ATI B Maternal Newborn Final Exam – Questions
& Solutions
A nurse is performing a vaginal examination on a client who is in labor and
observes the umbilical cord protruding from the vagina after calling for
assistance which of the following actions should the nurse take next ✔️Ans -
Apply internal upward pressure to the presenting part using two gloved
fingers
A nurse is planning care for a client who is two hours postpartum which of the
following intervention should the nurse plan to implement during the taking
hold phase of postpartum behavioral adjustment ✔️Ans - Demonstrate to
the client how to perform a newborn bath
A nurse is teaching a client who is at 36 weeks of gestation and has a
prescription for a nonstress test which of the following statements should the
nurse include in the teaching ✔️Ans - You will be offered orange juice to
drink during a test
A nurse in a women's health clinic is providing teaching about nutritional
intake to a client who is it eight weeks of gestation the nurse should instruct
the client to increase her daily intake of which of the following nutrients
✔️Ans - Iron
A nurse is caring for a client who is at 35 weeks of gestation and has placenta
previa which of the following actions should the nurse take ✔️Ans - Initiate
continuous external fetal monitoring
A nurse is assessing fetal heart tones for a client who is pregnant the nurse is
determined the fetal position as left occipital anterior to which of the
following areas of the clients abdomen sure the nurse apply the ultrasound
transducer to assess the point of maximum intensity to the fetal heart ✔️Ans
- Left lower quadrant
A nurse is preparing to administer azithromycin to a client who is at 16 weeks
of gestation and has a positive chlamydia culture the prescription states
administer is it from ice in 1 g Orly now available is 250 mg tablets how many
tablets for the nurse administer round the answer to the nearest whole
, number using leading zero if it applies do not use a trailing zero ✔️Ans - 4
tablets
A nurse is caring for a newborn who is undergoing photo therapy to treat
hyperbilirubinemia which of the following actions should the nurse take
✔️Ans - Cover the newborns eyes while under the photo therapy light
A school nurse is providing teaching to an adolescent about levonorgestrel
contraception which of the following information should the nurse include in
the teaching ✔️Ans - You should take the medication within 72 hours
following unprotected sexual intercourse
A nurse is providing teaching about family planning to a client who has a new
prescription for a diaphragm which of the following statement should the
nurse include in the teaching ✔️Ans - You should leave the diaphragm in
place for at least six hours after intercourse
A nurse is caring for a client who is at 22 weeks of gestation and reports
concern about blotchy hyperpigmentation on her forehead which of the
following actions should the nurse take ✔️Ans - Explain to the client that
this is an expected occurrence
A nurse is teaching a client who is in preterm labor about terbutaline which of
the following statements by the client indicates an understanding of the
teaching ✔️Ans - I will have blood tests because my potassium might
decrease
A nurse is assessing a newborn of a client who took a selective serotonin
reuptake inhibitor during pregnancy which of the following manifestations
should the nurse identify as an indication of withdrawal from an SSRI ✔️Ans
- Vomiting
A nurse is assessing a newborn who is 12 hours old which of the following
manifestations require interventions by the nurse ✔️Ans - Substernal chest
retractions while sleeping
A nurse in the antepartum clinic is assessing a client adaptation of pregnancy
the client states that she is happy one minute and crying the next the nurse
& Solutions
A nurse is performing a vaginal examination on a client who is in labor and
observes the umbilical cord protruding from the vagina after calling for
assistance which of the following actions should the nurse take next ✔️Ans -
Apply internal upward pressure to the presenting part using two gloved
fingers
A nurse is planning care for a client who is two hours postpartum which of the
following intervention should the nurse plan to implement during the taking
hold phase of postpartum behavioral adjustment ✔️Ans - Demonstrate to
the client how to perform a newborn bath
A nurse is teaching a client who is at 36 weeks of gestation and has a
prescription for a nonstress test which of the following statements should the
nurse include in the teaching ✔️Ans - You will be offered orange juice to
drink during a test
A nurse in a women's health clinic is providing teaching about nutritional
intake to a client who is it eight weeks of gestation the nurse should instruct
the client to increase her daily intake of which of the following nutrients
✔️Ans - Iron
A nurse is caring for a client who is at 35 weeks of gestation and has placenta
previa which of the following actions should the nurse take ✔️Ans - Initiate
continuous external fetal monitoring
A nurse is assessing fetal heart tones for a client who is pregnant the nurse is
determined the fetal position as left occipital anterior to which of the
following areas of the clients abdomen sure the nurse apply the ultrasound
transducer to assess the point of maximum intensity to the fetal heart ✔️Ans
- Left lower quadrant
A nurse is preparing to administer azithromycin to a client who is at 16 weeks
of gestation and has a positive chlamydia culture the prescription states
administer is it from ice in 1 g Orly now available is 250 mg tablets how many
tablets for the nurse administer round the answer to the nearest whole
, number using leading zero if it applies do not use a trailing zero ✔️Ans - 4
tablets
A nurse is caring for a newborn who is undergoing photo therapy to treat
hyperbilirubinemia which of the following actions should the nurse take
✔️Ans - Cover the newborns eyes while under the photo therapy light
A school nurse is providing teaching to an adolescent about levonorgestrel
contraception which of the following information should the nurse include in
the teaching ✔️Ans - You should take the medication within 72 hours
following unprotected sexual intercourse
A nurse is providing teaching about family planning to a client who has a new
prescription for a diaphragm which of the following statement should the
nurse include in the teaching ✔️Ans - You should leave the diaphragm in
place for at least six hours after intercourse
A nurse is caring for a client who is at 22 weeks of gestation and reports
concern about blotchy hyperpigmentation on her forehead which of the
following actions should the nurse take ✔️Ans - Explain to the client that
this is an expected occurrence
A nurse is teaching a client who is in preterm labor about terbutaline which of
the following statements by the client indicates an understanding of the
teaching ✔️Ans - I will have blood tests because my potassium might
decrease
A nurse is assessing a newborn of a client who took a selective serotonin
reuptake inhibitor during pregnancy which of the following manifestations
should the nurse identify as an indication of withdrawal from an SSRI ✔️Ans
- Vomiting
A nurse is assessing a newborn who is 12 hours old which of the following
manifestations require interventions by the nurse ✔️Ans - Substernal chest
retractions while sleeping
A nurse in the antepartum clinic is assessing a client adaptation of pregnancy
the client states that she is happy one minute and crying the next the nurse
