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ATI Maternity Nur230

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Exam Details !

Title : ATI Maternity Nur230

Type : Nursing

Category : RN Nursing Exams

Subcategory : ATI Exams (RN)

Domain : Maternal & Newborn Care (RN ati)

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 100

Exam Year : 2025

Duration : 90 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Intermediate

Instructions : Answer all questions carefully and within the allocated time, using current best practices and critical thinking.

Description : This test features high-yield, NCLEX-style Maternal and Newborn care questions tailored for RN students.

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No.

1 :
A nurse is caring for a pregnant client and reviewing signs of complications that should be promptly reported to the provider. Which of the following should be included?

Vaginal bleeding.

Lightheadedness when lying on back.

Heartburn after eating.

Swelling of the ankles.

Hint : 🩺Think about what symptom signals a possible obstetric emergency.

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2 :
A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?

Keep the head of the bed at a 30-degree angle.

Initiate the use of a PCA pump for pain control.

Reposition the client by log rolling every 4 hours.

Place the client in protective isolation.

Hint : 💊Consider methods that give the patient control over symptom relief following major spinal surgery.

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3 :
A nurse is providing care to multiple clients on the postpartum unit. Which of the following clients is at the greatest risk for developing a puerperal infection?

A client who has a cesarean incision that is well-approximated with no drainage.

A client who does not wash her hands between perineal care and breastfeeding.

A client who has an episiotomy that is erythematous and has extended into a third-degree laceration.

A client who is not breastfeeding and is using measures to suppress lactation.

Hint : 🤲Think about which behavior most increases exposure to harmful microorganisms.

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4 :
A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?

Cervical dilation.

Report of pain above the umbilicus.

Brownish vaginal discharge.

Amniotic fluid in the vaginal vault.

Hint : 🧷Focus on physical changes that directly lead to childbirth.

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5 :
A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instructions should the nurse include?

Expect some breast dimpling or discharge with age.

Using the palm of the hand, feel for lumps using a circular motion.

Breasts can be examined in the shower with soapy hands.

For those who have a menstrual cycle, perform a BSE every month, 2 or 3 days before menstruation.

Hint : 🧴Think of when tactile sensitivity is highest and the skin is slippery.

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6 :
A nurse is assessing a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite, and a feeling of letdown. The nurse knows these findings are characteristics of:

Postpartum depression.

The letting-go phase.

Postpartum psychosis.

Postpartum fatigue.

Hint : 🧠Think of mood disturbances that extend beyond 2 weeks postpartum.

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7 :
Which of the following heart diseases are considered acquired? Select all that apply.

Infective endocarditis

Kawasaki disease

Hypoplastic left heart syndrome

Cardiomyopathy

Transposition of the great vessels

Hint : 💡Focus on which diseases develop after birth due to infection or environmental causes.

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8 :
A nurse is attending to an 8-year-old child diagnosed with acute rheumatic fever. What should be the nurse's immediate priority assessment after admission?

Identifying the level of parental anxiety related to the diagnosis

Auscultating the rate and characteristics of the child’s heart sounds

Using a pain-rating tool to evaluate the severity of the joint pain

Assessing the client’s erythematous rash

Hint : 🎧Think of the system most affected by rheumatic fever.

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9 :
A nurse is caring for a client in labor who is experiencing incomplete uterine relaxation between hypertonic contractions. What adverse effect does the nurse recognize as a result of this contraction pattern?

Reduced fetal oxygen supply

Delayed cervical dilation

Prolonged labor

Increased maternal stress

Hint : 👶Consider what the fetus lacks if the uterus doesn’t rest between contractions.

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10 :
A nurse is providing care for a 6-month-old infant who underwent a cardiac catheterization. The child was diagnosed with pulmonary stenosis early in infancy and was admitted today for a balloon angioplasty procedure. Which of the following should the nurse plan to include in the discharge teaching?

Apply pressure dressing four hours after discharge.

Call the provider if the patient's leg feels cool to touch compared to the left extremity.

Administer acetaminophen or ibuprofen oral solution if needed for pain.

Maintain a clear liquid diet for 24 hours after discharge.

Hint : 🧊Look out for signs of impaired blood flow in one limb.

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Total Questions: 10

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Ans

ATI Maternity Nur230

No.

1 : A nurse is caring for a pregnant client and reviewing signs of complications that should be promptly reported to the provider. Which of the following should be included?

2 : A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?

3 : A nurse is providing care to multiple clients on the postpartum unit. Which of the following clients is at the greatest risk for developing a puerperal infection?

4 : A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?

5 : A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instructions should the nurse include?

6 : A nurse is assessing a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite, and a feeling of letdown. The nurse knows these findings are characteristics of:

7 : Which of the following heart diseases are considered acquired? Select all that apply.

8 : A nurse is attending to an 8-year-old child diagnosed with acute rheumatic fever. What should be the nurse's immediate priority assessment after admission?

9 : A nurse is caring for a client in labor who is experiencing incomplete uterine relaxation between hypertonic contractions. What adverse effect does the nurse recognize as a result of this contraction pattern?

1 :
A nurse is caring for a pregnant client and reviewing signs of complications that should be promptly reported to the provider. Which of the following should be included?

2 :
A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?

3 :
A nurse is providing care to multiple clients on the postpartum unit. Which of the following clients is at the greatest risk for developing a puerperal infection?

4 :
A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?

5 :
A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instructions should the nurse include?

6 :
A nurse is assessing a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite, and a feeling of letdown. The nurse knows these findings are characteristics of:

7 :
Which of the following heart diseases are considered acquired? Select all that apply.

8 :
A nurse is attending to an 8-year-old child diagnosed with acute rheumatic fever. What should be the nurse's immediate priority assessment after admission?

9 :
A nurse is caring for a client in labor who is experiencing incomplete uterine relaxation between hypertonic contractions. What adverse effect does the nurse recognize as a result of this contraction pattern?