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Maternal/Newborn ATI Practice Tests- (50 Qs and As)
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Maternal/Newborn ATI PracticeTests- (50 Qs and As)
A nurse is caring for a prenatal client who has parvovirus (5th disease).
Which of the following actions should the nurse take?
a. administer antiviral medication
b. schedule an ultrasound
c. administer Haemophilus influenzae type b vaccine
d. schedule and indirect Coomb's test - -b.
The nurse should schedule serial US exams to monitor the fetus during
pregnancy to detect the possible development of fetal hydrops. Also, the
virus can cause miscarriage, IUGR, fetal anemia, or stillbirth
-A nurse in an antepartum clinic is providing care for a client who is at 26
weeks gestation. Upon reviewing the client's medical record, which of the
following findings should the nurse report to the provider?
Medical Record: BP 130/78, RR 20, HR 90, Hg 12, Hct 34%, 1-hr glucose
tolerance test 120, fundal height 30 cm, FHR 110/min
a. 1-hr glucose tolerance test
b. hematocrit
c. fundal height
d. fetal heart rat - -c. fundal height
A fundal height measurement of 30 cm should be reported. Fundal height
should be the same as the number of gestational weeks, plus or minus 2.
-A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative,
and has just had an amniocentesis. Which of the following interventions is
the nurse's priority following the procedure?
a. check client's temperature
b. observe for uterine contractions
c. administer Rho immune globulin
d. monitor FHR - -d. monitor FHR
The greatest risk to the client and her fetus is fetal death. Therefore, the
priority nursing intervention is to monitor the FHR following amniocentesis.
-A nurse is providing education about family bonding to parents who
recently adopted a newborn. The nurse should make which of the following
suggestions to aid the family's 7-year-old child in accepting the new family
member?
a. allow the sibling to hold the newborn during a bath
b. make sure the sibling kisses the newborn each night
c. obtain a gift from the newborn to present to the sibling
d. switch the sibling's room with the nursery - -c. obtain a gift from the
newborn to present to the sibling
, Presenting a gift from the newborn to the sibling is a strategy to facilitate a
school-age sibling's acceptance of a new family member. This ensures that
the sibling doesn't feel left out and that they understand their role in the
family.
-A nurse is admitting a client to the labor and delivery unit when the client
states, "my water just broke." Which of the following interventions is the
nurses priority?
a. perform Nitrazine testing
b. assess the fluid
c. check cervical dilation
d. begin FHR monitoring - -d. begin FHR monitoring
The greatest risk to the client and her fetus following a rupture of
membranes is umbilical cord prolapse. The nurse should monitor the fetus
closely to ensure well-being. Therefore, this is the priority aciton.
-A nurse in a prenatal clinic is assessing a group of clients. Which of the
following clients should the nurse see first?
a. a client who is at 11 weeks gestation and reports abdominal cramping
b. a client who is at 15 weeks gestation and reports tingling/numbness in the
right hand
c. a client who is 20 weeks gestation and reports constipation the past 4
days
d. a client who is at 8 weeks gestation and reports having three bloody noses
in the past week - -a. a client who is at 11 weeks gestation and reports
abdominal cramping
When using the urgent vs nonurgent approach to client care, the nurse
should determine the priority finding is this. Abdominal cramping can
indicate an ectopic pregnancy or manifestations of spontaneous abortion.
The nurse should report that the provider see this client first.
-A nurse is providing teaching to a client who is at 40 weeks gestation and
has a new prescription for misoprostol. Which of the following instructions
should the nurse include in the teaching?
a. "I can administer oxytocin 4 hrs after the insertion of the medication"
b. "you will need a full bladder prior to the insertion of the medication"
c. "remain in a side-lying position for 15 mins after the medication is
inserted"
d. "an antacid will be given 20 mins prior to the insertion of the medication" -
-a. "I can administer oxytocin 4 hrs after the insertion of the medication"
The nurse can administer oxytocin no sooner than 4 hrs after the last dose of
misoprostol. Oxytocin can be administered following misoprostol for clients
who have cervical ripening and haven't begun labor.
-A nurse is providing teaching to a client about the physiological changes
that occur during pregnancy. The client is at 10 weeks gestation and has a
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