ATI Maternal Newborn Final Study Guide Practice Test

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  • 1/72 Questions

    A client complains to you of abdominal cramping and pain after breastfeeding. what should you explain to the client about this type of pain?

    • To stop feeding the rugrat it's only hurting you so why do it
    • Breastfeeding causes the release of oxytocin, which causes uterine contractions
    • This kind of pain is usually associated with endometriosis
    • Allwomen experience abdomincal discomfort during the postpartum period
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About This Quiz

The maternal and newborn study is not an easy subject. If you're learning it, then you must try this ATI Maternal Newborn final study guide practice test that is given below. In this test, you'll get a chance to revise your concepts and even learn something new. This is not an official test from ATI but just a similar one See morewith essential exam questions so that you can get prepared for this subject. So, give it a try and see how much you can score. Good luck!

ATI Maternal Newborn Final Study Guide Practice Test - Quiz

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  • 2. 

    To verify a patient's pregnancy blood and urine are checked for the presence of what?

    • Alcohol

    • HCG

    • Estrogen

    • Progesteron

    • Narcan

    Correct Answer
    A. HCG
    Explanation
    To verify a patient's pregnancy, blood and urine are checked for the presence of hCG (human chorionic gonadotropin). hCG is a hormone that is produced by the placenta during pregnancy. It can be detected in the blood and urine of pregnant women, serving as a reliable indicator of pregnancy. Checking for the presence of hCG helps to confirm whether or not a patient is pregnant.

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  • 3. 

    What is the best sleeping position for a pregnant patient with PIH?

    • Trendelenburg

    • Upside down

    • Supine

    • Left side-lying

    • Semi-fowlers

    Correct Answer
    A. Left side-lying
    Explanation
    The best sleeping position for a pregnant patient with PIH (pregnancy-induced hypertension) is left side-lying. This position allows for optimal blood flow to the uterus, placenta, and fetus. It also helps to reduce pressure on the inferior vena cava, which can be compressed in the supine position and lead to decreased blood flow and oxygenation to the fetus. Left side-lying position promotes better circulation and can help prevent complications associated with PIH.

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  • 4. 

    LMP was July 8th. When is EDB?

    • Novemeber 15th

    • April 15th

    • Ocotober 1st

    • October 15th

    • April 3rd

    Correct Answer
    A. April 15th
    Explanation
    The EDB (Estimated Date of Birth) is typically calculated by adding 280 days (or 40 weeks) to the LMP (Last Menstrual Period). In this case, if the LMP was on July 8th, adding 280 days would result in April 15th. Therefore, April 15th is the estimated date of birth.

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  • 5. 

    You are encouraging the client to eat a diet rich in folic acid. which of the following food sources would provide the most folic acid

    • Meat and dark green leafy vegetables

    • Dairy products

    • Carrots and raisins

    • Shellfish

    Correct Answer
    A. Meat and dark green leafy vegetables
    Explanation
    Meat and dark green leafy vegetables are the best food sources for folic acid. Folic acid is a B-vitamin that is essential for the production and maintenance of new cells in the body. It is especially important during periods of rapid cell division and growth, such as pregnancy and infancy. Meat, such as liver and kidney, and dark green leafy vegetables, such as spinach and broccoli, are rich sources of folic acid. Dairy products, carrots, raisins, and shellfish do not contain as much folic acid as meat and dark green leafy vegetables.

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  • 6. 

    Suppose a patient is in premature labor and is receiving MGSO4 2 g I V, what finding should you report to the provider?

    • RR of 16/min

    • Patient states having hot flashes

    • Absent deep tendon reflexes

    • There is nothing you need to worry about with this medication

    • All the above

    Correct Answer
    A. Absent deep tendon reflexes
    Explanation
    Absent deep tendon reflexes should be reported to the provider when a patient in premature labor is receiving MGSO4 2 g IV. This finding could indicate magnesium toxicity, which can lead to respiratory depression and cardiac arrest. Therefore, it is important to notify the provider so that appropriate interventions can be initiated to prevent further complications.

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  • 7. 

    A young woman calls the clinic and reports missing her period. she states that she used a home pregnancy test last night and the results were negative. she tells you that her breasts are tender and that she feels nauseated most of the day. what do you understand about the home pregnancy test?

    • They are radioimmunoassay-type tests, which are quick and most accurate

    • Home pregnancy tesst are more reliable if used on a randomly colleced specimen

    • The test is accurate, and she is not pregnant

    • False-negative results should be followed upin the presence of pregnancy symptoms

    Correct Answer
    A. False-negative results should be followed upin the presence of pregnancy symptoms
    Explanation
    The correct answer suggests that even if the home pregnancy test results are negative, it is important to follow up with further testing or medical consultation if the individual is experiencing pregnancy symptoms such as tender breasts and nausea. This implies that false-negative results can occur, and it is necessary to investigate further to confirm or rule out pregnancy.

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  • 8. 

    What does the initial nursing care of an infant include?

    • Place the infnat in protective isolation because of the underdeveloped immune system

    • Feed him a low-phenylalanine formula to increase digetstion and utilization of calories

    • Provide gavage feedings every 2 hours because of an inadequate sucking and swallow reflex

    • Place the infant under a radiant hearter to maintain regulation of body temperature.

    Correct Answer
    A. Place the infant under a radiant hearter to maintain regulation of body temperature.
    Explanation
    The initial nursing care of an infant includes placing the infant under a radiant heater to maintain regulation of body temperature. This is important because newborns are unable to regulate their body temperature effectively and are at risk of hypothermia. The radiant heater helps to keep the baby warm and prevent heat loss. The other options mentioned, such as placing the infant in protective isolation, feeding a low-phenylalanine formula, and providing gavage feedings, are not typically part of the initial nursing care of an infant.

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  • 9. 

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

    • Assess fetal movement

    • Pat patient on belly and tell her everything is looking great

    • Assess for nausea and vomiting in patient

    • Assess fetal heart rate

    • I have no clue how to answer this question

    Correct Answer
    A. Assess fetal heart rate
    Explanation
    Prior to an amniocentesis procedure, it is important to assess the fetal heart rate. This is because the procedure involves inserting a needle into the amniotic sac, which carries a risk of potential harm to the fetus. By assessing the fetal heart rate, any abnormalities or distress can be detected before proceeding with the procedure, ensuring the safety of the fetus. Assessing fetal movement or symptoms like nausea and vomiting may not provide crucial information about the fetus's well-being in this specific context.

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  • 10. 

    The newoborn you are taking care of has congenital hip displasia, you know that

    • the mother probably already abused this child

    • There is limited abduction in one hip

    • There is a negative ortolanis sign

    • Symmetrical gluteal folds

    Correct Answer
    A. There is limited abduction in one hip
    Explanation
    The presence of limited abduction in one hip suggests that the newborn has congenital hip dysplasia. This condition occurs when the hip joint is not properly formed, leading to instability and potential dislocation. It is not appropriate to assume that the mother has abused the child based solely on this finding. The negative Ortolani's sign indicates that there is no audible click or sensation felt during hip examination, which further supports the diagnosis of hip dysplasia. Symmetrical gluteal folds may also be present in a newborn with this condition.

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  • 11. 

    The patient is diagnosed with a hydatidiform mole. What should you expect?

    • Dark browinsh vaginal discharge

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

    • Decreased urine output

    • Subnormal maternal temperature

    • All of the above

    Correct Answer
    A. Dark browinsh vaginal discharge
    Explanation
    A hydatidiform mole is a rare condition where abnormal tissue grows inside the uterus instead of a baby. Dark brownish vaginal discharge can be a symptom of a hydatidiform mole due to the presence of abnormal tissue. This discharge may also contain blood. Therefore, it is expected that a patient diagnosed with a hydatidiform mole may experience dark brownish vaginal discharge.

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  • 12. 

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

    • RR= 16/min

    • BP went from 162/112 to 132/62

    • Urninary output is 20 mL/hr

    • Deep tendon reflex is +2

    • I have not a clue

    Correct Answer
    A. Urninary output is 20 mL/hr
    Explanation
    The patient's urinary output of 20 mL/hr is a cause for concern and should be immediately reported. A low urinary output can indicate inadequate renal perfusion, which can be a sign of worsening kidney function or decreased blood flow to the kidneys. This can be a serious complication in a patient with preeclampsia or pregnancy-induced hypertension (PIH), as it can lead to further organ damage and potentially progress to eclampsia. Therefore, it is important to notify the healthcare provider promptly to assess and address the situation.

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  • 13. 

    You are caring for a woman in the afternoon who delivered at 8 am. she complians to you about the big blue veins in her legs. you observe her mothers legs and notes mutiple variscosities on her lower legs what will be the most important thing for you to teach her regarding variscosities

    • Wear elastic support stockings when out of bed and avoid prolonged sitting

    • Rest in baed for at least 1 hour three times during the day

    • Elevate legs and apply warm moist soaks four times a day

    • Notify health care provider if the moist leasions begin to form around the ankles

    Correct Answer
    A. Wear elastic support stockings when out of bed and avoid prolonged sitting
    Explanation
    The most important thing to teach the woman regarding varicose veins is to wear elastic support stockings when out of bed and avoid prolonged sitting. This is because elastic support stockings help improve blood circulation and reduce the appearance of varicose veins. Avoiding prolonged sitting also helps prevent blood from pooling in the legs, which can worsen varicose veins. Resting in bed for at least 1 hour three times during the day, elevating legs, and applying warm moist soaks are helpful but not as crucial as wearing support stockings and avoiding prolonged sitting. There is no mention of moist lesions forming around the ankles, so notifying the healthcare provider about this is not necessary.

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  • 14. 

    Your patient is HIV positive, what should you include in her care plan?

    • Nothing, i don't care to do a plan

    • Explain blood test during pregnancy

    • Importance of taking medication daily

    • That she will be isolated from everyone including baby after delivery

    • All the above

    Correct Answer
    A. Importance of taking medication daily
    Explanation
    The correct answer is importance of taking medication daily. This is because for a patient who is HIV positive, taking medication daily is crucial for managing the infection and preventing its progression. Consistent adherence to medication helps in controlling the viral load, maintaining a healthy immune system, and reducing the risk of transmitting the virus to others. Therefore, emphasizing the importance of taking medication daily is essential in the care plan for an HIV positive patient.

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  • 15. 

    Themain distinction between abprutio placenta and placenta previa is

    • Maternal hypotension

    • Decreased hemorrhage

    • Abdominal pain

    • Who cares

    • All of the above

    Correct Answer
    A. Abdominal pain
    Explanation
    The main distinction between abruption placenta and placenta previa is abdominal pain. This symptom is characteristic of abruption placenta, where the placenta separates from the uterine wall before delivery, causing severe pain in the abdomen. Placenta previa, on the other hand, is characterized by painless vaginal bleeding, without abdominal pain. Therefore, abdominal pain is the key differentiating factor between these two conditions.

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  • 16. 

    How can a primigravida client most readily meeet her increased daily iron requirement?

    • By taking iron supplement with a vitamin c source

    • Adding an extra source of read meat to her diiet

    • Consuming at least 4 glasses of milk a day

    • Including extra source of fruits and vegetables

    Correct Answer
    A. By taking iron supplement with a vitamin c source
    Explanation
    A primigravida client can most readily meet her increased daily iron requirement by taking an iron supplement with a vitamin C source. Vitamin C helps in the absorption of iron in the body, so taking the supplement with a vitamin C source will enhance the absorption and utilization of iron. This is important during pregnancy as the body's iron requirement increases to support the growing fetus and prevent iron deficiency anemia. Adding an extra source of red meat to her diet, consuming milk, and including extra sources of fruits and vegetables can also contribute to meeting her iron requirement, but taking an iron supplement with vitamin C is the most efficient way.

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  • 17. 

    A lecithin-sphingomyelin ratio is ordered fora primigravida client at 35 weeks gesttation. what is the goal of this test

    • To determine fetal lung maturity

    • To eveluate the level of maternal fetal estriol production

    • To check the position of the fetal head

    • To test the intrauterine fetal placental circulation

    Correct Answer
    A. To determine fetal lung maturity
    Explanation
    The lecithin-sphingomyelin ratio is a test used to determine fetal lung maturity. It measures the ratio of two substances found in the amniotic fluid, lecithin and sphingomyelin. A high ratio indicates that the fetal lungs are mature and capable of producing surfactant, a substance necessary for proper lung function. This test is commonly performed in pregnant women who may be at risk of preterm labor, as it helps to assess the readiness of the baby's lungs for breathing outside the womb.

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  • 18. 

    You are caring for a patient who is 18 weeks her MSAFP is high. What is the appropriate action?

    • Offer grief counseling

    • Request ultrasound

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

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

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

    Correct Answer
    A. Request ultrasound
    Explanation
    Based on the information provided, the appropriate action would be to request an ultrasound. This is because a high MSAFP (Maternal Serum Alpha-Fetoprotein) level at 18 weeks of pregnancy can indicate potential issues with the baby's development. An ultrasound can help further assess the situation and provide more information about the baby's health. This will enable the healthcare provider to make appropriate decisions and provide necessary support and care to the patient.

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  • 19. 

    Which statement best describes the problem of regulation of body temperature in a 3lb premature infant?

    • The surface area of the premature infnat is relatively smaller thatn that of a healthy term infant

    • There is lack of subcutaneous fat, which furnishes insulation

    • There are frequent episodes of diaphoresis causing loss of body heat

    • There is a limited ability to produce body proteins

    Correct Answer
    A. There is lack of subcutaneous fat, which furnishes insulation
    Explanation
    Premature infants have an underdeveloped layer of subcutaneous fat, which is responsible for providing insulation and regulating body temperature. Without this layer of fat, the infant is more susceptible to heat loss and struggles to maintain a stable body temperature. This is why the statement "there is lack of subcutaneous fat, which furnishes insulation" best describes the problem of regulating body temperature in a 3lb premature infant.

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  • 20. 

    A client is 30 weeks gestation when she comes in for her regular prenatal checkup. what nursing assessment findings would cause you concern

    • Increased vaginal discharge, weight gain of 3 lbs and decresed activity tolerance

    • Presence of 2 g of protein in a 24 hour urine collection, swelling of the face and heands, weight gain of 7 lb

    • Complaints of backache and contractions that occur randomly and are uncomfortable

    • States that she is dizzy when she stands up from sitting and has leg cramps and feet swelling

    Correct Answer
    A. Presence of 2 g of protein in a 24 hour urine collection, swelling of the face and heands, weight gain of 7 lb
    Explanation
    The presence of 2 g of protein in a 24-hour urine collection, swelling of the face and hands, and a weight gain of 7 lbs are concerning findings because they indicate the possibility of preeclampsia. Preeclampsia is a condition that can occur during pregnancy and is characterized by high blood pressure, protein in the urine, and swelling. It can be dangerous for both the mother and the baby if left untreated. Therefore, these symptoms should be monitored closely and reported to the healthcare provider for further evaluation and management.

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  • 21. 

    A positive pregnancy test result is related to the presence of which hormone?

    • Lactogen

    • Estrogen

    • Chronic gonadotropin

    • Progesterone

    Correct Answer
    A. Chronic gonadotropin
    Explanation
    A positive pregnancy test result is related to the presence of chronic gonadotropin hormone. This hormone is produced by the placenta after implantation of a fertilized egg in the uterus. Chronic gonadotropin helps to maintain the production of progesterone by the ovaries, which is essential for sustaining the pregnancy. Therefore, the presence of chronic gonadotropin in the body indicates pregnancy. Progesterone, lactogen, and estrogen are also involved in pregnancy, but chronic gonadotropin is specifically associated with pregnancy test results.

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  • 22. 

    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?

    • Pain

    • Hemorrhage

    • Hypertension

    • How much time i can waste before my shift is over

    Correct Answer
    A. Hemorrhage
    Explanation
    When a patient in active labor experiences bright red bleeding since contractions started, it is important to assess for hemorrhage. Hemorrhage refers to excessive bleeding and can be a serious complication during labor and delivery. Monitoring the patient's vital signs at frequent intervals allows for early detection of any signs of hemorrhage such as a drop in blood pressure, increased heart rate, or signs of shock. Prompt identification and intervention can help prevent further complications and ensure the safety of both the mother and the baby.

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  • 23. 

    A primigravida just gave birth to a 7 lbs newborn vaginal delivery. she wants to breastfeed four hours later. you assess her fundus and find that it is firm and 1 fingerbreadth above the umbilicus and deviated to the left. she has moderate lochia rubra and has voided 150 mL. what is your first action?

    • Bring mother her newborn to feed

    • Palpate clients bladder

    • Not a damn thing

    • Give client pitocin

    Correct Answer
    A. Palpate clients bladder
    Explanation
    The first action would be to palpate the client's bladder. This is because the fundus being firm and deviated to the left, along with the moderate lochia rubra and voiding of 150 mL, indicate that the bladder may be distended. Palpating the bladder will help determine if it is full and needs to be emptied, as a full bladder can prevent the uterus from contracting properly and may lead to postpartum hemorrhage.

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  • 24. 

    You are taking care of a patient post partially, this client has heart disease. Which order would you question from the physician?

    • Strict intake/output

    • High fiber diet

    • Force fluids

    • Nothing because whatever the physician says is right

    Correct Answer
    A. Force fluids
    Explanation
    The order to question from the physician would be "force fluids" because patients with heart disease often have fluid restrictions due to the potential for fluid overload and worsening of symptoms. Therefore, it is important to clarify with the physician whether forcing fluids is appropriate for this particular patient.

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  • 25. 

    The beginning of her third trimester a client reports that she is having some discomfort in her lower back. what would you check?

    • The clients posture and the type of shoes she usually wears.

    • Bowel habits

    • Advice from health care professional

    • The amount of milk she is drinking

    Correct Answer
    A. The clients posture and the type of shoes she usually wears.
    Explanation
    During the third trimester of pregnancy, the growing uterus puts pressure on the lower back, causing discomfort. Checking the client's posture can help identify any misalignments or poor body mechanics that may contribute to the back pain. Additionally, the type of shoes she wears is important as improper footwear can worsen back pain. By assessing these factors, appropriate recommendations can be made to alleviate the discomfort and improve the client's comfort during pregnancy.

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  • 26. 

    A patient has received oxytocin to augment pregnancy. What is a contraindication?

    • There are none

    • Late decelerations

    • Prolonged active phase of labor

    • Cessation of uterine dilation

    • All of the above

    Correct Answer
    A. Late decelerations
    Explanation
    Late decelerations are a contraindication for the use of oxytocin to augment pregnancy. Late decelerations refer to a decrease in the fetal heart rate that occurs after the peak of a contraction. This can indicate fetal distress and may be a sign of inadequate oxygen supply to the fetus. Therefore, if late decelerations are present, it would not be safe to continue using oxytocin to augment labor.

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  • 27. 

    A primigravida is experiencing Bracton hicks contractions. what statement is true concerning these contractions?

    • They are intensified by walking

    • Theya re confined to the lower back

    • They do no increasein intensity and frequency

    • They result in cervical effacement and dilation

    Correct Answer
    A. They do no increasein intensity and frequency
    Explanation
    Braxton Hicks contractions are often referred to as "practice contractions" and are considered to be a normal part of pregnancy. Unlike true labor contractions, Braxton Hicks contractions do not increase in intensity and frequency. They are typically irregular and sporadic, and they may lessen or disappear with rest or a change in activity. While they can be uncomfortable, they are not usually painful and do not lead to cervical effacement and dilation.

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  • 28. 

    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?

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

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

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

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

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

    Correct Answer
    A. Sometimes there are other causes for a skipped or missed period, what is you typical cycle like
    Explanation
    The correct answer suggests that there can be other reasons for a missed or skipped period, not just pregnancy. The healthcare professional should gather more information about the patient's typical menstrual cycle to determine the possible causes for the late period.

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  • 29. 

    A patient is in labor with spontaneous ROM. Meconium-stained fluid is noted and FHR is normal. what should you do?

    • Get ultrasound for patient

    • Suction airway as soon as fetus head is delivered

    • Perform vaginal examinations

    • Do an emergency c-section

    • Ntohing

    Correct Answer
    A. Suction airway as soon as fetus head is delivered
    Explanation
    When meconium-stained fluid is noted during labor, it indicates that the fetus has passed stool in utero. This can be a sign of fetal distress. However, since the FHR is normal, it suggests that the fetus is currently tolerating the situation well. Suctioning the airway as soon as the fetus head is delivered is the appropriate action in this scenario to prevent meconium aspiration syndrome. Performing vaginal examinations or getting an ultrasound may not be necessary at this point, and an emergency c-section is not indicated based on the information given.

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  • 30. 

    You are caring for a client who is not pregnant but is considering pregnancy. a rubella titer has been done and the titer was negative. what will be important for you to tell the client?

    • The client should get a rubella vaccine now and not get prenant for at least a month

    • Becasue the rubells titer was negative, there should be non problem with getting pregnant

    • It is important for the client to get pregnant as soon as possible because the titer was negative

    • The client can get pregnant now, but she should reveive the rubella vaccine during the first trimester

    Correct Answer
    A. The client should get a rubella vaccine now and not get prenant for at least a month
    Explanation
    The client should get a rubella vaccine now and not get pregnant for at least a month because a negative rubella titer indicates that the client is not immune to rubella. Rubella infection during pregnancy can lead to serious complications for the fetus, including congenital rubella syndrome. Therefore, it is important for the client to receive the vaccine to protect herself and her future baby before attempting to conceive. Waiting for at least a month after vaccination allows time for the vaccine to take effect and provide adequate protection.

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  • 31. 

    Client reporst that her last menstrual period was NOvember 10th. she asks you a when will my baby be due? what is the best answer?

    • July 3

    • August 30th

    • Around the middle of september

    • The first or second week of august

    Correct Answer
    A. The first or second week of august
    Explanation
    Based on the information provided, the client's last menstrual period was on November 10th. To estimate the due date, we can add 9 months and 7 days to that date. This calculation suggests that the baby is due in the first or second week of August.

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  • 32. 

    A mother dleivers a healthy term infant and has decided  she wants to bottle feed her baby. what will important to teach her regarding care of her breasts?

    • She should ear a tight bra and apply ice packs to both breasts

    • She will need to pump her breast at least every 3 hours to prevent engorgement

    • She will be given medication to prevent formation of milk and breast engorgement

    • She can take warm showers and to decrease her fluid intake to decrease milk formation.

    Correct Answer
    A. She should ear a tight bra and apply ice packs to both breasts
    Explanation
    The given answer is incorrect. Wearing a tight bra and applying ice packs to both breasts is not the appropriate care for a mother who has decided to bottle feed her baby. This may actually inhibit milk production and cause discomfort. The correct answer should focus on teaching the mother about techniques to prevent engorgement and maintain breast health, such as pumping her breasts regularly, using warm showers for comfort, and maintaining a balanced fluid intake to support milk production.

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  • 33. 

    A positive pregnancy can be determined by ________. 

    • Enlarge abdomen

    • Amenorrrhea

    • Fetal movement felt by physician

    • Chadwicks sign

    • Pregnancy test

    Correct Answer
    A. Fetal movement felt by physician
    Explanation
    Fetal movement felt by a physician can be a reliable indication of a positive pregnancy. As the fetus grows and develops, it starts to move, and a trained physician can feel these movements during a physical examination. This method is often used in the early stages of pregnancy when other signs may not be as apparent. However, it is important to note that other factors and tests, such as ultrasound and pregnancy tests, are also used to confirm pregnancy.

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  • 34. 

    You're nursing assessment of the infant reveals expiratory grunting, substernal retractions, and a temp of 99. What is your first action?

    • Place infant in trendlenberg position

    • Begin administration of 40% humidified oxygen

    • Increase the temperature of the environment

    • Perform a complete assessment for congenital anomalies.

    Correct Answer
    A. Begin administration of 40% humidified oxygen
    Explanation
    The infant's symptoms, such as expiratory grunting and substernal retractions, suggest respiratory distress. A temperature of 99 degrees may indicate an underlying infection. Administering 40% humidified oxygen would help improve oxygenation and alleviate respiratory distress. This would be the first action to take in order to address the infant's symptoms and provide immediate support for breathing.

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  • 35. 

    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 _____________. 

    • Labor

    • Transition phase

    • Third stage

    • First stage

    • Active phase

    Correct Answer
    A. Transition phase
    Explanation
    The patient's symptoms, such as increased rectal pressure, along with the findings from the vaginal exam, indicate that she is in the transition phase of labor. During this phase, the cervix dilates from 8-9 cm to 10 cm, which is the fully dilated stage. The contractions are also close together and long-lasting, which is characteristic of the transition phase. This phase is known to be intense and can be accompanied by strong contractions and pressure in the rectum.

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  • 36. 

    You have just admitted a patient into L&D, client says 'my water just broke". what is your priority intervention?

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

    • Clean up mess

    • Assess amniotic fluid

    • Check cervical dilation

    • Monitor fetus' heart rate

    Correct Answer
    A. Monitor fetus' heart rate
    Explanation
    The priority intervention in this situation is to monitor the fetus' heart rate. This is important because the client's water breaking indicates that the amniotic sac has ruptured, which can potentially lead to complications such as umbilical cord compression or prolapse. Monitoring the fetus' heart rate will help assess its well-being and detect any signs of distress or abnormalities. This intervention takes precedence over other options like cleaning up the mess or checking cervical dilation, as the focus should be on ensuring the safety and health of the fetus and addressing any potential complications.

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  • 37. 

    A primigravida is 26 weeks gestation and has been administered a glucose tolerance test. what would you expect the result to be considered within the normal range?

    • Glycosylated hemoglobin A1c of 5.0%

    • Blood glucose of 200 mg/L at 60 minutes

    • 24 hour urine glucose level of 5 mg/dL

    • Blood glucose lever of 110 mg/L at 3 hours

    Correct Answer
    A. Blood glucose lever of 110 mg/L at 3 hours
    Explanation
    A glucose tolerance test measures how well the body can process glucose. In a pregnant woman, a blood glucose level of 110 mg/L at 3 hours would be considered within the normal range. This indicates that the woman's body is able to effectively regulate blood sugar levels after consuming a high amount of glucose. The other options provided, such as a glycosylated hemoglobin A1c of 5.0%, blood glucose of 200 mg/L at 60 minutes, and a 24-hour urine glucose level of 5 mg/dL, do not provide information about the body's ability to process glucose during a glucose tolerance test.

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  • 38. 

    The characterisitcs of a neonate who is 39 weeks includes

    • creases on entire bottom of both feet

    • Abundant lanugo over shoulders

    • Dry, wrinkly skin

    • Nothing, cause i have never seen a baby at 39 weeks gestation

    Correct Answer
    A. creases on entire bottom of both feet
    Explanation
    At 39 weeks gestation, a neonate (a newborn baby) would typically have creases on the entire bottom of both feet. This is a normal characteristic observed in newborns at this stage of development. The presence of these creases indicates that the baby's feet have fully developed and are ready for weight-bearing and walking.

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  • 39. 

    If you are about to administer methergine to your patient. What should you do before administration?

    • Check respirations

    • Check to see if she is voiding

    • Check heart rate

    • Check blood pressure

    Correct Answer
    A. Check blood pressure
    Explanation
    Before administering methergine to a patient, it is important to check their blood pressure. Methergine is a medication that is commonly used to prevent or treat excessive bleeding after childbirth. However, it can cause a sudden increase in blood pressure as a side effect. Therefore, it is crucial to assess the patient's blood pressure to ensure that it is within a safe range before administering the medication. This helps to prevent any potential complications or adverse reactions that may occur due to the medication's effect on blood pressure.

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  • 40. 

    A fetal anomaly associated with oligohydraminos is __________. 

    • Cardiac issues

    • Reproductive issues

    • GI issues

    • Renal issues

    • Neurological issues

    Correct Answer
    A. Renal issues
    Explanation
    Oligohydramnios refers to a condition where there is a decreased amount of amniotic fluid surrounding the fetus in the uterus. This can be caused by various factors, one of which is renal issues. Renal issues can affect the development and functioning of the kidneys, leading to a decrease in urine production and subsequently a decrease in amniotic fluid levels. Therefore, a fetal anomaly associated with oligohydramnios is renal issues.

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  • 41. 

    The infant you are assessing is 2 days old and has a soft spot on the left side with a  bluish discoloration and some edema. it doesn't cross the suture line the mother asks you about this and shows concern, your response to her is going to be ________. 

    • It will resolve in 2-6 weeks without treatment

    • Don't worry this is normal

    • It will resolve on its own in 2-3 days

    • Oh don't worry, we all have that when we are babies

    Correct Answer
    A. It will resolve in 2-6 weeks without treatment
    Explanation
    The soft spot on the left side with bluish discoloration and edema is likely a cephalohematoma, which is a collection of blood under the scalp. It is a common condition in newborns and typically resolves on its own without treatment within 2-6 weeks. Therefore, there is no need for the mother to worry as it is a normal and temporary condition.

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  • 42. 

    You are caring for 4 neonates. Which one is at risk for hypoglycemia?

    • LGA

    • Baby of substance abuse mother

    • Postmature at 42 weeks

    • All babies are at risk for hypogylcemia

    Correct Answer
    A. LGA
    Explanation
    LGA stands for Large for Gestational Age, which means the baby is larger than average at birth. LGA babies are at a higher risk for hypoglycemia because their larger size can lead to difficulties in regulating blood sugar levels.

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  • 43. 

    You are assessing a primigravide who is 26 weeks gestation, her blood type is AB negative and she has a history of one miscarriage at 20 weeks gestation. based on this information you anticipate, what is going to be ordered for this client?

    • An amniocentesis at 30 weeks

    • Administration of RHo(D) at 28 weeks

    • Blood test of the father to determine his blood type

    • Fetal blood sampling to deteremin fetal blood type

    Correct Answer
    A. Administration of RHo(D) at 28 weeks
    Explanation
    Based on the information provided, the client has AB negative blood type, which means she lacks the Rh factor. Since she has a history of a previous miscarriage, there is a possibility of Rh incompatibility if the fetus is Rh positive. To prevent potential complications, the administration of RHo(D) at 28 weeks is ordered. RHo(D) is a medication that prevents the mother's immune system from producing antibodies against the Rh factor in case the fetus is Rh positive. This treatment helps protect future pregnancies from Rh incompatibility issues.

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  • 44. 

    The labor monitor tracing shows cariable deceleration. what complication would you anticipate is occurring?

    • Cord compression

    • Fetal hypoxia

    • Placental insufficiency

    • Head compression

    Correct Answer
    A. Cord compression
    Explanation
    The labor monitor tracing showing variable deceleration suggests that there may be cord compression occurring. This means that the umbilical cord, which supplies oxygen and nutrients to the fetus, is being compressed or squeezed, leading to a temporary decrease in blood flow and oxygen to the baby. This can result in fetal distress and potential complications if not addressed promptly.

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  • 45. 

    You have four patients in antepartum all with preeclampsia. Which patient requires further assessment?

    • BP 144/90 mmHg

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

    • Proteinura less than 0.3 g in 24 hour

    • Deep tendon reflexes +4

    • All of the above

    Correct Answer
    A. Deep tendon reflexes +4
    Explanation
    The patient with deep tendon reflexes +4 requires further assessment. Deep tendon reflexes +4 indicate hyperreflexia, which can be a sign of severe preeclampsia. This patient may be at risk for complications and requires further evaluation and monitoring.

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  • 46. 

    Infants HR IS 136/min RR are 36/min vigorous cry active movement acrocyanosis, what is this baby's APGAR score?

    • 9

    • 8

    • 7

    • 6

    Correct Answer
    A. 9
    Explanation
    The baby's APGAR score is 9. The APGAR score is a quick assessment of a newborn's overall well-being and is based on five criteria: heart rate, respiratory effort, muscle tone, reflex irritability, and color. In this case, the baby has a heart rate of 136/min, which is within the normal range, and a respiratory rate of 36/min, also within the normal range. The baby is crying vigorously, showing active movement, and has acrocyanosis (bluish discoloration of the extremities), which indicates good reflex irritability and color. Therefore, the baby's APGAR score is 9, which is considered excellent.

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  • 47. 

    You are caring for a cleitn in labor. how do you time her contractions?

    • End of one to the beginning of the next

    • Beginning of one to the end of the next

    • End of one to the end of the next

    • Beginning of one to the beginning of the next

    Correct Answer
    A. Beginning of one to the beginning of the next
    Explanation
    To time a client's contractions, you measure the duration from the beginning of one contraction to the beginning of the next contraction. This is because the beginning of a contraction indicates the start of the uterus contracting and the end of a contraction indicates the relaxation of the uterus. By timing from the beginning of one contraction to the beginning of the next, you can accurately track the frequency and duration of contractions, which is important for monitoring the progress of labor.

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  • 48. 

    You are caring for an infnat with an unrepaired tracheoesophageal fistula. in planning care, you will identify what prioirty nursing goal.

    • To promote oxygen exchange

    • Prevent lung infection

    • Promote bonding

    • To replace fluids and electrolytes

    Correct Answer
    A. To promote oxygen exchange
    Explanation
    The priority nursing goal in caring for an infant with an unrepaired tracheoesophageal fistula would be to promote oxygen exchange. This is because a tracheoesophageal fistula can cause respiratory distress and compromise the infant's ability to breathe properly. By promoting oxygen exchange, the nurse can ensure that the infant is receiving adequate oxygenation and prevent any further complications related to respiratory distress.

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  • 49. 

    One hour after administering Pitocin to your patient her contractions were 90-100 seconds and 1-2 min apart. what needs to happen?

    • Discontinue pitocin

    • Increase infusion

    • Decrease/slow down infusion

    • Add other drugs to her regimen

    • Nothing she will be just fine

    Correct Answer
    A. Discontinue pitocin
    Explanation
    The contractions of the patient are too frequent and lasting longer than normal, indicating hyperstimulation of the uterus. This can lead to fetal distress and compromise the blood flow to the placenta. To ensure the safety of both the mother and the baby, it is necessary to discontinue the administration of Pitocin.

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Quiz Review Timeline (Updated): Jun 10, 2024 +

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  • Current Version
  • Jun 10, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • Feb 17, 2012
    Quiz Created by
    Mmilligan

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