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Maternity Review questions ATI test 1 with complete solutions.docx
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Maternity Review questions ATI test 1 withcomplete solutions
1. A nurse is caring for a client who is pregnant and states that her last menstrual
period was April 1, 2013. Which of the following is the client's estimated date of
delivery? A. Jan. 8, 2014
B. Jan. 15, 2014
C. Feb. 8, 2014
D. Feb. 15, 2014 - ANSWER- A
2. A nurse in a prenatal clinic is caring for a client who is in the first trimester of
pregnancy. The client's health record includes this data: G3 T1 P0 A1 L1. How
should the nurse interpret this information? (Select all that apply.)
A. Client has delivered one newborn at term.
B. Client has experienced no preterm labor.
C. Client has been through active labor.
D. Client has had two prior pregnancies.
E. Client has one living child - ANSWER- A B D E
3. A nurse is reviewing the health record of a client who is pregnant. The provider
indicated the client exhibits probable signs of pregnancy. Which of the following
would be included? (Select all that apply.)
A. Montgomery's glands
B. Goodell's sign
C. Ballottement
D. Chadwick's sign
E. Quickening - ANSWER- B C D
4. A nurse in a prenatal clinic is caring for a client who is pregnant and
experiencing episodes of maternal hypotension. The client asks the nurse what
causes these episodes. Which of the following is an appropriate response by the
nurse?
,A. "This is due to an increase in blood volume."
B. "This is due to pressure from the uterus on the diaphragm."
C. "This is due to the weight of the uterus on the vena cava."
D. "This is due to increased cardiac output." - ANSWER- C
5. A nurse in a clinic receives a phone call from a client who believes she is
pregnant and would like to be tested in the clinic to confirm her pregnancy.
Which of the following information should the nurse provide to the client?
A. "You should wait until 4 weeks after conception to be tested."
B. "You should be off any medications for 24 hours prior to the test."
C. "You should be NPO for at least 8 hours prior to the test."
D. "You should collect urine from the first morning void." - ANSWER- D
Describe at least three changes that occur to skin and breasts during pregnancy.
- ANSWER- breast tenderness, chloasma, darkening of areola, angiomas, pruritis
1. A nurse is teaching a group of women who are pregnant about measures to
relieve backache during pregnancy. The nurse should teach the women which of
the following? (Select all that apply.)
A. Avoid any lifting.
B. Perform Kegel exercises twice a day.
C. Perform the pelvic rock exercise every day.
D. Use proper body mechanics.
E. Avoid constrictive clothing. - ANSWER- C D
2. A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is
happy about being pregnant. Which of the following is an appropriate response
by the nurse to the client's statement?
A. "I will inform the provider that you are having these feelings."
B. "It is normal to have these feelings during the first few months of pregnancy."
C. "You should be happy that you are going to bring new life into the world."
D. "I am going to make an appointment with the counselor for you to discuss
these thoughts." - ANSWER- B
3. A nurse is caring for a client who is pregnant and reviewing signs of
complications that should be promptly reported to the provider. Which of the
following should be included?
A. Vaginal bleeding
B. Swelling of the ankles
C. Heartburn after eating
D. Lightheadedness when lying on back - ANSWER- A
, 4. A client who is at 7 weeks of gestation is experiencing nausea and vomiting in
the morning. The nurse in the prenatal clinic provides teaching that should
include which of the following?
A. Eat crackers or plain toast before getting out of bed.
B. Awaken during the night to eat a snack.
C. Skip breakfast, and eat lunch after nausea has subsided.
D. Eat a large evening meal. - ANSWER- A
5. A nurse is teaching a group of clients who are pregnant about behaviors to
avoid during pregnancy. Which of the following statements by a client indicates a
need for further instruction?
A. "I can have a glass of wine with dinner."
B. "Smoking is a cause of low birth weight in babies."
C. "Signs of infection should be reported to my doctor."
D. "I should not take over-the-counter medications without checking with my
obstetrician." - ANSWER- A
Two teaching points to avoid UTI during pregnancy - ANSWER- wipe front to
back,
don't ignore the urge to void,
void every 2 hours
wear cotton, underwear and panty liners,
use unscented, soft, white toilet paper,
avoid bubble baths,
consume at least 8 glasses of water per day,
urinate before and after intercourse,
avoid tight fitting pants,
contact HCP of any foul, bloody, or cloudy urine
1. A nurse in a prenatal clinic is providing education to a client who is in the 8th
week of gestation. The client states that she does not like milk. What is a good
source of calcium that the nurse can recommend to the client?
A. Dark green, leafy vegetables
B. Deep red or orange vegetables C. White breads and rice
D. Meat, poultry, and fish - ANSWER- A
2. A nurse in a prenatal clinic is caring for a group of clients. Which of the
following clients should the nurse be concerned about regarding weight gain?
A. 1.8 kg (4 lb) weight gain and is in her first trimester
B. 3.6 kg (8 lb) weight gain and is in her first trimester
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