Exam (elaborations)
ATI RN Maternal Newborn – Questions And Solutions
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- ATI MATERNAL NEWBORN
- Institution
- ATI MATERNAL NEWBORN
ATI RN Maternal Newborn – Questions And Solutions
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ATI RN Maternal Newborn – Questions And SolutionsA nurse is teaching a client who has a new prescription for combined oral
contraceptives about potential adverse effects of the medication. For which
of the following findings should the nurse instruct the client to notify the
provider? Correct Ans - Shortness of breath
A. Shortness of breath
The nurse should instruct the client to notify the provider immediately of
any shortness of breath. Shortness of breath and chest pain can indicate a
pulmonary embolus or myocardial infarction. Also, the nurse should
instruct the client to notify the provider of other adverse effects that can
indicate potential complications, including abdominal pain, sudden or
persistent headaches, blurred vision, and severe leg pain.
A nurse is caring for a client following an amniocentesis at 18 weeks of
gestation. Which of the following findings should the nurse report to the
provider as a potential complication? Correct Ans - Leakage of fluid
from the vagina
B. Leakage of fluid from the vagina
Leakage of fluid from the vagina could indicate premature leakage of
amniotic fluid and should be reported to the provider.
A nurse is calculating a client's expected date of birth using Nagele's rule.
The client tells the nurse that her last menstrual cycle started on November
27th. Which of the following dates is the client's expected date of birth?
Correct Ans - Answer: September 3rd
A. September 3rd
When using Nägele's rule to calculate the estimated date of birth for a
client, the nurse should subtract 3 months from the first day of the client's
last menstrual cycle and then add 7 days. November 27th minus 3 months
equals August 27th. August 27th plus 7 days equals September 3rd.
A nurse is caring for a client who is at 41 weeks of gestation and has a
positive contraction stress test. For which of the following diagnostic tests
should the nurse prepare the client? Correct Ans - Answer:
Biophysical profile (BPP)
,C. Biophysical profile (BPP)
The nurse should prepare the client for a BPP to further assess fetal well-
being. A positive contraction stress test indicates there is potential
uteroplacental insufficiency. A BPP uses a real time ultrasound to visualize
physical and physiological characteristics of the fetus and observe for fetal
biophysical responses to stimuli.
A nurse is teaching a new parent about newborn safety. Which of the
following instructions should the nurse include in the teaching?
Correct Ans - Answer: "You can share your room with your baby for the
next few weeks."
A. "You can share your room with your baby for the next few weeks."
The nurse should recommend room-sharing during the first few weeks.
This allows the parent to be readily available to the newborn and learn the
newborn's cues. However, the nurse should instruct the parent to avoid
placing the newborn in their bed as it increases the risk for sudden infant
death syndrome.
A nurse is caring for a client who is in labor and whose fetus is in the right
occiput posterior position. The client is dilated to 8 cm and reports back
pain. Which of the following actions should the nurse take? Correct Ans
- Answer: Apply sacral counterpressure.
A. Apply sacral counterpressure.
The nurse should apply sacral counterpressure to assist in relieving back
labor pain related to fetal posterior position.
A nurse is caring for a newborn who is undergoing phototherapy to treat
hyperbilirubinemia. Which of the following actions should the nurse take?
Correct Ans - Answer: Cover the newborn's eyes while under the
phototherapy light.
A. Cover the newborn's eyes while under the phototherapy light.
Applying an opaque eye mask prevents damage to the newborn's retinas
and corneas from the phototherapy light.
, 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?
Correct Ans - Answer: Apply internal upward pressure to the
presenting part using two gloved fingers.
B. Apply internal upward pressure to the presenting part using two gloved
fingers.
Using evidence-based practice, the first action the nurse should take is to
apply internal upward pressure to the presenting part. Prolapse of the
umbilical cord during labor can result in decreased perfusion to the fetus,
which can lead to hypoxia. After calling for assistance, the nurse should
relieve the compression on the umbilical cord by applying upward internal
pressure on the presenting part with two gloved fingers. The nurse should
not move their hand.
A nurse is preparing to administer oxytocin to a client who is postpartum.
Which of the following findings is an indication for the administration of
the medication? (SATA) Correct Ans - Answer: Flaccid uterus is
correct. Oxytocin increases the contractility of the uterus.
Excess vaginal bleeding is correct.
Oxytocin enhances uterine contractility, decreasing vaginal bleeding.
A nurse is teaching a postpartum client about steps the nurses will take to
promote the security and safety of the client's newborn. Which of the
following statements should the nurse make? Correct Ans -
Answer: "Staff members who take care of your baby will be wearing a
photo identification badge."
D. "Staff members who take care of your baby will be wearing a photo
identification badge."
The nurse should instruct the client that all staff members that care for
newborns are required to wear a photo identification badge so that the
client will be reassured of the newborn's safety. Some units' staff members
wear special badges or a specific color scrubs.
A nurse is assessing the newborn of a client who took selective serotonin
reuptake inhibitor (SSRI) during pregnancy. Which of the following
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