ATI MATERNAL NEWBORN QUIZ BANK - LATEST STUDY GUIDE
7 views 0 purchase
Course
Maternal Newborn
Institution
123 University
ATI MATERNAL NEWBORN QUIZ BANK - LATEST STUDY GUIDE
1. A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?
a. The client is not experiencing a rubella infection at this time.
b....
ATI MATERNAL NEWBORN QUIZ BANK
1. A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the
following is the correct interpretation of this data?
a. The client is not experiencing a rubella infection at this time.
b. The client is immune to the rubella virus.
c. The client requires a rubella vaccination at this time.
d. The client requires a rubella immunization following delivery.
i. A negative rubella titer indicates that the client is susceptible to the rubella virus and needs
vaccination following delivery. Immunization during pregnancy is contraindicated because of possible
injury to the developing fetus. Following rubella immunization, the client should be cautioned not to
conceive for 1 month.
2. A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB).
The client's last menstrual period began on July 27. What is the client's EDB? (State the date in MMDD. For example, July
27 is 0727).
a. 0504
i. Using Nägele's rule, the nurse subtracts three months from the date of the last menstrual period, then
adds 7 days. July minus 3 months equals April. There are 30 days in April, so 27 + 7 = May 4. The client's
EDB is May 4, which would be written as 0504 in the MMDD format.
3. A nurse is teaching a client who is at 23 weeks of gestation about immunizations. Which of the following statements
should the nurse include in the teaching?
a. "You should not receive the rubella vaccine while breastfeeding."
b. "You should receive a vaccine before you deliver."
c. "You can receive an influenza vaccination during pregnancy."
i. It is recommended that pregnant women receive annual influenza vaccinations.
d. "You cannot receive the Tdap vaccine until after you deliver."
4. The nurse is assessing the laboratory report of a 40-week gestation client. Which of the following values would the
nurse expect to find elevated above pre-pregnancy levels?
a. Glucose
b. Fibrinogen
c. Hematocrit
d. Bilirubin
5. A nurse is caring for a client who has a positive pregnancy test. The nurse is teaching the client about common
discomforts in the first trimester of pregnancy as well as warning signs of potential danger. The nurse should instruct the
client to call the clinic if she experiences which of the following manifestations?
a. Leukorrhea
b. Urinary frequency
c. Nausea and vomiting
d. Facial edema
i. Facial edema is a warning sign of a hypertensive condition or preeclampsia and should be
reported immediately to the provider.
6. A nurse is providing teaching about Kegel exercises to a group of clients who are in the third trimester of pregnancy.
Which of the following statements by a client indicates understanding of the teaching?
a. "These exercises help prevent constipation."
b. "These exercises help pelvic muscles to stretch during birth."
i. Kegel exercises improve the strength of perineal muscles, facilitating stretching and contracting
during childbirth.
c. "They can help reduce back aches."
d. "They can prevent further stretch marks."
7. A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to
exercise during pregnancy. Which of the following responses by the nurse is appropriate?
a. "Exercising during pregnancy is not recommended."
b. "Daily jogging for up to 30 minutes is fine throughout the pregnancy."
i. While weight-bearing exercises might become uncomfortable in the last trimester, they are generally
not contraindicated, providing the client stays hydrated and avoids becoming overheated for
extended periods.
c. "Activities that raise the body temperature, such as saunas and hot tubs, are safe until the third trimester."
, d. "It is recommended that pregnant clients limit their exercise routine to stretching activities on a mat
several times a week."
8. A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes
one pregnancy, terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion
at 15 weeks. According to the GTPAL system, which of the following describes the client's current status?
a. 4-0-1-2-2
i. This response correctly describes the client's current status: pregnant currently and had 3 prior
pregnancies (G); no term births (T); one pregnancy resulted in the preterm birth (P) of twins;
two pregnancies ended in abortion (A); and she has two living children (L).
b. 3-0-2-0-2
c. 2-0-0-2-0
d. 4-2-0-2-2
9. A nurse is teaching a group of patients who are in their first trimester about exercise during pregnancy. Which of
the following statements should the nurse include in the teaching?
a. "Refrain from exercises that include stretching."
b. "It is recommended to rest for 30 minutes before each new exercise."
c. "It is recommended to increase your weight-bearing
exercises." d. "Moderate exercise improves circulation."
i. Improving circulation is just one of the many benefits of moderate exercise during pregnancy.
It enhances well-being, promotes rest and relaxation, and improves muscle tone.
10. A nurse in a prenatal clinic is caring for a patient who asks what her estimated date of delivery will be if her last
menstrual period was May 4, 2015. Which of the following is the appropriate response by the nurse?
a. April 27, 2016
b. February 27,
2016 c. February 11,
2016
i. Subtracting 3 calendar months and adding 7 days plus one year will result in this estimated date
of delivery.
d. April 11, 2016
11. A nurse is caring for a patient during the first trimester of pregnancy. After reviewing the patient's blood work, the nurse
notices she does not have immunity to rubella. Which of the following times should the nurse understand is
recommended for rubella immunization?
a. Shortly after giving birth
i. The rubella immunization should be offered to the client following birth, preferably prior to
discharge from the hospital. This prevents the client from contracting rubella during the current or
subsequent pregnancies, which would put her fetus at risk for rubella syndrome.
b. In the third trimester
c. Immediately
d. During her next attempt to get pregnant
12. A nurse is caring for a patient who is gravida 3, para 2, and is in active labor. The fetal head is at 3+ station after a
vaginal examination. Which of the following actions should the nurse take?
a. Apply fundal pressure.
b. Observe for the presence of a nuchal
cord. c. Observe for crowning.
i. In the descent phase of the second stage of labor, crowning occurs when the fetal head is at +2 to +4
station. Because this is the client's third childbirth experience, it is reasonable to assume that delivery
is imminent.
d. Prepare to administer oxytocin.
13. A nurse on the labor and delivery unit is caring for a patient following a vaginal examination by the provider which
is documented as: -1. Which of the following interpretations of this finding should the nurse make?
a. The presenting part is 1 cm above the ischial spines.
i. Station is the relation of the presenting part to the ischial spines of the maternal pelvis and is
measured in centimeters above, below, or at the level of the spines. If the station is minus 1, then the
presenting part is 1cm above the ischial spines.
b. The presenting part is 1 cm below the ischial spines.
c. The cervix is 1 cm dilated.
d. The cervix is effaced 1 cm
14. A nurse midwife is examining a patient who is a primigravida at 42 weeks of gestation and states that she believes she is
in labor. Which of the following findings confirm to the nurse that the patient is in labor?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ROSELYNE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.49. You're not tied to anything after your purchase.
