter and
delayed gastric emptying, which can result in heartburn
A nurse is preparing to auscultate fetal heart tones for a client who is pregnant. Using
Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundal portion
of the uterus and a long, smooth surface on the mother's right side. In which of the
following maternal quadrants should the nurse auscultate fetal heart tones? - ANSWER
Right upper quadrant
A nurse is caring for a client who is pregnant and undergoing a nonstress test. The nurse
records the FHR as 130 to 150/min, with no fetal movement for 15 min. Which of the
following actions should the nurse take? - ANSWER Apply vibroacoustic stimulation to the
woman's abdomen
A nurse is reinforcing teaching with a client at her first prenatal visit about expected
changes during gestation. (Move the steps into the box on the right, placing them in the
selected order of occurrence from earliest to latest in gestation. Use all the steps.) -
ANSWER Breast tenderness Nausea and vomiting Goodell's sign Quickening
Striaegravidarum
A nurse in a prenatal clinic is determining a client's estimated date of delivery using
,Naegele's rule. The first day of her last menstrual period was May 4. Which of the
following dates should the nurse tell the client is her estimated date of delivery? -
ANSWER February 11
A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia
is not initiated until a good labor pattern has been established. Which of the following
explanations should the nurse include? - ANSWER "Given too soon, epidural anesthesia
can prolong labor."
A nurse is reinforcing nutrition teaching with a client during the first prenatal visit.
Which of the following statements by the client indicates an understanding of the
teaching? - ANSWER "I can eat 12 to 18 ounces of albacore tuna weekly."
A nurse is collecting data from a client who is 3 hr postpartum. The nurse notes that the
client's fundus is displaced to the right of midline, is firm, and is two fingerbreadths
above the umbilicus. Which of the following actions should the nurse take? - ANSWER
Have the client urinate.
A nurse is assisting in the care of a client who is scheduled for a cesarean birth based on
the fetal lungs having reached maturity. Which of the following findings indicates that the
fetal lungs are mature? - ANSWER Lecithin/sphingomyelin (L/S) ratio of 2:1
A nurse is assisting with the care of a client who had an epidural anesthesia block during
the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart
recording is 140/min. Which of the following actions should the nurse take first? -
ANSWER Place the client in a lateral position
A charge nurse observes a newly licensed nurse checking fetal heart tones (FHT) for a
client who is at 12 weeks of gestation. Which of the following actions by the nurse
indicates a need for intervention by the charge nurse? - ANSWER Listens with a fetoscope
A nurse is assisting with the care of a client who is in labor. An RN's vaginal examination
of the client yields the following information: 2 cm, 50%, +1. Which of the following fetal
positions should the nurse document in the client's medical record? - ANSWER Vertex
A nurse is reinforcing teaching about fetal development with a group of women who are
pregnant. Which of the following statements should the nurse include in the teaching? -
ANSWER he baby's heartbeat is audible by a Doppler stethoscope at 12 weeks of
pregnancy." The fetal heartbeat is audible by Doppler stethoscope at 12 weeks of gestation.
A nurse is providing teaching to the parents of a newborn about how to care for his
circumcision at home. Which of the following instructions should the nurse include in the
teaching? - ANSWER Encourage nonnutritive sucking for pain relief
A nurse is teaching a client during the clients first prenatal visit. Which of the following
instructions should the nurse include? - ANSWER A doppler device can detect your baby's
, heart rate at 12 weeks
A nurse is preparing to perform leopoldmanuevaers on a client who is in labor. Which of
the following actions should the nurse plan to take? - ANSWER Stand at the clients right
side if the nurse is right handed
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? -
ANSWER This will resolve in 3 to 6 weeks without treatment
A nurse is teaching a client who is postpartum and breastfeeding. Which of the following
statements should the nurse include? - ANSWER A reduction in sexual interest could
indicate postpartum depression
A nurse is reviewing the laboratory findings for 4 clients. Which of the following
infections should be reported to the public health department? - ANSWER Gonorrhea
A nurse is assessing an 18 hour old newborn. Which of the following findings should be
reported to the provider? - ANSWER Yellow tinged skin
A nurse is assessing a newborn and notes an axillary temperature of 96.9 degrees F (36
degree C). which of the following actions should the nurse perform? - ANSWER Assess the
newborn's blood glucose level
A nurse is caring for a client who is in active labor and whose birth plan requests only
nonpharmacological pain relief strategies. Which of the following strategies should the
nurse offer as a form of cutaneous stimulations? - ANSWER Counter pressure
A nurse is monitoring a newborn who is receiving phototherapy. The nurse should
identify which of the following findings as requiring intervention? - ANSWER Weight loss
12% of birth weight
A nurse is assessing the respiratory status of a newborn who was born 2 hours ago. Which
of the following findings should the nurse identify as a manifestation of respiratory
distress? - ANSWER Expiratory grunting
nurse in a providers office is caring for a client who is in the first trimester of pregnancy.
Which of the following psychological tasks should the nurse expect the client to
accomplish during this trimester? - ANSWER Accepting the pregnancy
The parents of a child with phenylketonuria ask the nurse if their second unborn child
could have the same condition. The nurse should base the response on which of the
following inheritance patterns responsible for PKU? - ANSWER Autosomal recessive
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? - ANSWER Frequent
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