ATI Maternal Newborn Final Study Guide Practice Test

88 Questions | Total Attempts: 4535

SettingsSettingsSettings
Please wait...
ATI Maternal Newborn Final Study Guide Practice Test

This is not an official test from ATI but just a similar one with essential exam questions so that you can get prepared for this thing.


Questions and Answers
  • 1. 
    A client has received oxytocin to augment pregnancy. What is a contraindication?
    • A. 

      There are none

    • B. 

      Late decelerations

    • C. 

      Prolonged active phase of labor

    • D. 

      Cessation of uterine dilation

    • E. 

      All of the above

  • 2. 
    Patient is in premature labor and is reciving MGSO4 2 g I V, what finding should you report to the provider
    • A. 

      RR of 16/min

    • B. 

      Patient states having hot flashes

    • C. 

      Absent deep tendon reflexes

    • D. 

      There is nothing you need to worry about with this medication

    • E. 

      All the above

  • 3. 
    Patient is tensing at the onset of a contraction. What can you tell her regarding breathing techniques.
    • A. 

      When a contraction comes bear down and push

    • B. 

      Take a cleansing breath in

    • C. 

      Use patterned breathing

    • D. 

      Breath however you want to

    • E. 

      All of the above

  • 4. 
    You are taking care of a patient having amniocentesis done what is the appropriate action for you to take prior to procedure?
    • A. 

      Assess fetal movement

    • B. 

      Pat patient on belly and tell her everything is looking great

    • C. 

      Assess for nausea and vomiting in patient

    • D. 

      Assess fetal heart rate

    • E. 

      I have no clue how to answer this question

  • 5. 
    At a prenatal clinic a patient comes in and says she is 2 weeks late for her period and thinks she may be pregnant. What would you tell this patient?
    • A. 

      If you have been sexually active and you didn't wrap it before you tapped it, you are probably pregnant

    • B. 

      Well because your period is late you should go home and take a pregnancy test and come back with the results

    • C. 

      I am going to go ahead and give you a pregnancy test here so we can determine if you are or not

    • D. 

      Have you noticed that your abdomen has enlarged in the past two weeks

    • E. 

      Sometimes there are other causes for a skipped or missed period, what is you typical cycle like

  • 6. 
    You are caring for a patient in labor, patient reports she is having increased rectal pressure. Her vaginal exam shows that her cervix is 8-9 cm dilated, her contractions are 2-3min apart and they last for about 80-90 seconds. You realize that the client is in
    • A. 

      Labor

    • B. 

      Transition phase

    • C. 

      Third stage

    • D. 

      First stage

    • E. 

      Active phase

  • 7. 
    In teaching newborn care, in discharging patient and family the highest priority is:
    • A. 

      Instruction on how to suction with a bulb syringe

    • B. 

      Swaddling

    • C. 

      Feeding

    • D. 

      Diapering

    • E. 

      Not really my problem what they do when they get home with the baby

  • 8. 
    You have four patients in antepartum all with preeclampsia which patient requires further assesment?
    • A. 

      BP 144/90 mmHg

    • B. 

      Don't really care, i have been working for 12 hours and i'm tired and ready to go home

    • C. 

      Proteinura less than 0.3 g in 24 hour

    • D. 

      Deep tendon reflexes +4

    • E. 

      All of the above

  • 9. 
    You have just admitted a patient into L&D, client says 'my water just broek" what is your priority intervention
    • A. 

      Make sure she didn't get anyting on your shoes or scrubs

    • B. 

      Clean up mess

    • C. 

      Assess amniotic fluid

    • D. 

      Check cervical dilation

    • E. 

      Monitor fetus' heart rate

  • 10. 
    In fourth stage of labor patient is experiencing hemorrhage, what is the second ste§ you would do for patient
    • A. 

      Assess bladder

    • B. 

      Massage fundus

    • C. 

      Give pitocin

    • D. 

      Give MGSO4

  • 11. 
    In fourth stage of labor patient is experiencing hemorrhage, what is the last thing you would do.
    • A. 

      Give pitocin

    • B. 

      Assess bladder

    • C. 

      Give MGSO4

    • D. 

      Massage fundus

  • 12. 
    You are caring fora  patient who is 18 weeks her MSAFP is high, what is the appropriate action
    • A. 

      Offer grief counseling

    • B. 

      Request ultrasound

    • C. 

      Tell patient and family that they are having a baby with Down Syndrome and ask how would they like to proceed with pregnancy

    • D. 

      Obtain prescription of narcotic drugs so they can deal with what may come

    • E. 

      Uh what the hell are we talking about in this question?

  • 13. 
    A fetal anomaly associated with oligohydraminos is
    • A. 

      Cardiac issues

    • B. 

      Reproductive issues

    • C. 

      GI issues

    • D. 

      Renal issues

    • E. 

      Neurological issues

  • 14. 
    Your patient is in active labor, she said she has had bright red bleeding since contractions started. when you are monitoring her VS at frequent intervals what are you assessing for
    • A. 

      Hemorrhage

    • B. 

      Hypertension

    • C. 

      How much time i can waste before my shift is over

    • D. 

      Pain

  • 15. 
    Patient is diagnosed with hydatidiform mole what should you expect
    • A. 

      Dark browinsh vaginal discharge

    • B. 

      Dont know because i don't even know what that is

    • C. 

      Decreased urine output

    • D. 

      Subnormal maternal temperature

    • E. 

      All of the above

  • 16. 
    In active labor the featal heart rate decrease from 166/min to 100/min after acme of contractions. the heart rate then returns to baseline when contraction is finished. what should you document
    • A. 

      Early deceleratoins

    • B. 

      Nothing because i don't do documenting

    • C. 

      Fetal bradycardia

    • D. 

      Late decelerations

    • E. 

      Variable declerations

  • 17. 
    A positive pregnancy can be deteremined by
    • A. 

      Enlarge abdomen

    • B. 

      Amenorrrhea

    • C. 

      Fetal movement felt by physician

    • D. 

      Chadwicks sign

    • E. 

      Pregnancy test

  • 18. 
    Yoru patient is HIV postiive, what should you include in her care plan
    • A. 

      Nothing, i don't care to do a plan

    • B. 

      Explain blood test during pregnancy

    • C. 

      Importance of taking medication daily

    • D. 

      That she will be isolated from everyone including baby after delivery

    • E. 

      All the above

  • 19. 
    Your patient has abruptio placenta, what should you be assessing for in her lab results
    • A. 

      Prolonged partial thromboplastin time

    • B. 

      Decrease clotting time

    • C. 

      Increased platelet count

    • D. 

      I have not a clue

    • E. 

      Right now i wished melissa would die for making up this quiz

  • 20. 
    Themain distinction between abprutio placenta and placenta previa is
    • A. 

      Maternal hypotension

    • B. 

      Decreased hemorrhage

    • C. 

      Abdominal pain

    • D. 

      Who cares

    • E. 

      All of the above

  • 21. 
    To verify a patients pregnancy blood and urine are checked for the presence of what?
    • A. 

      Alcohol

    • B. 

      HCG

    • C. 

      Estrogen

    • D. 

      Progesteron

    • E. 

      Narcan

  • 22. 
    LMP was July 8th when is EDB
    • A. 

      Novemeber 15th

    • B. 

      April 15th

    • C. 

      Ocotober 1st

    • D. 

      October 15th

    • E. 

      April 3rd

  • 23. 
    One hour after administering pitocin to your patient her contractions were 90-100 seconds and 1-2 min apart what  needs to happen
    • A. 

      Discontinue pitocin

    • B. 

      Increase infusion

    • C. 

      Decrease/slow down infusion

    • D. 

      Add other drugs to her regimen

    • E. 

      Nothing she will be just fine

  • 24. 
    §patient is on MGSO4 IV for PIH her BP=162/112mm/Hg, RR=32/min, HR=90 deep tendon reflex is +4 what other assesment should you immediately report
    • A. 

      RR= 16/min

    • B. 

      BP went from 162/112 to 132/62

    • C. 

      Urninary output is 20 mL/hr

    • D. 

      Deep tendon reflex is +2

    • E. 

      I have not a clue

  • 25. 
    What is the bst sleeping positon for a pregnant patient with PIH
    • A. 

      Trendelenburg

    • B. 

      Upside down

    • C. 

      Supine

    • D. 

      Left side-lying

    • E. 

      Semi-fowlers