ATI Maternity Practice Test A
A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect?
A) Reports increased urinary output
B) Diaphoresis
C) Reports blurred vision
D) Shallow respirations - CORRECT ANSWER A) Reports increased urinary output
Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain, constipation, drowsiness, and headaches are manifestations of hyperglycemia. Other manifestations include weak rapid pulse, fruity breath odor, urine positive for sugar and acetone, and a blood glucose level greater than 200 mg/dL.
A nurse is caring for a client who is at 22 weeks gestation and is HIV positive. Which of the following actions should the nurse take?
A) Administer penicillin G 2.4 million units IM to the client.
B) Instruct the client to schedule an annual pelvic examination.
C) Tell the client she will start medication for HIV immediately after delivery.
D) Report the client's condition to the local health department. - CORRECT ANSWER D) Report the client's condition to the local health department.
The nurse should report the condition to the local health department. HIV is one of the conditions on the list of Nationally Notifiable Infectious Conditions that is required to be reported. A nurse is providing teaching for a client who has a new prescription for combined
oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
A) Depression
B) Polyuria
C) Hypotension
D) Urticaria - CORRECT ANSWER A) Depression
The nurse should instruct the client that depression is a common adverse effect of
combined oral contraceptives. Other common adverse effects of the medication include amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and breast tenderness.
A nurse is providing teaching to a client who is at 40 weeks og gestation and has a new prescription for mistoprostol. Which of the following instructions should a nurse include in the teaching? A) "I can administer oxytocin 4 hours 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 minutes after the medication is inserted."
D) "An antacid will be given 20 minutes prior to the insertion of the medication." -
CORRECT ANSWER A) "I can administer oxytocin 4 hours after the insertion of the medication."
The nurse can administer oxytocin no sooner than 4 hr after the last dose of misoprostol. Oxytocin can be administered following misoprostol for clients who have cervical ripening and have not begun labor.
A nurse is caring for a prenatal cleint who has parvovirus (5th's disease). Which of the following actions should the nurse take? A) Administer antiviral medication.
B) Schedule an ultrasound examination. C) Administer Haemophilus influenzae type b vaccine.
D) Schedule an indirect Coombs' test. - CORRECT ANSWER B) Schedule an ultrasound examination.
The nurse should schedule serial ultrasound examinations to monitor the fetus during the pregnancy to detect the possible development of fetal hydrops. Also, the virus can cause miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth.
A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain
of the procedure on the newborn? A) Apply a cool pack for 10 min to the heel prior to the puncture.
B) Request a prescription for IM analgesic.
C) Use a manual lance blade to pierce the skin.
D) Place the newborn skin to skin on the mother's chest. - CORRECT ANSWER D) Place the newborn skin to skin on the mother's chest.
Placing the newborn skin to skin on the mother's chest is an effective technique to significantly decrease the newborn's pain level and anxiety. The nurse should implement this technique before, during, and after the procedure.
A nurse is performing a vaginal assessment on a client who is in labor and observes the umbilical cord protruding from the vagina . After calling for assistance, which of the following actions should the nurse take? A) Insert two gloved fingers into the vagina and apply upward pressure to the presenting part.
B) Wrap the visible cord tightly with sterile, dry gauze.
C) Apply oxygen to the client at 2 L/min via nasal cannula.
D) Place the client in the lithotomy position and apply fundal pressure. - CORRECT ANSWER A) Insert two gloved fingers into the vagina and apply upward pressure to the presenting part.
A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect?
A) Reports increased urinary output
B) Diaphoresis
C) Reports blurred vision
D) Shallow respirations - CORRECT ANSWER A) Reports increased urinary output
Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain, constipation, drowsiness, and headaches are manifestations of hyperglycemia. Other manifestations include weak rapid pulse, fruity breath odor, urine positive for sugar and acetone, and a blood glucose level greater than 200 mg/dL.
A nurse is caring for a client who is at 22 weeks gestation and is HIV positive. Which of the following actions should the nurse take?
A) Administer penicillin G 2.4 million units IM to the client.
B) Instruct the client to schedule an annual pelvic examination.
C) Tell the client she will start medication for HIV immediately after delivery.
D) Report the client's condition to the local health department. - CORRECT ANSWER D) Report the client's condition to the local health department.
The nurse should report the condition to the local health department. HIV is one of the conditions on the list of Nationally Notifiable Infectious Conditions that is required to be reported. A nurse is providing teaching for a client who has a new prescription for combined
oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
A) Depression
B) Polyuria
C) Hypotension
D) Urticaria - CORRECT ANSWER A) Depression
The nurse should instruct the client that depression is a common adverse effect of
combined oral contraceptives. Other common adverse effects of the medication include amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and breast tenderness.
A nurse is providing teaching to a client who is at 40 weeks og gestation and has a new prescription for mistoprostol. Which of the following instructions should a nurse include in the teaching? A) "I can administer oxytocin 4 hours 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 minutes after the medication is inserted."
D) "An antacid will be given 20 minutes prior to the insertion of the medication." -
CORRECT ANSWER A) "I can administer oxytocin 4 hours after the insertion of the medication."
The nurse can administer oxytocin no sooner than 4 hr after the last dose of misoprostol. Oxytocin can be administered following misoprostol for clients who have cervical ripening and have not begun labor.
A nurse is caring for a prenatal cleint who has parvovirus (5th's disease). Which of the following actions should the nurse take? A) Administer antiviral medication.
B) Schedule an ultrasound examination. C) Administer Haemophilus influenzae type b vaccine.
D) Schedule an indirect Coombs' test. - CORRECT ANSWER B) Schedule an ultrasound examination.
The nurse should schedule serial ultrasound examinations to monitor the fetus during the pregnancy to detect the possible development of fetal hydrops. Also, the virus can cause miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth.
A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain
of the procedure on the newborn? A) Apply a cool pack for 10 min to the heel prior to the puncture.
B) Request a prescription for IM analgesic.
C) Use a manual lance blade to pierce the skin.
D) Place the newborn skin to skin on the mother's chest. - CORRECT ANSWER D) Place the newborn skin to skin on the mother's chest.
Placing the newborn skin to skin on the mother's chest is an effective technique to significantly decrease the newborn's pain level and anxiety. The nurse should implement this technique before, during, and after the procedure.
A nurse is performing a vaginal assessment on a client who is in labor and observes the umbilical cord protruding from the vagina . After calling for assistance, which of the following actions should the nurse take? A) Insert two gloved fingers into the vagina and apply upward pressure to the presenting part.
B) Wrap the visible cord tightly with sterile, dry gauze.
C) Apply oxygen to the client at 2 L/min via nasal cannula.
D) Place the client in the lithotomy position and apply fundal pressure. - CORRECT ANSWER A) Insert two gloved fingers into the vagina and apply upward pressure to the presenting part.
