Maternal Newborn ATI mastery Exam Questions with Verified Answers
2023-2024
1. Nurse is assessing client who is in labor and notes early decels on fetal monitor. which
findings should the nurse identify as possible cause of earl decels
Answer: fetal head compression
2. Nurse is assessing newborn who was born at 26wks. which findings should you expect when
using the new Ballard score
Answer: minimal arm recoil
3. Nurse is assessing late preterm newborn. which of the following clinical manifestations is an
indication of hypoglycemia
Answer: resp distress
4. Nurse providing teaching to client about physiological changes that occur during pregnancy.
client is 10wks and has BMI within expected range. which statement indicates an understanding
Answer: I will likely need to use alternative positions for sexual intercourse
5. Nurse is teaching about effective breastfeeding to client that’s 3 days postpartum. which
information should you include
Answer: your newborn should appear content after each feeding
6. Nurse is teaching client who is 36wks and has a prescription for NST. Which statement should
the nurse include in the teaching
Answer: you will be offered orange juice to drink during the test
7. Nurse is assessing client who is postpartum and has ITP. which finding should the nurse
expect
Answer: decreased platelet count
8. Nurse in family planning clinic is caring for pt who requests oral contraception. which
findings in the clients history should the nurse recognize as a contraindication to oral
contraceptives
Answer: • cholecystitis
• Hypertension
• migraine headaches
9. Nurse is teaching new mother how to use bulb syringe to suction newborns secretions. which
instructions should the nurse include
Answer: stop suction when newborns cry sounds clear
10. Nurse is assessing client who’s in active labor and notes early decels. client is 39 wks and
receiving continuous iv of oxytocin. what action should you take
Answer: continue monitoring the client
11. Nurse is teaching group of parents about newborn safety. which statement by the parent
indicates an understanding
Answer: I will dress my baby in flame retardant clothing
12. Nurse is assessing client who is 1 day postpartum and has vaginal hematoma. which
manifestation should the nurse expect
Answer: vaginal pressure
13. Charge nurse on postpartum unit observing newly licensed nurse whose administering pain
meds. you should intervene when the new nurse uses which secondary identifier
Answer: the clients room number
14. Nurse is providing dc teaching to client who had c/s 3 days ago. what instructions should the
nurse include
Answer: you can still become pregnant if you are breast feeding
15. Nurse is providing dc teaching to client who is postpartum. which manifestation should the
nurse instruct the pt to monitor and report to the provider
Answer: unilateral breast pain
16. Nurse is caring for 15 wk pt that’s RH negative and just had an amniocentesis, which
intervention is the priority following the procedure
Answer: monitor FHR
17. Nurse is admitting pt to LND because she stated "my water broke". Which interventions is
the nurses priority
Answer: begin FHR monitoring
18. Nurse is caring for client who has recently experienced a perinatal death. which statement
should the nurse make to the client
Answer: I’m sad for you
19. Nurse is assessing client who is 38wks during prenatal visit. which findings should the nurse
report to the provider
Answer: weight gain of 2.2 kg
20. Nurse is caring for client who has uterine hypotonicity and is experiencing pph. which
actions the nurses priority
Answer: massage the clients fundus
21. Nurse in provider office is reviewing med records of client in first trimester. which findings
should the nurse identify as a risk factor for the development of pre-e
Answer: pregestational DM
22. Nurse is planning care for client whose in labor and requesting an epidural. which action
should the nurse include in the plan of care
Answer: monitor bp every 5 minutes following first dose
23. Nurse is providing prenatal teaching to client that’s 26wks. which position should the nurse
recommend the client to increase circulation to the placenta
Answer: side lying
24. Nurse is speaking with client whose trying to make a decision about uterine tube occlusion. "
what effects will this procedure have on my sex life"? What’s your response
Answer: this process should have no effect on your sexual performance or adequacy
25. Nurse is discussing differences between true/false labor. which characteristics should the
nurse include when discussing true labor
Answer: ctxs become stronger with walking
26. Nurse is teaching client who has pregestational t1dm about management during pregnancy.
which statement indicates and understanding by the client
Answer: I will continue taking insulin if i experience N.V
27. Nurse is assessing newborn who was delivered vaginally and experienced tight nuchal cord.
which manifestations should the nurse expect
Answer: petechiae over the head
28. Nurse is teaching client that’s 24wks regarding 1hr glucose tolerance test. which statement
should the nurse include in her teaching
Answer: glucose of 130-140 is considered a positive screening result
29. Nurse is assessing newborn whose 12 hours old. which manifestations requires intervention
by the nurse
Answer: substernal chest retractions while sleeping
30. Nurse is caring for 22wk that reports concern about her blotchy hyperpigmentation on her
forehead. what action should you take
Answer: explain that this is an expected occurrence
31. Nurse is caring for client whose receiving oxytocin. which findings contraindicates the
initiation of oxytocin infusion and should report to the provider
Answer: late decels
32. Nurse is planning care of 24wk and reports daily mild headaches. which instructions should
the nurse include in the plan of care
Answer: recommend that the client perform conscious relaxation techniques daily
33. Nurse is providing dc teaching to parent whose newborn just had a circumcision. which
instructions should the nurse include
Answer: apply slight pressure with sterile gauze pad for mild bleeding
34. Nurse is developing plan of care for client with pre-e and is receiving mag. which
intervention should the nurse include in the plan
Answer: monitor FHR continuously
35. Nurse in woman’s clinic is providing teaching about nutritional intake to a client that’s 8wks.
nurse should instruct client to increase daily intake of which nutrients
Answer: iron
36. Nurse is teaching client in prenatal class about folic acid. nurse should instruct client to
consume folic acid to prevent what abnormalities
Answer: nueral tube defects
37. Nurse is assessing client whose received carboprost for PPH. which of the following findings
is an adverse effect of medications
Answer: Hypertension (HTN)
38. Nurse is caring for newborn whose undergoing phototherapy to treat hyperbilirubinemia.
which action should the nurse take
Answer: cover newborns eyes while under the light
39. Nurse is providing teaching for client who gave birth 2 hours ago about facility policy for
newborn safety. which statement by the client indicates an understanding
Answer: person who comes to take pictures will be wearing a photo id badge
40. “Nurse is preparing for Leopold's maneuver. What order should you do it in?"
Answer: Four
41. Nurse is assessing full term newborn 15 min after birth. which findings requires intervention
Answer: resp 18
42. Nurse is caring for client whose 40wks and is in early labor. platelet count is 75000 and
wants pain relief. which treatment modalitites should the nurse anticipate
Answer: attention focusing
43. Nurse is providing teaching to adolescent about levonorgestrel contraception. which
information should the nurse include in the teaching
Answer: you should take the med 72 hours following unprotected sex
44. Nurse is caring for client whose in labor and reports rectal pressure. her ctxs are 2-3 min
apart and lasting 80-90sec. her cervix is 9cm. which phase of labor is she in
Answer: transition
45. Nurse is performing vag exam on client whose in labor and reports sever pressure and pain in
back. you note fetal head is in posterior position. What's the best nonpharmacological
interventions to relieve discomfort
Answer: counter pressure
46. Nurse is developing an education program for adolescents about nutrition during third
trimester. which statement should the nurse include in the program
Answer: consume 3-4 servings of dairy a day
47. Nurse is planning care on client whose 2 hours postpartum. which interventions should the
nurse plan to implement during the taking hold phase or postpartum behavioral adjustment
Answer: demonstrate how to perform newborn bath
48. Nurse is preparing to collect blood specimen from newborn via heel stick. which technique
should the nurse follow to minimize pain
Answer: place newborn skin to skin on mom
49. Nurse is caring for newborn who was transferred to nursery 30 minutes after delivery. which
action should the nurse take first
Answer: verify newborns id
50. Nurse is performing assessment on newborn upon admission to the nursery. which
manifestations should the nurse expect
Answer: • creases over 2/3 of soles of the feet
• molding of the head
• lanugo on shoulders
51. Nurse is providing dietary teaching on client who has hyperemesis gravidarum. Which
statement indicates and understanding by the client
Answer: I will eat foods that appeal to my taste instead of trying to balance my meals
52. Nurse is assessing FHR. fetal position is LOA. Where should you apply the us
Answer: left lower
53. Nurse is providing dc teaching about car seat safety. what instructions should you include
Answer: position rear facing in the back seat
54. Nurse is providing education about family bonding to parent who recently adopted. which
suggestion should you make to aid the family’s 7yr old in accepting the new family member
Answer: obtain a gift from the newborn to the present sibling
55. Nurse is assessing four newborns. which one should you report to the provider
Answer: newborn whose 18hr old and has axillary temp of 37.7
56. Nurse is performing vaginal exam for pt in active labor. client is 8/100/2. Fetus is in OP.
which action should you take
Answer: assist client to hands and knees position
57. Nurse is assessing client whose 12hr postpartum. fundus is two fingerbreadths above
umbilicus deviated to the right. which action should you take
Answer: assist client to bathroom to void
58. Nurse is assessing client whose 26wks. which manifestations should the nurse report to the
provider
Answer: decreased urinary output
