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Maternity Review questions ATI test 1 questions with answers.
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Maternity Review questions ATI test 1questions with answers.
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 ANS - 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 ANS - 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 ANS - 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." ANS - 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." ANS - D
Describe at least three changes that occur to skin and breasts during pregnancy. ANS - 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. ANS - 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." ANS - 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 ANS - 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. ANS - 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." ANS - A
Two teaching points to avoid UTI during pregnancy ANS - 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 ANS - 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
C. 6.8 kg (15 lb) weight gain and is in her second trimester
D. 11.3 kg (25 lb) weight gain and is in her third trimester ANS - B
3. A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements.
Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency?
A. Iron deficiency anemia
B. Poor bone formation
C. Macrosomic fetus
D. Neural tube defects ANS - D
4. A nurse is reviewing a new prescription for iron supplements with a client who is in the 8th week of
gestation and has iron deficiency anemia. The nurse should advise the client to take the iron
supplements with which of the following?
A. Ice water
B. Low-fat or whole milk
C. Tea or coffee
D. Orange juice ANS - D
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