ATI Maternal Newborn Proctored Exam 2025
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88
86
Categorization 1 point
A nurse is preparing to discharge a new family home and is reviewing safe sleep practices. Sort safe sleep practices into the “recommended” or “not
Recommended
No Answers Chosen
Not recommended
No Answers Chosen
Possible answers
#dressing the baby in an undershirt, sleeper, a sleep sack, and placing a fleece type blanket over the lower half of their body
#sharing a bed with your newborn is helpful if the baby is not sleeping 4-6 hours at a time by 8 weeks of age
Assure that your baby’s crib is entirely empty except for snug fitting crib sheet.
co-rooming with the newborn for at least 6 month
#placing the baby on their back to sleep
#placing a firm pillow in your baby’s crib after three months of age
87
Multiple Choice 1 point
Attempt to push the umbilical cord back into the uterus
Assist the patient to a knee-chest positon and manually displace the presenting part of the fetus off the cord.
Place an fetal electrode to monitor the fetus effectively
Numeric 1 point
The nurse is caring for a 38 week client who has preeclampsia with severe features. Magnesium sulfate, 4 grams IV is ordred to infuse over 30 minu a concentration of 20 grams/500 mL D5W. Calculate the IV pump rate in mL/hour.
Answer
85
Multiple Choice 1 point
A nurse is assessing a male newborn immediately after birth. Which of the following findings indicates the newborn has epispadias?
The urethral opening is on the underside of the penis and urine cannot be exceted.
The urethral opening is located on the midshaft underside of the penis and urine is excreted from the opening.
There is not a urethral opening at the tip of the penis and urine cannot be excreted.
The urethral opening is on the top of the penis glans and urine is able to be excreted from the urethra.
84
Multiple Choice 1 point
In order to prevent neural tube defects, any patient who could become pregnant should be taking a multivitamin containing which nutrient?
Folic actu
C Iron
C Vitamin C
Vitamin A
83
Multiple Choice 1 point
82
82
Multiple Choice 1 point
A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings requires immediate follow-up?
Breasts leaking colostrum
Occassional contractions
Decreased fetal movement
Urinary frequency
81
Multiple Choice 1 point
80
79
A patient presents to OB triage at 33 weeks gestation with c/o severe headache and right upper quadrant pain. The patient’s VS are Temp 98.1, Pulse There have been three attempts to secure IV access without success. What medication should the nurse expect the provider to order for urgent treat hypertension?
hydralazine IV push
Labetalol IV push
Betamethasone IM x2 doses 24 hours apart
Nifedipine, immediate release, PO
Multiple Choice 1 point
Recommendations for weight gain during pregnancy are based on what data
The patient’s BMI at the end of the 1st trimester
The patient’s pre–pregnancy body mass index
The patient’s height
The patient’s usual adult weight
Multiple Answer 1 point
A nurse is caring for a newborn who is experiencing jaundice and has been prescribed phototherapy. Which of the following interventions should the of care?
Provide water suppliments after breast feeding
Place eye patches on the baby while under phototherapty
Restrict breastfeeding and feed the baby with formula so that the volume can be monitored
Stop oral feeding and place an IV for nutrition/hydration
Ensure good skin exposure by placing newborn under phototherapy light with just a diaper on
78
Multiple Choice 1 point
What is the fetal positon in relation to the birthing pelvis in the image below?
Left Occipital Posterior (LOP)
Right Occipital Posterior (ROP)
Right Occipital Anterior (ROA)
Left Occipital Anterior (LOA)
Multiple Choice 1 point
A client that was diagnosed with gestational hypertension has come to the clinic for their 6 month postpartum visit. At this visit their Blood pressure wa been their average since their delivery date. What diagnosis does this client have?
Chronic Hypertension
Pre–eclampsia
Gestational Hypertension
O Inter-pregnancy hypertension
A nurse is performing a health history interview with a client who is pregnant. Which of the following findings should the nurse identify as placing the clie pregnancy complications? (select all that apply)
Currently smokes 2-3 cigarettes a day
Uterine fibroids
Two prior premature births
Had an elective abortion a year ago
Prior pregnancy was 3 years ago
75
Multiple Choice 1 point
74
73
A nurse is working in an ambulatory setting that cares for pregnant clients. The nurse recognizes that Rh negative clients are at risk for sensitization blood cells. Administering RhoGAM antenatally and postpartm has reduced the morbidity for future pregnancies. What is the evidence based stand Rh negative clients?
RhoGAM is only given to clients who are pregnant for the first time.
RhoGAM is given to all pregnant clients at 28 weeks gestation antenatally.
RhoGAM is give at 28 weeks antenatally and within 72 hours postpartum for clients who birth an Rh positive child.
RhoGAM is only given when it is suspected that maternal and fetal blood cells have mixed.
Multiple Choice 1 point
Severe fetal anemia
Cytomegalovirus (CMV)
Ventricular septal defect (VSD)
Meconium aspiration syndrome
Multiple Choice 1 point
During labor, a nurse frequently assesses the fetal heart rate pattern in response to labor. As the client progresses through the first stage of labor, v physiologic adaptations promote fetal oxygenation?
Client bradyapnea
Physiologic hypertension
Decrease in client blood volume
Increase in client’s cardiac output
72
Multiple Answer 1 point
A nurse is caring for a newborn at 34 weeks gestation who was born 45 minutes ago. The nurse contacts the pediatrician with concern for respirator prematurity. What findings inform the nurse’s concerns?
respiratory rate of 80 breaths per minute
Intercostal retractions
Axillary temperature of 99.0 degrees ferinheight
Presence of acrocyanosis
Nasal flaring
72
Multiple Answer 1 point
A nurse is caring for a newborn at 34 weeks gestation who was born 45 minutes ago. The nurse contacts the pediatrician with con prematurity. What findings inform the nurse’s concerns?
respiratory rate of 80 breaths per minute
Intercostal retractions
Axillary temperature of 99.0 degrees ferinheight
Presence of acrocyanosis
Nasal flaring
70
Ordering 1 point
Order the progression of embryogenesis
1
Embryo
2
⠀ Zygote
3
Blastocyst
4
Fetus
69 Matching 1 point
Match the phase of the menstruation cycle with the physiological occurrence.
Ovulation
Follicular phase
Menstruation
Luteal Phase
68
Multiple Choice 1 point
estrogen levels incre
progesterone levels i stable
shedding of the uteri
the egg is released fr
A nurse has been called to the room of a maternal client who has diabetes and just experienced a difficult vaginal birth at 40 weeks of gestation. Newborn vital signs are heart rate 142 beats per minute, respiratory rate 52 breaths per min and pulse oximetry on right hand is 95%. Which of the following actions is a priority to include in the plan of care for th
Prepare to administer surfactant for respiratory distress
Obtain a serum glucose to identify hyperglycemia
Provide oxygen to prevent respiratory distress
Initiate early and frequent feedings
67
Multiple Choice 1 point
weeks 6-7
Weeks 18-19
week 12
week 16
66
Numeric 1 point
On arrival to the antepartum unit, a client’s blood pressure is 190/125. The nurse receives the following order from th IV push now. The labetalol concentration available is 100 mg/mL. How many mL should the nurse adminster?
Answer
Fine crackles were noted upon auscultation of the lung bilaterally.
A small hole in the soft palate was noticed when the baby was crying.
64
Multiple Choice 1 point
63
Multiple Answer 1 point
A nurse is assessing a newborn on the first day of life. Which of the following is an expected finding?
Hypospadias is noted in the male newborn
Fusion of labia in female genitalia
Postive babinski reflex
Erythema toxicum on a newborn’s skin
Negative Ortolani sign
62
Multiple Answer 1 point
61
A nurse is caring for a client who is 38 weeks gestation and admitted for preeclampsia with severe features. The nurse Sulfate 4 grams over 20 minutes followed by 2 grams/hour. Which of the following interventions should the nurse inclu
Assess deep tendon reflexes, level of conciousness, and lung sounds hourly
Educate the client that magnesium sulfate may cause flushing and dizzyness
Ensure seizure precautions are in place
Titrate the magnesium sulfate up by 0.5 grams for sustained severe hypertension
Frequent assessement of blood pressure
Multiple Choice 1 point
“I should expect to feed my baby 8-12 times per day.”
“I will feed the baby on an every four hour schedule so I get plenty of rest.””
“I will wait to feed my baby until they cry.”
“I will know that my baby is getting enough milk if they are having at least 12 wet diapers a day.”
OU
Multiple Choice 1 point
A nurse is caring for a client who is at 12 weeks of gestation during an initial prenatal visit. The client asks, “What is a nor following ranges should the nurse provide?
80-120
100-180
110-160
100-150
59
Multiple Answer 1 point
58
Microcephally
Blindness
Incontinance
Paralysis/loss of sensation
Nerve tissue and spinal fluid protrudes through an opening in the back.
Multiple Choice 1 point
A nurse is providing education to a client who is intrapartum with a history of anxiety and a previous traumatic birth labor. Which of the following should the nurse suggest helping control anxiety?
Including many family and friends in the labor and birth
medication that may help by sedating them
Thinking more about the baby instead of the labor and birth
Practicing controlled breathing and focus techniques
57
Multiple Choice 1 point
6
A client has come in for their 26 week prenatal appointment. In their previous appointment at 22 weeks, they had a b
their blood pressure is 150/96, with no other abnormal findings. Prior to these appointments, they had never had inc
readings, what condition would the nurse be concerned about the client having?
Gestational Hypertension
Eclampsia
Pre-eclampsia
Chronic Hypertension
55
A client states that she is currently pregnant. She has had 2 miscarriages, 3 elective abortions, and 1 delivery at 34 wee currently in daycare. What is her GTPAL?
T1
L2
PO
G5
P2
L1
LO
A 3
G7
P1
A2
G2
A 5
ΤΟ
Multiple Choice 1 point
Moro relex exibited on the left side but not on the right
The left arm positioned against the body and rotated outward.
Bilaterally equal arm recoil
Facial asymmetry when crying
A nurse is assessing a client for deep vein thrombosis 5 hr postpartum. Which of the following manifestations should the (Select all that apply.)
Erythema
increase in size of affected calf
Warm to touch
Cool to touch
Localized calf tenderness
53
Matching 1 point
Match the respiratory anomaly with the etiology.
Meconium Aspiration Syndrome (MAS)
Respiratory distress syndrome (RDS)
Congenital Diaphramatic Hernia (CDH)
Transiant Tachyapnea of the Newborn (TTN)
Delayed absorption of
52
Multiple Choice 1 point
Which of the following fetal structures allows blood to pass from the right atrium to the left atrium?
Ductus venosus
Umbilical Vein
Ductus Arteriosus
Foramen Ovale
51
Multiple Choice 1 point
A client that is 37 weeks has come to the labor and delivery floor and is complaining of painless vaginal bleeding. What nurse suspect?
Placenta accreta
Retained placenta
Placenta abruption
Placenta Previa
50
Multiple Choice 1 point
When completing a newborn assessment, the nurse notes that which of the following reflexes aids in infant feeding
Rooting
Stepping
Tonic Neck
Moro
49
Multiple Choice 1 point
A nurse in the NICU is providing care to a newborn who is suspected of having esophogeal atresia (EA) and tracheal-es following actions should the nurse include in the plan of care?
Provide positve pressure ventilation to support breathing
Place an nasograstric tube to support nutrition and prevent aspiration
Position the newborn supine with the head of the bed flat
Keep the newborn NPO and maintain the head of bed in an elevated position
48
Multiple Choice 1 point
During a routine assessment of a newborn that was delivered vaginally, 4 hours ago, the nurse notices an edematous a defined in area, extending from the left parietal bone across the sagittal suture. The nurse correctly documents this as characteristics?
Overriding of sutures.
Caput Succedaneum
Cephalic hemangioma.
Cephalohematoma
47
Numeric 1 point
Answer
46
Multiple Choice 1 point
A nurse is caring for a client in an OB clinic who reports the date of her LMP as February 18. Using Naegele’s Rule, the date of delivery as
November 25
May 25
October 11
May 11
45
Multiple Choice 1 point
A nurse is caring for a postpartum client who gave birth 4 hr ago. Their vital signs are as follows: blood pressure 80/50 temperature 37° C (98.6° F), respiratory rate 20/min, SpO2 97% on room air. Which of the following conditions would vital signs in a postpartum client?
Postpartum hemorrhage
Infection
Anxiety
Preeclampsia
choose your answer…
choose your answer…
head compression
early
placental insufficiency
prolonged
cord compression
late
44
Fill in the Blank 1 point
43
Multiple Choice 1 point
42
Categorization 1 point
Sort the risk factors for high risk pregnancy into to the risk domain.
Biophysical factors
No Answers Chosen
Sociodemographic factors
Possible answers
Substance use disorder
No Answers Chosen
Psychosocial factors
No Answers Chosen
Environmental factors
No Answers Chosen
Placental previa
Exposures to animals
Medications used during pregnancy
Cultural beliefs and practices
food scarcity
Gestational diabetes
Access to health care
Exposure to le
Bipolar disorder
Race and ethnicity
Human immunodeficiency virus (HIV)
41
Ordering 1 point
A nurse is caring for a client who delivered their baby about 40 minutes ago. The fundus and bleeding have been assessed every 15 minutes since birth. finds the fundus 2/U, boggy and deviated to the client’s right side. There is a large amount of bright red blood on the client’s underpad. Order the steps addressing the PP hemorrhage.
40
1
Assist patient and provider with placement of a tamponade device (Bakri) or compression device (Jada)
2
Support patient and provider performing a bimanual exam (internal and external at the same time)
3
Bladder assessment/empty bladder
4
Administer uterotonic medications, as ordered
5
Perform fundal massage, continously assessing status of bleeding
6
Debrief the hemorrhage with the care team and identify next steps in plan of care
7
Call for help if uterine atony and bleeding persists
Numeric 1 point
Answer
39
Multiple Choice 1 point
Notify the provider.
Palpate the client’s pulse
Collect a lab specimen for a CBC to r/o an intrauterine infection.
Assess vaginal bleeding.
38
Multiple Choice 1 point
Epidural
Opioids
Spinal block
General anesthesia
A nurse is admitting a client for induction of labor at 41 weeks gestation. The nurse identifies von Willebrand disease in the client’s medical history as a r hemorrhage. Which bleeding etilogy is alligned with the risk factor?
Thrombin
Tissue
Tone
Trauma
36
Multiple Choice 1 point
The baby blues
Maladaptive role developement
Postpartum depression
Postpartum psychosis
35
Numeric 1 point
Answer
A client whose pregnancy is complicated by chornic hypertension and gestational diabetes requires closer fetal assessment in the third trimester of the p the following finding is a good indicator of placental insufficiency?
Fundal height of 33 cm at 32 weeks gestation
Leaking of breastmilk
Occassional mild contractions
Oligohydramnios
33
Multiple Choice 1 point
A nurse is caring for a 1-day-old term newborn who has a cephalohematoma. Which of the following actions is appropriate to include in the plan of ca
Education the parents that the baby may need a cerebral shunt placed
Measure a occipital-frontal head circumferance every 4 hours
Assess for jaundice.
Prepare the newborn for hyperbaric oxygen therapy
32
Numeric 1 point
The patient you are caring for has an order to start an oxytocin infusion for induction of labor. The order is written to start the infusion at 2milliunit 30 units/500mL. What rate do you program the pump to infuse the medication? Round to the nearest whole number.
Answer
DI
1 point
Which of the following will place a client at risk for sexually transmitted infections? (Select all that apply)
0000
First sexual encounter happening before age 14
Spending large amounts of time in hot tubs with other people.
Using oral contraception as only method of protection
Having multiple sexual partners
30
Multiple Choice 1 point
A nurse is teaching a new nurse about neonatal infection. Which statement should the nurse include?
All newborns are given a single injection of pennicillin G within the first 12 hours of life to prevent Group B Strep infection.
The incidence of Group B Strep sepsis is higher that it has been in the last 15 years.
Newborns with congenital syphylis may present with cutaneous lesions on their palms and feet
Newborns rarely become extremely ill with infections because they get immunity from thier birthing parent that lasts for approximately 90 day
29
Multiple Answer 1 point
Reposition the client
Assess the clients bladder
Prepare the client for emergent delivery
Reduce the Oxytocin (Pitocin) by half
Administer supplimental oxygen with non-rebreather mask at 10 L/min
The patinet reports seere cramping 3 hours post cesarean delivery. The provider orders Torodol 30 mg IV every 6 hours for pain. Toradol is available in a many mL should be administered?
Answer
A nures is admitting a client and their baby to the postpartum care unit. The birthing parent’s blood type is B negative and newborn’s blood type is O pos test is positive. Based on this information, what will the nurse include in the newborn’s initial plan of care? (select all that apply)
Provide education to the parents regarding associated risks of hyperbilirubinemia and importance of effective feeding.
Assess the newborn for onset of jaundice prior to 24 hours of life.
An exchange transfusion to prevent brain injury
Monitor oral intake and bowel movements
Implement phototherapy to prevent hyperbilrubinemia
The nurse performs a vaginal exam and notes the patient is 5 cm dilated, 90% effaced, and station -2. Which of the following should the nurse conclude?
The fetal head is engaged
The cervix is thin.
The patient is in second stage labor
The fetal membranes are bulging
A nurse is planning a presentation about the impact of hyperemesis gravidarum on client health. Which of the following statements should the nurse in
“Measures can be taken to prevent this disease from occurring.”
“Psychological disorders may occur due to the impact on the client’s quality of life.”
“Hyperemesis gravidarum usually resolves by the end of the first trimester”
“Clients who have hyperemesis gravidarum may seek care early in their pregnancy.”
You are caring for a patient who is being discharged home with a prescription for an oral suspension of acetaminophen 500mg/30mL due to her inabilit prescription is written for her to take 45mL every 6 hours as needed for moderate pain. The patient states that she does not have a way to measure mL the equivalent is in TBSP. How many TBSP do you instruct her to take per dose?
Answer
A nurse is performing a physical assessment of a term female newborn born 2 hours earlier by cesarean birth because of frank breech presentation. The which of the following findings may indicate a hip condition?
The length of the legs are even.
The side of the affected hip turns inward.
There is a dimple at the base of the spine.
Bilateral gluteal skin folds are uneven.
22
Matching 1 point
Review the patient descriptions and identify which stage of labor they are in.
Client is 2cm, 50% effaced and -3 station and is able to rest through contractions
Stag 4
Patient is complete and pushing
Stage 2
Client has delivered the newborn is awaiting placental expulsion
Stage 3
Stage 1
Client is 1 hour postpartum and breastfeeding
Client is 9cm dilated, 90% effaced, and +1 station, feeling increased perineal pressure
21
Multiple Choice 1 point
next appropriate intervention?
Discontinue the fetal monitoring and procede with the induction
Delay the induction and notify the provider of a catagory 2 tracing
Reposition the client laterally and initiate an IV fluid bolus
Perform a vaginal exam to determine if the patient is in labor
A1011 SEP 1211000
20
Multiple Answer 1 point
19
A nurse is caring for a newborn immediately following birth who has a large abdominal wall defect that is protruding from the right of the umbilicus a membrane. Which of the following actions should the nurse take?
Initiate oral feedings of 15 ml or less
Monitor temperature closely as the newborn is at risk for hypothermia
Postion the newborn laterally to improve perfusion to the displaced bowel.
Place the newborn in a sterile bag that is sinched at the level of the chest.
Allow for at least 6 cm of umbilical cord length to help with repair.
Numeric 1 point
The physician orders misoprostol 0.1 mg by mouth every 4 hours. The medication available is 100 micrograms per tablet. How many tablets would be dose?
Answer
18
Multiple Choice 1 point
Which of the following conditions are considered abnormal in a newborn?
Mottled skin
Milia.
Cyanosis of the trunk (abdomen and chest)
Acrocyanosis.
17
Multiple Choice 1 point
A postpartum phone triage nurse has messages from four clients. Which of the following clients should the nurse call back first?
A client who took acetaminophen for a headache and reports an improvement in pain.
A client who needs to have a bowel movement but is nervous to do so.
A client who is concerned about the presence of lochia alba 3 weeks postpartum.
A client who has recently developed blurry vision.
16
Multiple Choice 1 point
A nurse is caring for a newborn who has a ductal dependent cardiac defect with anticipated surgical intervention. Which of the following is a priorit plan of care?
Adminster PGE1 by continuous IV infusion
Obtain blood pressures on the lower extremities
Facilitating skin to skin care with the parent to support thermoregulation
Obtain capillary blood gas
A nurse is caring for a client who has placenta previa. Which of the following are considered risk factors for placenta previa?
Previous cesarean birth
The pregnant person is 30 years old
multifetal pregnancy
When there is scarring in the fallopian tubes
When pregnancy is achieved through assisted reproduction technology (ART)/fertility treatment
14
Multiple Choice 1 point
13
The fetal heartbeat is first detected at approximately 16 weeks gestation
Multiple Choice 1 point
A nurse is performing a shift assessment at the bedside on a newborn who is 36 hours old. The parent asks if the white spots across their baby’s no The nurse recognizes the parent is referring to
Mongolian Spots
Stork Bites
Milia
Erythema Toxicum
12
Multiple Answer 1 point
00
“Having Lupus increases your risk of pregnancy loss.”
Smoking increases your risk for pregnancy loss
“Being 32 years old inceases your risk for pregnancy loss”
“Malnutriion increases the risk for miscarriage”
11
Multiple Choice 1 point
A nurse is caring for a client who has a placental abruption. Which of the following are risk factors for placental abruption?
A single fetus pregnancy
Preeclampsia
Migraine headaches
Exposure to the influenza virus in the first trimester
10
Multiple Answer 1 point
A client who is 2 days postpartum following a cesarean birth has been diagnosed with a deep vein thrombosis (DVT). What nursing interventions a the plan of care? (select all that apply)
0000
Monitor blood pressure every 2 hours
Administer a transfusion of two units of platelets
Increase monitoring of lochia/vaginal bleeding
Administer low molecular weight heparin as prescribed
9
Multiple Choice 1 point
Following the delivery of the placenta, important endocrine changes occur. Estrogen and progesterone levels drop triggering.
A sharp increase of human chorionic gonaditropin (HCG) that stimulates ovulation
The production of prolactin to stimulate breastmilk production
An increase in meletonin
A decrease in oxytocin to stop contractions
8
Multiple Choice 1 point
7
Multiple Choice 1 point
Which factor in a postpartum client’s history would lead the nurse to monitor them closely for an infection?
Elevated WBC count during intrapartum period.
Multiparity of 5 pregnancies.
Manually extracted placenta.
Rupture time of 2 hours prior to delivery.
6
Multiple Answer 1 point
The client must be fasting for 12 hours prior to the glucose challange test
The client will have three labs drawn on the day of the screening.
The test will be performed between 24 and 28 weeks of gestation.
5
Multiple Choice 1 point
facilitate thermoregulation after the delivery of the newborn.
Slow the progression of labor
Fetal lung maturity
A nurse is caring for a newborn who has experienced excess oral and nasal secretions followed by cyanosis, choking, and coughing during the initial feedi of the following actions should the nurse plan to take?
Suction nose and monitor airway with next feeding.
Withhold feedings until further diagnostics.
Position the newborn supine with the radiant warmer flat.
Anticipate preparing the newborn for immediate surgery.
3
Multiple Choice 1 point
A nurse knows that drying a newborn immediately after birth reduces heat loss by what mechanism of heat loss?
Conduction
Radiation
Convection
Evaporation
2
Multiple Choice 1 point
A nurse is attending the cesarean section delivery of a newborn who has been diagnosed with a congenital diaphratic hernia. Which of the following interventions for this newborn immediately after delivery?
Position the newborn in a prone position
Planned, immediate endotracheal intubation
Place the newborn in a sterile, clear bag to reduce the risk of infection
Position the newborn in a high-fowlers position to reduce pressure on the lungs
1
Multiple Answer 1 point
98
You have just received report on a client in labor. The client is being induced at 39.0 weeks electively. G2P1, prior vaginal birth in 2020, term, male, bedside, SVE 5cm. 80%, -1 station. The patient’s membranes are artificially ruptured for a moderate amount of clear fluid at that time. The fetal tra after the AROM. Identify which nurse interventions are appropriate. (select all that apply)
TECO JUP
BCO SUP
Anticipate the initation of an amnioinfusion (put fluid into the uterus)
Prepare a delivery table
Perform a sterile vaginal exam
Request the provider to come to the bedside as this is a category 3 tracing
Administer terbutaline to reduce the number of contractions
Reposition the patient
Multiple Choice 1 point
A nurse is caring for a client who is in labor. Which of the following clients has begun the second stage of labor?
A client who just delivered the placenta.
A client with the urge to push during a vaginal exam who is dilated 8cm/90% effacted, O station
A client who has just delivered the baby.
A client whose cervical exam is determined to be 10 cm, 100% effacted, and a fetal station of O
97
Numeric 1 point
Answer
95
96
Categorization 1 point
Sort the manifestations into the categories of pregnancy signs.
Presumptive
Positive
Possible answers
Chadwicks sign
#amenorrhea
Hegar’s sign
No Answers Chosen
No Answers Chosen
Probable
No Answers Chosen
Ballottement
urinary frequency
postive pregnancy test
nausea/vomiting
Fetal cardiac activety observed with ultrasound
Quickening
Fetal movement palpated by a clini
Multiple Choice 1 point
A nurse is teaching a group of clients about hemolytic disorders in newborns. Which of the following statements should the nurse include?
“If you have Rh-positive blood and your newborn has Rh-negative blood, there is a higher risk of incompatibility and hyperbilirubinemia.”
“If you have type O blood and your newborn has type O blood, there is a higher risk of incompatibility and hyperbilirubinemia.”
“If you have type O blood and your newborn has type B blood, there is a higher risk of incompatibility and hyperbilirubinemia.”
“If you have Rh-negative blood and your newborn has Rh-negative blood, there is a higher risk of incompatibility and hyperbilirubinemia.”
94
Multiple Answer 1 point
Which of the following are true of transiant tachapnea of the newborn (TTN)? (select all that apply)
TTN is expected to resolve within 48-72 hours
TTN is caused by lack of lung maturity and minimal presence of surfactant in the lungs
Most newborns who develop TTN will require endotacheal intubation and ventilatory support.
Newborns who are born via a planned cesarean section without labor are at increased risk for developing TTN
93
Multiple Choice 1 point
A nurse is assessing a 48-hr-old newborn of a client who had a prenatal history of substance use disorder. Which of the following manifestations shou
Newborn exhibits hypothermia and mild jitters.
Newborn exhibits excessive crying and tremors.
Newborn is awake crying, but calms with swaddling.
Newborn wakes every 2 to 3 hr for breastfeeding and is content between feedings.
92
Multiple Choice 1 point
A nurse is assessing a 1-day-old newborn. Which of the following findings should the nurse identify as requiring follow-up?
A large, deep sacral dimple above the gluteal cleft
Edema on the scalp that crosses the suture line
A hymenal tag and white discharge on genitalia
An intermittent heart murmur
91
Multiple Choice 1 point
A nurse is caring for an adolescent client who is pregnant. Which of the following is a risk factor for adolescent pregnancy?
The inclusion of sex education in school curriculum
A sister who had a fetal demise
Education about contraception
Lack of parental support
90
Multiple Choice 1 point
A nurse is teaching a client at 12 weeks of gestation about the risk factors for hyperthyroidism. Which of the following statements is not accurate in the education?
“A history of autoimmune disease increases the risk for developing hyperthyroidism.”
“Smoking places you are increased risk for hyperthyroidism”
“Radiation treatments on the upper body increase the risk of hyperthyroidism.”
“Genetics is a risk factor for developing hyperthyroidism.”
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