Maternal/Newborn ATI Practice Tests
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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 -
ANSWER 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" - ANSWER
a. "I can administer oxytocin 4 hrs after the insertion of the medication"
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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 -
ANSWER 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" - ANSWER
a. "I can administer oxytocin 4 hrs after the insertion of the medication"
