Exam (elaborations)
ATI RN Maternal Newborn Practice Exam Questions with 100% Correct Answers ||Graded A+
- Course
- Institution
ATI RN Maternal Newborn Practice Exam Questions with 100% Correct Answers ||Graded A+
[Show more]
Content preview
ATI RN Maternal Newborn Practice Exam Questions with 100% Correct Answers |2024-2025|Graded A+
1. A nərs in an infertility clinic is providing care to a couple who has been unable to conceive for 18 months. Which of the following data
should be included in the assessment? (select all that apply)
A. Occupation
B. Menstrual history
C. Childhood infectious diseases
D. History of falls
E. Recent blood transfusions
A. CORRECT: Occupational hazards include exposure to teratogenic substances in the workplace, such as radiation, chemicals,
herbicides, and pesticides.
B. CORRECT: Menstrual history can identify hormone-related patterns, such as anovulation, pituitary disorders, and endometriosis.
C. CORRECT: Childhood infectious diseases can identify the mail partner having the mumps.
D. A history of falls is not a consideration in the assessment. E. A recent blood transfusion is not a consideration in the assessments.
2. A nərs is caring for a client who is pregnant and states that her last menstrual period was April 1st. Which of the following is the client's
estimated date of delivery?
A. January 8
B. January 15
C. February 8
D. February 15
A.CORRECT: April 1st minus 3 months plus 7days and 1 year equals an estimated date of delivery of January 8.
B. This is incorrect using Nagele's Rule.
C. This is incorrect using Nagele's Rule.
D. This is incorrect using Nagele's Rule.
A nərs in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record incudes this data: G3 T1 PO A1
L1. How should the nərs interpret this information? (select all that apply)
A. Client has delivered one newborn
term B. Client has experienced no
preterm labor
C. Client has been through active labor twice
D. Client has had two prior
pregnancies E. Client has one living
child
A. CORRECT: T1 indicates the client has delivered one newborn at term.
B. CORRECT: PO indicates the client has had no preterm deliveries.
C. A1 indicates the client has had one miscarriage.
D. CORRECT: G3 indicates the client has had two prior pregnancies and the client is currently pregnant.
E. CORRECT: L1 indicates the client has one living child.
3. A nərs 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 findings should the nərs expect? (select all that apply)
A. Montgomery's glands
B.Goodell's sign
C. Ballottement
D.Chadwick's
Sign
E. Quickening
A. Montgomery's glands are a presumptive sign of pregnancy.
B. CORRECT: Goodell's sign is a probable sign of pregnancy.
C. CORRECT: Ballottement is a probable sign of pregnancy.
D. CORRECT: Chadwick's' sign is a probable sign of pregnancy.
E. Quickening is a presumptive sign of pregnancy.
, 4. A nərs is teaching a client who is at 8 weeks of gestation about nutrition during pregnancy. Which of the following statements should the
nərs include in the teaching?
A. "You should consume 2 cups of milk daily."
B. "You should consume 4 ounces of grains each day."
C. "You should consume 2 cups of vegetables each day."
D. "You should consume 6 ounces of protein foods daily."
A. The nərs should instruct the client to consume 3 cups of dairy daily. It is best to select fat free or low fat dairy products.
B. The nərs should instruct the client to consume 6 to 8 ounces of grains daily. The client should consume at least half of the servings as
whole grains.
C. The nərs should instruct the client to consume 2.5 to 3 cups of vegetables daily. The client should vary the type of vegetables to obtain
various amounts of different nutrients.
D. CORRECT: The nərs should instruct the client to consume 5.5 to 6.5 ounces of protein foods each day. The client should select high-
protein foods, such as legumes, nuts, eggs and lean meat or poultry.
5. A nərs is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I should increase my protein intake to 60 grams each day."
B. "I should drink 2 liters of water each day."
C. "I should increase my overall daily caloric intake by 300 calories."
D. "I should take 600 micrograms of folic acid each day."
A. A client who is pregnant should increase protein intake to 71 grams each day during the second and third trimesters.
B. A client who is pregnant should consume 3 liters of water each day.
C. A client who is pregnant should increase caloric intake by 340 calories during the second trimester and 452 calories during the third
trimester.
D. CORRECT: A client who is pregnant should increase folic acid intake to 600mcg daily. Folic acid assists with preventing neural tube
birth defects.
6. A nərs is caring for a client who is at 14 weeks gestation and has hyperemesis gravidarum. The nərs should identify that which of the
following are risk factors for the client? (select all that apply)
A. Obesity
B. Multifetal pregnancy
C. Maternal age greater than 40
D. Migraine headache
E. Oligohydramnios
A. CORRECT: Obesity is a risk factor for hyperemesis gravidarum.
B. CORRECT: Multifetal pregnancy is a risk factor for hyperemesis gravidarum.
C. Maternal age less than 30 is a risk factor for hyperemesis gravidarum.
D. CORRECT: Migraine headache is a risk factor for hyperemesis gravidarum.
E. Oligohydramnios is not a risk factor for hyperemesis gravidarum.
7. A nərs in a prenatal clinic is caring for four clients. Which of the following clients' weight gain should the nərs report to the provider?
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.
C. 6.8 kg (15 lb) weight gain and in her first & second trimester.
D. 11.3 kg (25 lb) weight gain and in her first second & third trimester.
A. This client has gained the appropriate weight of 2 to 6 lb for a client in her first trimester.
B. CORRECT: The nərs should be concerned about this client because she has exceeded the expected 2 to 6 Ib weight gain of a client in
her first trimester.
C. The client has gained the appropriate weight of 6 to 6 lb in the first trimester and approximately 1-1 1/2 lb per week in the second
trimester.
D. The client is within the recommended weight gain of 25 to 35 lb during the third trimester.
,8. A nərs in a prenatal clinic is assessing a group of clients. Which of the following clients should the nərs see first?
A. A client how is 11 weeks if gestation and reports abdominal cramping.
B. A client who is at 15 weeks of gestation and reports tingling and numbness in the right hand.
C. A client who is at 20 weeks of gestation and reports constipation for the past 4 days.
D. A client who is at 8 weeks of gestation and reports having bloody noses for the past week.
A. CORRECT: When using the urgent vs nonurgent approach to client care, the nərs should determine that he priority finding is a client
who is at 11 weeks of gestation and reports abdominal cramping. Abdominal cramping can indicate ectopic pregnancy or manifestations of
spontaneous abortion. The nərs should request that the provider see this client first.
B. Tingling and numbness of the right hand is nonurgent because it is a common discomfort related to pregnancy for a client who is at 15
weeks of gestation. Therefore, there is another client that the provider should see first.
C. Constipation is nonurgent because it is a common discomfort related to pregnancy for a client who is at 20 weeks gestation. Therefore,
there is another client that the provider should see first.
D. Epitasis is nonurgent because it is a common discomfort related to pregnancy for a client who is at 8 weeks gestation. Therefore, there is
another client that the provider should see first.
9. A nərs is caring for a client who is pregnant and is to undergo a CST Which of the following findings are indications of this procedure?
(select all that apply)
A. Decreased fetal movement
B. Intrauterine growth restriction
(IUGR) C. Post maturity
D. Placenta previa
E. Amniotic fluid emboli
A. CORRECT: Decreased fetal movement is an indication for a CST.
B. CORRECT: IUGR is an indication for a CAT.
C. CORRECT: Postmaturity is an indication of a CST.
D. Placenta previa is a contraindication of a CST.
E. Amniotic fluid emboli are a complication of an amniocentesis, trauma or post labor.
10. A nərs is caring for a client who is 15 weeks gestation, is Rh negative, and has just had an amniocentesis. Which of the following
interventions is the nərs's priority following this procedure?
A. Check the client's temperature
B. Observe for uterine contractions
C. Administer Rho(D) immune globulin
D. Monitor the FHR
11. A nərs 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. Which of the following food should the nərs recommend as a good source of calcium?
A. Dark green leafy vegetables
B. Deep red or orange vegetables
C. White breads and rice
D. Meat, poultry and fish
A. CORRECT: Good sources of calcium for bone and teeth formation include low-oxalate, dark green leafy vegetables, such as kale, artichokes, and
turnip greens.
B. Deep red or orange vegetables are good sources of vitamins C and A.
C. White breads and rice do not contain high levels of calcium.
D. Meat, poultry and fish are sources of protein but do not contain high levels of calcium.
12. A nərs is reviewing a new prescription for ferrous sulfate with a client who is at 12 weeks of gestation Which of the following statements by
the client indicates understanding of the teaching?
A. "I will take this pill with my breakfast"
B. "I will take this medication with a glass of milk"
C. "I plan to drink more orange juice while taking this pill"
D. "I plan to add more calcium-rich foods to my diet while taking this medication"
A. Ferrous sulfate should be taken on an empty stomach.
B. Milk will decrease the absorption of ferrous sulfate.
C. CORRECT: A diet with increased vitamin C improves the absorption of ferrous sulfate.
D. Although a diet of calcium-rich foods is appropriate for the client during pregnancy, it does not improve the effectiveness of ferrous sulfate.
, 13. A nərs is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption. Which of the following laboratory
tests should the nərs expect the provider to prescribe?
A. Kleihauer-Betke test
B. Progesterone serum level
C. Lecithin/sphingomyelin (L/S) ratio
D. Maternal Alpha fetoprotein (AFP)
A. CORRECT: The nərs should expect the provider to prescribe a Kleinhauer-Betke test for a client who has suspected placental abruption
to determine if fetal blood is in the maternal circulation. This test is useful to determine if Rho-(D) immune globulin therapy should be
administered to a client who is Rh-negative.
B. A progesterone serum level helps to determine if a client is pregnant and is the pregnancy is ectopic.
C. Lecithin/sphingomyelin (L/S) ratio is done as part of an amniocentesis to evaluate fetal lung maturity.
D. Maternal Alpha-fetoprotein (AFP) is a laboratory test used to assess for neural tube defects or chromosome disorders.
14. A nərs in the emergency department is caring for a client who reports abrupt, sharp, right-sided lower quadrant abdominal pain and bright
red vaginal bleeding. The client states she missed one menstrual cycle and cannot be pregnant because she has an intrauterine device.
The nərs should suspect which of the following?
A. Missed abortion
B. Ectopic pregnancy
C. Severe preeclampsia
D. Hydatidiform mole
A. A client who experiences a missed abortion would report brownish discharge and no pain.
B. CORRECT: Manifestations of an ectopic pregnancy include unilateral lower quadrant pain with or without bleeding. Use of an IUD is
a risk factor related to this condition.
C. A client who has severe preeclampsia does not have vaginal bleeding and presents with right upper quadrant epigastric pain.
D. A client who has a hydatidiform mole usually has dark brown vaginal bleeding in the second trimester and is not associated with pain.
15. A nərs is providing care for a client who is diagnosed with a marginal abrutio placentae. The nərs is aware that which of the following
findings are risk factors for developing the condition? (select all that apply)
A. Fetal position
B. Blunt abdominal
trauma C. Cocaine use
D. Maternal age
E. Cigarette smoking
A. Fetal position is not a risk factor associated with abruptio placentae.
B. CORRECT: Blunt abdominal trauma is a risk factor associated with abruptio placentae.
C. CORRECT: Cocaine use is a risk factor associated with abruptio placentae.
D. CORRECT: Maternal age is a risk factor associated with abruptio placentae.
E. CORRECT: Cigarette smoking is a risk factor associated with abruptio placentae.
16. A nərs is providing care for a client who is 32 weeks gestation and who has placenta previa. The nərs notes that the client is actively
bleeding and will need to be delivered. Which of the types of medications should the nərs anticipate the provider will prescribe?
A. Betamethasone
B. Indomethacin
C. Nifedipine
D. Methylergonovine
A. CORRECT: Betamethasone is given to premature lung maturity if delivery is anticipated.
B. Indomethacin is prescribed for the client in preterm labor.
C. Nifedipine is prescribed for the client in preterm labor.
D. Methylergonovine is prescribed for the client experiencing postpartum hemorrhage, the patient is not hemorrhaging at this time.
17. A nərs is caring for a client who has diagnosis of ruptured ectopic pregnancy. Which of the following findings is seen with this condition?
A. No alteration in menses.
B. Transvaginal ultrasound indicating a fetus in the uterus.
C. Serum progesterone greater that the expected reference range.
D. Report of severe shoulder pain.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller DynamicNurse. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $24.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79276 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now