ATI- MATERNITY PRACTICE TEST A
WITH COMPLETE SOLUTIONS
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---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.---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---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."---
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.---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.---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.---ANSWER--A)-
Insert-two-gloved-fingers-into-the-vagina-and-apply-upward-pressure-to-the-presenting-
part.
The-nurse-should-quickly-apply-gloves-and-insert-two-fingers-into-the-vagina-toward-the-
cervix,-exerting-upward-pressure-onto-the-presenting-part-to-relieve-umbilical-cord-
compression-and-increase-oxygenation-to-the-fetus.
A-nurse-is-caring-for-a-client-who-is-at-24-weeks-of-gestation-and-has-a-suspected-
placental-aburption.-Which-of-the-following-laboratory-tests-should-the-nurse-expect-the-
provider-to-prescribe?
A)-Kleihauer-Betke-test
B)-Progesterone-serum-level
C)-Lecithin/sphingomyelin-(L/S)-ratio
D)-Maternal-Alpha-fetoprotein-(AFP)---ANSWER--A)-Kleihauer-Betke-test
WITH COMPLETE SOLUTIONS
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---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.---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---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."---
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.---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.---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.---ANSWER--A)-
Insert-two-gloved-fingers-into-the-vagina-and-apply-upward-pressure-to-the-presenting-
part.
The-nurse-should-quickly-apply-gloves-and-insert-two-fingers-into-the-vagina-toward-the-
cervix,-exerting-upward-pressure-onto-the-presenting-part-to-relieve-umbilical-cord-
compression-and-increase-oxygenation-to-the-fetus.
A-nurse-is-caring-for-a-client-who-is-at-24-weeks-of-gestation-and-has-a-suspected-
placental-aburption.-Which-of-the-following-laboratory-tests-should-the-nurse-expect-the-
provider-to-prescribe?
A)-Kleihauer-Betke-test
B)-Progesterone-serum-level
C)-Lecithin/sphingomyelin-(L/S)-ratio
D)-Maternal-Alpha-fetoprotein-(AFP)---ANSWER--A)-Kleihauer-Betke-test
