ATI Maternal Newborn Practice Test Flashcards Preview

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Flashcards in ATI Maternal Newborn Practice Test Deck (25):
1

ATI Maternal Newborn Online Practice Test

A nurse is collecting data from an 8-hr-old newborn. Which of the following findings should the nurse recognize as abnormal and report to the primary care provider?

A. Apical heart rate of 90/min
B. Positive Moro reflex
C. Apneic of 10 seconds
D. Vernix in the skin folds

A. Apical heart rate of 90/min

2

ATI Maternal Newborn Online Practice Test

A nurse is assisting with the orientation of a newly licensed nurse who is caring for a newborn who is to receive phototherapy. Which of the following statements by the newly licensed nurse indicates a need for further instruction?

A. 'I will monitor for a maculopapular rash."
B. "I will use a disposable face mask in place of a diaper."
C. "I will give the newborn water between feedings."
D. "I will avoid using lotion on the newborn."

C. "I will give the newborn water between feedings."

3

ATI Maternal Newborn Online Practice Test

A nurse is reinforcing teaching about formula preparation with the mother of a newborn. Which of the following should the nurse include in the teaching?

A. Warmed formula can increase spitting up.
B. The water used to prepare the formula must be boiled or sterile.
C. Over diluted formula can result in inadequate youth.
D. Formula left in the bottle can be given at the next feeding.

C. Over diluted formula can result in inadequate youth.

4

ATI Maternal Newborn Online Practice Test

A nurse is reinforcing teaching with a new mother about breastfeeding her newborn. Which of the following findings by the nurse indicates a need for further instruction?

A. An audible clicking sound is noted.
B. A small portion of the client's areola is visible.
C. The newborn's cheeks are rounded.
D. The mother reports a firm tugging sensation on her breast during feeding.

A. An audible clicking sound is noted.

5

ATI Maternal Newborn Online Practice Test

A nurse is caring for a 12-hr-old male newborn who was delivered from a breech position. Which of the following findings should the nurse report to the charge nurse?

A. Scrotum appears edematous.
B. Skin appears jaundiced.
C. Voiding has not occurred.
D. The umbilical cord contains two arteries and one vein.

B. Skin appears jaundiced.

6

ATI Maternal Newborn Online Practice Test

A nurse is reinforcing teaching for a client who delivered 2 days ago and is breastfeeding. Which of the following information about preventing mastitis should the nurse include in discharge teaching?

A. Breastfeed frequently.
B. Wash nipples daily with antibacterial soap.
C. Wear an underwire bra.
D. Place cold cabbage leaves on breasts.

A. Breastfeed frequently.

7

ATI Maternal Newborn Online Practice Test

A nurse is reinforcing teaching about car seat safety with the parent of a newborn. Which of the following client statements indicates an understanding of the teaching?

A. "My baby should be in a rear-facing care seat until he is 6 months old and 15 pounds."
B. "If my baby rides in a car with no back seat, the passenger air bag must be turned off."
C. "It is dangerous to secure the car seat using the car seat belts."
D. "I will place my baby's car seat at a 90º angle in the back seat."

B. "If my baby rides in a car with no back seat, the passenger air bag must be turned off."

8

ATI Maternal Newborn Online Practice Test

A nurse is reinforcing teaching to a client who is breastfeeding a 6-day-old newborn. Which of the following client statements indicates a need for further teaching?

A. "I may need to breastfeed my baby up to 12 times per day."
B. "My baby should have at least six wet diapers per day."
C. "My baby should have at least one stool per day."
D. "I may store breast milk in the freezer for 6 months.

C. "My baby should have at least one stool per day."

9

ATI Maternal Newborn Online Practice Test

A nurse is caring for a mother whose newborn has just been diagnosed with hypoplastic left heart syndrome. Which of the following statements by the nurse is appropriate?

A. "I will make an appointment with the hospital chaplain."
B. "I know how you feel. I felt the same way when my baby was diagnosed with a cleft palate."
C. "You probably need to be alone, but call me if you need anything."
D. "Here is the number of a support group you can call."

D. "Here is the number of a support group you can call."

10

ATI Maternal Newborn Online Practice Test

A nurse is caring for a client who is 2 hr postpartum. The nurse notes that the client's fundus is located 2 finger breadths above the umbilicus, deviated to the right of the midline, and less firm than previously noted. The nurse should anticipate that this finding is due to which of the following?

A. Uterine bleeding
B. Cervical laceration
C. Bladder distention
D. Retention of placental fragments

C. Bladder distention

11

ATI Maternal Newborn Online Practice Test

A nurse is caring for four newborns. Which of the following newborns should the nurse plan for the provider to see first?

A. A newborn who was born 1 hr ago has acrocyanosis
B. A newborn whose mother has a history of drug abuse and tests negative at delivery
C. A newborn whose mother had a positive group B streptococcus test and was treated with antibiotics during labor
D. A newborn who was born 36 hr ago and has nasal flaring.

D. A newborn who was born 36 hr ago and has nasal flaring.

12

ATI Maternal Newborn Online Practice Test

A nurse is taking a newborn's vital signs and notes her respiratory rate as 42/min. The respirations are shallow and irregular. Which of the following actions should the nurse take?

A. Report the findings to the charge nurse.
B. Monitor the newborn for respiratory distress.
C. Chart the finding as normal.
D. Provide the newborn with supplemental oxygen.

C. Chart the finding as normal.

13

ATI Maternal Newborn Online Practice Test

A nurse is caring for a mother in the immediate postpartum period. Which of the following are expected findings during the first 24 hr? (Select all that apply.)

A. Profuse diuresis.
B. Soft, boggy uterus upon palpation.
C. Discharge of clear, yellow fluid from breasts.
D. Feeling of lightheadedness when ambulating.
E. Lower, abdominal cramping.

A. Profuse diuresis.
C. Discharge of clear, yellow fluid from breasts.
D. Feeling of lightheadedness when ambulating.
E. Lower, abdominal cramping.

14

ATI Maternal Newborn Online Practice Test

A nurse is collecting data from a client and her newborn. The nurse is concerned that the client is not expressing any interest in caring for her newborn. Which of the following actions should the nurse take first?

A. Demonstrate how to hold the newborn.
B. Provide the client with information on parenting classes.
C. Contact the discharge planner.
D. Encourage family members to assist in the newborn's care.

A. Demonstrate how to hold the newborn.

15

ATI Maternal Newborn Online Practice Test

A nurse is caring for a postpartum client who delivered vaginally 6 hr ago. Which of the following finding should the nurse report to the primary care provider?

A. Labial edema
B. Fundus firm at the umbilicus
C. WBC 15,000
D. Perineal pad soaked in 15 min

D. Perineal pad soaked in 15 min

16

ATI Maternal Newborn Online Practice Test

A nurse reinforcing teaching with a client whose newborn was circumcised. Which of the following client statements indicates a need for further instruction?

A. "I will expect my baby's umbilical cord to fall off in around 10 days."
B. "I will avoid removing the yellow exudate from my son's penis."
C. "I will used cotton-tipped swabs to cleanse my baby's ears."
D. "I will set my hot water heater to 37º C."

C. "I will used cotton-tipped swabs to cleanse my baby's ears."

17

ATI Maternal Newborn Online Practice Test

A nurse is caring for a client who is bottle feeding her infant and reports breast engorgement. Which of the following interventions should the nurse recommend?

A. Allow the infant to suckle.
B. Take a warm shower.
C. Apply cold compresses to the breasts.
D. Use an electric breast pump to empty the breasts.

C. Apply cold compresses to the breasts.

18

ATI Maternal Newborn Online Practice Test

A nurse is reviewing the prenatal record of a client who is pregnant. The nurse understands what which of the following results indicates a desired outcome?

A. Negative rubella titer
B. Reactive nonstress test
C. One-hour glucose tolerance screening test of 150 mg/dL
D. Hemoglobin of 9.5 g/dL

B. Reactive nonstress test

19

ATI Maternal Newborn Online Practice Test

A nurse is caring for a postpartum client who is receiving prostaglandin F2 (Hemabate). Which of the following client statements indicates an understanding of this medication?

A. "I'm receiving this medication because my blood count is low."
B. "I'm receiving this medication because I am Rh negative."
C. "This medication will help ease my perineal discomfort."
D. "This medication will slow down my perineal bleeding."

D. "This medication will slow down my perineal bleeding."

20

ATI Maternal Newborn Online Practice Test

A nurse is planning to reinforce teaching with a pregnant client who has a history of preterm labor and is prescribed terbutaline (Brethine). Which of the following should the nurse include in the plan?

A. "Take the medication if you have more than two contractions in 1 hour."
B. "Monitor your heart rate before you take the medication."
C. "Take the medication q2h while awake."
D. "You'll take this medication for the rest of your pregnancy.

B. "Monitor your heart rate before you take the medication."

21

ATI Maternal Newborn Online Practice Test

A client who is breastfeeding reports that her newborn has excessive gas. Which of the following foods should the nurse recommend the mother decrease in her diet?

A. Nuts
B. Onions
C. Rice
D. Bananas

B. Onions

22

ATI Maternal Newborn Online Practice Test

A nurse is monitoring a 1-hr-old newborn for hypoglycemia. For which of the following findings should the nurse monitor? (Select all that apply.)

A. Hypothermia
B. Twitching
C. Tachypnea
D. Absent bowel sounds
E. Abdominal distention

A. Hypothermia
B. Twitching
C. Tachypnea

23

ATI Maternal Newborn Online Practice Test

A nurse is collecting data from a newborn who was born to a mother who had gestational diabetes mellitus. Which of the following findings should the nurse report to the provider?

A. Blood glucose 30 mg/dL
B. Heart rate 160/min
C. Calcium 9.2 mg/dL
D. Axillary temperature 36.5º C (97.7º F)

A. Blood glucose 30 mg/dL

24

ATI Maternal Newborn Online Practice Test

A nurse in a postpartum unit is contributing to the discharge teaching plan for a client. Which of the following instructions should the nurse include in the plan?

A. Use baby powder after baths.
B. Cover the newborn with a crib comforter.
C. Use a firm mattress in the crib.
D. Place the newborn on his stomach to sleep.

C. Use a firm mattress in the crib.

25

ATI Maternal Newborn Online Practice Test

A nurse is caring for a client who is 2 days postpartum following a cesarean birth. During data collection, the client states, "I just felt something pop!" After calling for help, which of the following actions should the nurse take first?

A. Assist the client to a supine position with hips and knees flexed.
B. Check the client's vital signs.
C. Cover the wound with pre-moistened sterile gauze.
D. Apply oxygen at 2 L/min.

C. Cover the wound with pre-moistened sterile gauze.