ATI MATERNITY PROCTORED EXAM
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ATI MATERNITY PROCTORED EXAM
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, ATI MATERNITY PROCTORED EXAM
VERSION 1
A nurse 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 nurse should suspect which of the following?
A. Missed abortion.
B. Ectopic pregnancy.
C. Severe preeclampsia.
D. Hydatidiform mole.
B. Blunt abdominal trauma.
C. Cocaine use.
E. Cigarette smoking.
A nurse is providing care for a client who is diagnosed with a marginal abruptio placentae. The
nurse is aware that which of the following findings are risk factors for developing the condition?
(SATA)
A. Fetal position.
B. Blunt abdominal trauma.
C. Cocaine use.
D. Maternal age.
E. Cigarette smoking.
A. Betamethasone.
A nurse is providing care for a client who is at 32 weeks of gestation and who has a placenta
previa. The nurse notes that the client is actively bleeding. Which of the following types of
medications should the nurse anticipate the provider will prescribe?
A. Betamethasone.
B. Indomethacin.
C. Nifedipine.
D. Methylergonovine.
C. Hydatidiform mole.
A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client
reports continued nausea and vomiting and scant, prune-colored discharge. She has
experienced no weight loss and has a fundal height large than expected. Which of the following
complications should the nurse suspect?
A. Hyperemesis gravidarum.
B. Threatened abortion.
C. Hydatidiform mole.
D. Preterm labor.
,D. Report of severe shoulder pain.
A nurse is caring for a client who has a diagnosis of ruptured ectopic pregnancy. Which of the
following findings is seen with this condition?
A. No alteration in meses.
B. Transvaginal ultrasound indicating a fetus in the uterus.
C. Serum progesterone greater than the expected reference range.
D. Report of severe shoulder pain.
A. Episiotomy.
C. Forceps.
E. Internal fetal monitoring.
A nurse is admitting a client who is in labor and has HIV. Which of the following interventions
should the nurse identify as contraindicated for this client? (SATA)
A. Episiotomy.
B. Oxytocin infusion.
C. Forceps.
D. Cesarean birth.
E. Internal fetal monitoring.
A. Joint pain.
B. Malaise.
C. Rash.
E. Tender lymph nodes.
A nurse in an antepartum clinic is assessing a client who has a TORCH infection. Which of the
following findings should the nurse expect? (SATA)
A. Joint pain.
B. Malaise.
C. Rash.
D. Urinary frequency.
E. Tender lymph nodes.
A. Ceftiaxone.
A nurse is caring for a client who has gonorrhea. Which of the following medications should the
nurse anticipate the provider will prescribe?
A. Ceftiaxone.
B. Fluconazole.
C. Metronidazole.
D. Zidovudine.
A. Gonorrhea.
B. Chlamydia.
, C. HIV.
D. Group B streptococcus beta-hemolytic.
A nurse in a health clinic is reviewing contraceptive use with a group of adolescent clients.
Which of the following statements by an adolescent reflects an understanding of the teaching?
A. "A water-soluble lubricant should be used with condoms."
B. "A diaphragm should be removed 2 hours after intercourse."
C. "Oral contraceptives can worsen a case of acne."
D. "A contraceptive patch is replaced once a month."
A nurse is instructing a client who is taking an oral contraceptive about danger signs to report
to her provider. The nurse determines the client understands the teaching when the client
states the need to report which of the following?
A. Reduced menstrual flow.
B. Breast tenderness.
C. Shortness of breath.
D. Headaches.
A nurse in an obstetrical clinic is teaching a client about using an IUD for contraception. Which
of the following statements by the client indicates an understanding of the teaching?
A. "An IUD should be replaced annually during a pelvic exam."
B. "I cannot get an IUD until after I've had a child."
C. "I should expect intermittent abdominal pain while the IUD is in place."
D. "A change in the string length of my IUD is expected."
A nurse is teaching a client about potential adverse effects of implantable progestins. Which of
the following adverse effects should the nurse include? (SATA)
A. Tinnitus.
B. Irregular vaginal bleeding.
C. Weight gain.
D. Breast changes.
E. Gingival hyperplasia.
A nurse in a clinic is teaching a client about her new prescription for medroxyprogesterone.
Which of the following information should the nurse include in the teaching? (SATA)
A. "Weight loss can occur."
B. "You are protected against STIs."
C. "You should increase your intake of calcium."
D. "You should avoid taking antibiotics."
E. "Irregular vaginal spotting can occur."
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