ATI RN Integrated Nursing
Exam 2025, 1-180
Maternal Child nursing
questions and correct
answers
1. The nurse anticipates that the health care provider will order
carboprost to treat which condition related to labor and
delivery? a. Ripening of the cervix
b. Labor induction
c. Uterine atony
d. Postpartum infection
2. The nurse is performing an assessment on a client who is at 38
weeks' gestation and notes that the fetal heart rate is 174
beats/minute. On the basis of this finding, what is the priority
nursing action? a. Document the finding.
b. Check the mother's heart rate.
c. Notify the health care provider (HCP).
d. Tell the client that the fetal heart rate is normal.
3. The health care provider (HCP) is assessing the client for
the presence of ballottement. To make this determination,
,the HCP should take which action? a. Auscultate for fetal
heart sounds.
b. Assess the cervix for compressibility.
c. Palpate the abdomen for fetal movement.
d. Initiate a gentle upward tap on the cervix.
4. The nurse is collecting data during an admission assessment
of a client who is pregnant with twins. The client has a healthy
5-year-old child who was delivered at 38 weeks and tells the
nurse that she does not have a history of any type of abortion
or fetal demise. Using GTPAL, what should the nurse document
in the client's chart?
a. G = 3, T = 2, P = 0, A = 0, L = 1
b. G = 2, T = 1, P = 0, A = 0, L = 1
c. G = 1, T = 1, P = 1, A = 0, L = 1
d. G = 2, T = 0, P = 0, A = 0, L = 1
5. The nurse is providing instructions to a pregnant client who
is scheduled for an amniocentesis. What instruction should the
nurse provide? a. Strict bed rest is required after the
procedure.
b. Hospitalization is necessary for 24 hours after the procedure.
c. An informed consent needs to be signed before the procedure.
d. A fever is expected after the procedure because of the trauma
to the abdomen.
6. The nurse has performed a nonstress test on a pregnant
client and is reviewing the fetal monitor strip. The nurse
interprets the test as reactive. How should the nurse document
this finding? a. Normal
b. Abnormal
c. The need for further evaluation
,d. That findings were difficult to interpret
7. A pregnant client asks the nurse about the types of exercises
that are allowable during pregnancy. The nurse should tell that
client that which exercise is safest? a. Swimming
b. Scuba diving
c. Low-impact gymnastics
d. Bicycling with the legs in the air
8. A pregnant client calls a clinic and tells the nurse that she
is experiencing leg cramps that awaken her at night. What
should the nurse tell the client to provide relief from the leg
cramps?
a. "Bend your foot toward your body while flexing the knee when
the cramps occur."
b. "Bend your foot toward your body while extending the knee
when the cramps
occur."
c. "Point your foot away from your body while flexing the knee
when the cramps occur."
d. "Point your foot away from your body while extending the
knee when the cramps occur."
9. The nurse in a health care clinic is instructing a pregnant
client how to perform "kick counts." Which statement by the
client indicates a need for further instructions?
a. "I will record the number of movements or kicks."
b. "I need to lie flat on my back to perform the procedure."
c. "If I count fewer than 10 kicks in a 2-hour period I should count
the kicks again over the next 2 hours."
, d. "I should place my hands on the largest part of my abdomen
and concentrate on the fetal movements to count the kicks."
10. The home care nurse visits a pregnant client who has a
diagnosis of mild preeclampsia. Which assessment finding
indicates a worsening of the preeclampsia and the need to notify
the health care provider? a. Urinary output has increased.
b. Dependent edema has resolved.
c. Blood pressure reading is at the prenatal baseline.
d. The client complains of a headache and blurred vision.
11. The nurse implements a teaching plan for a pregnant client
who is newly diagnosed with gestational diabetes mellitus.
Which statement made by the client indicates a need for
further teaching?
a. "I should stay on the diabetic diet."
b. "I should perform glucose monitoring at home."
c. "I should avoid exercise because of the negative effects on
insulin production."
d. "I should be aware of any infections and report signs of
infection immediately to my health care provider."
12. The home care nurse is monitoring a pregnant client with
gestational hypertension who is at risk for preeclampsia. At
each home care visit, the nurse assesses the client for which
classic signs of preeclampsia? Select all that apply. a.
Proteinuria
b. Hypertension
c. Low-grade fever
d. Generalized edema
Exam 2025, 1-180
Maternal Child nursing
questions and correct
answers
1. The nurse anticipates that the health care provider will order
carboprost to treat which condition related to labor and
delivery? a. Ripening of the cervix
b. Labor induction
c. Uterine atony
d. Postpartum infection
2. The nurse is performing an assessment on a client who is at 38
weeks' gestation and notes that the fetal heart rate is 174
beats/minute. On the basis of this finding, what is the priority
nursing action? a. Document the finding.
b. Check the mother's heart rate.
c. Notify the health care provider (HCP).
d. Tell the client that the fetal heart rate is normal.
3. The health care provider (HCP) is assessing the client for
the presence of ballottement. To make this determination,
,the HCP should take which action? a. Auscultate for fetal
heart sounds.
b. Assess the cervix for compressibility.
c. Palpate the abdomen for fetal movement.
d. Initiate a gentle upward tap on the cervix.
4. The nurse is collecting data during an admission assessment
of a client who is pregnant with twins. The client has a healthy
5-year-old child who was delivered at 38 weeks and tells the
nurse that she does not have a history of any type of abortion
or fetal demise. Using GTPAL, what should the nurse document
in the client's chart?
a. G = 3, T = 2, P = 0, A = 0, L = 1
b. G = 2, T = 1, P = 0, A = 0, L = 1
c. G = 1, T = 1, P = 1, A = 0, L = 1
d. G = 2, T = 0, P = 0, A = 0, L = 1
5. The nurse is providing instructions to a pregnant client who
is scheduled for an amniocentesis. What instruction should the
nurse provide? a. Strict bed rest is required after the
procedure.
b. Hospitalization is necessary for 24 hours after the procedure.
c. An informed consent needs to be signed before the procedure.
d. A fever is expected after the procedure because of the trauma
to the abdomen.
6. The nurse has performed a nonstress test on a pregnant
client and is reviewing the fetal monitor strip. The nurse
interprets the test as reactive. How should the nurse document
this finding? a. Normal
b. Abnormal
c. The need for further evaluation
,d. That findings were difficult to interpret
7. A pregnant client asks the nurse about the types of exercises
that are allowable during pregnancy. The nurse should tell that
client that which exercise is safest? a. Swimming
b. Scuba diving
c. Low-impact gymnastics
d. Bicycling with the legs in the air
8. A pregnant client calls a clinic and tells the nurse that she
is experiencing leg cramps that awaken her at night. What
should the nurse tell the client to provide relief from the leg
cramps?
a. "Bend your foot toward your body while flexing the knee when
the cramps occur."
b. "Bend your foot toward your body while extending the knee
when the cramps
occur."
c. "Point your foot away from your body while flexing the knee
when the cramps occur."
d. "Point your foot away from your body while extending the
knee when the cramps occur."
9. The nurse in a health care clinic is instructing a pregnant
client how to perform "kick counts." Which statement by the
client indicates a need for further instructions?
a. "I will record the number of movements or kicks."
b. "I need to lie flat on my back to perform the procedure."
c. "If I count fewer than 10 kicks in a 2-hour period I should count
the kicks again over the next 2 hours."
, d. "I should place my hands on the largest part of my abdomen
and concentrate on the fetal movements to count the kicks."
10. The home care nurse visits a pregnant client who has a
diagnosis of mild preeclampsia. Which assessment finding
indicates a worsening of the preeclampsia and the need to notify
the health care provider? a. Urinary output has increased.
b. Dependent edema has resolved.
c. Blood pressure reading is at the prenatal baseline.
d. The client complains of a headache and blurred vision.
11. The nurse implements a teaching plan for a pregnant client
who is newly diagnosed with gestational diabetes mellitus.
Which statement made by the client indicates a need for
further teaching?
a. "I should stay on the diabetic diet."
b. "I should perform glucose monitoring at home."
c. "I should avoid exercise because of the negative effects on
insulin production."
d. "I should be aware of any infections and report signs of
infection immediately to my health care provider."
12. The home care nurse is monitoring a pregnant client with
gestational hypertension who is at risk for preeclampsia. At
each home care visit, the nurse assesses the client for which
classic signs of preeclampsia? Select all that apply. a.
Proteinuria
b. Hypertension
c. Low-grade fever
d. Generalized edema
