NUR 220 - Maternity Final Exam ATI Practice Questions
With Complete Solutions
A charge nurse is providing teaching for a newly hired nurse
about the potential side effects of an epidural anesthetic for a
laboring client. Which of the following effects should the charge
nurse include in the teaching?
A. Newborn respiratory depression at birth
B. Impaired ability of the neonate to maintain body temperature
C. Impaired placental perfusion
D. Decrease fetal heart rate (FHR) variability Correct Answers
C. Impaired placental perfusion
Maternal hypotension can occur in 10% - 30% of women who
receive epidural or spinal anesthesia. This can result in
decreased blood flow to the placenta & impair the delivery of
oxygen to the fetus.
A nurse at a prenatal clinic is caring for a client who suspects
she may be pregnant & asks the nurse how the provider will
confirm her pregnancy. Which of the following laboratory tests
will be used to confirm this client's pregnancy?
A. A blood test for the presence of estrogen.
B. A blood test for the amount of circulating progesterone.
C. A urine test for the presence of human chorionic
somatomammotropin.
D. A urine test for the presence of human chorionic
gonadotropin. Correct Answers D. A urine test for the presence
of human chorionic gonadotropin.
,Human chorionic gonadotropin is excreted by the placenta &
promotes the excretion of progesterone & estrogen. This
hormone is the basis of pregnancy testing.
A nurse in a clinic is caring for a client who is pregnant &
reports a last menstrual period (LMP) that began on December
7th. Which of the following dates would be the client's estimated
date of birth (EDB)?
A. September 14
B. September 7
C. March 14
D. March 7 Correct Answers A. September 14
Naegele's rule involving subtracting 3 months & adding 7 days
to the LMP to calculate the EDB. Subtracting 3 months from
December (month 12) gives the month of September. Adding 7
days to the seventh day of the month equals 14. Therefore,
September 14 is the EDB.
A nurse is a provider's office is caring for a client who is in the
first trimester of pregnancy. Which of the following
psychological tasks should the nurse expect the client to
accomplish during this trimester?
A. Accepting the pregnancy
B. Preparing for the end of pregnancy
C. Preparing for parenthood
D. Accepting the baby Correct Answers A. Accepting the
pregnancy
,Accepting the pregnancy is a psychological task that the client is
expected to accomplish during the first trimester.
A nurse is assessing a 2-day-old newborn & notes an egg-
shaped, edematous, bluish discoloration that does not cross the
suture line. Which of the following pieces of information should
the nurse provide to the mother when she asks about this
finding?
A. "This will resolve in 3 - 6 weeks without treatment."
B. "This will resolve on its own within 3 - 4 days."
C. "The provider might drain this area with a syringe."
D. "This appearance is expected at birth, so you don't need to
worry." Correct Answers A. "This will resolve in 3 - 6 weeks
without treatment."
This discoloration is a cephalhematoma, resulting from a
collection of blood between the skull & periosteum. It will
resolve within 2 - 6 weeks.
A nurse is assessing a 7-month-old infant during a well-child
visit & notes the presence of a full Moro reflex. For which of the
following conditions should the nurse screen the infant?
A. Congenital heart disease
B. Hearing loss
C. Neurological disorder
D. Amblyopia Correct Answers C. Neurological disorder
, The Moro reflex, also known as the startle reflex, is elicited by
striking the surface next to the newborn to startle him/her. A
classic pattern of abduction & extension of the arms is expected.
This reflex should be gone by 4 months of age; its presence after
4 months of age is associated with a neurological disorder.
A nurse is assessing a client who is at 26 weeks gestation & has
mild preeclampsia. Which of the following findings should the
nurse report to the provider?
A. Platelet count 97,000/mm^3
B. Deep tendon reflexes 4+
C. Urine protein 1+
D. BUN 22mg/dL Correct Answers B. Deep tendon reflexes 4+
Hyperactive deep tendon reflexes demonstrate a progression
from mild preeclampsia to severe gestational hypertension or
preeclampsia with severe features. This finding indicates the
need for hospitalization & treatment with magnesium sulfate to
prevent eclamptic seizures.
A nurse is assessing a client who is at 35 weeks gestation & has
preeclampsia without severe features. Which of the following
findings should the nurse identify as the priority?
A. 480mL urine output in 24 hours
B. Blood pressure 144/92mmHg
C. +2 edema
D. 1+ protein in urine Correct Answers A. 480mL urine output
in 24 hours
With Complete Solutions
A charge nurse is providing teaching for a newly hired nurse
about the potential side effects of an epidural anesthetic for a
laboring client. Which of the following effects should the charge
nurse include in the teaching?
A. Newborn respiratory depression at birth
B. Impaired ability of the neonate to maintain body temperature
C. Impaired placental perfusion
D. Decrease fetal heart rate (FHR) variability Correct Answers
C. Impaired placental perfusion
Maternal hypotension can occur in 10% - 30% of women who
receive epidural or spinal anesthesia. This can result in
decreased blood flow to the placenta & impair the delivery of
oxygen to the fetus.
A nurse at a prenatal clinic is caring for a client who suspects
she may be pregnant & asks the nurse how the provider will
confirm her pregnancy. Which of the following laboratory tests
will be used to confirm this client's pregnancy?
A. A blood test for the presence of estrogen.
B. A blood test for the amount of circulating progesterone.
C. A urine test for the presence of human chorionic
somatomammotropin.
D. A urine test for the presence of human chorionic
gonadotropin. Correct Answers D. A urine test for the presence
of human chorionic gonadotropin.
,Human chorionic gonadotropin is excreted by the placenta &
promotes the excretion of progesterone & estrogen. This
hormone is the basis of pregnancy testing.
A nurse in a clinic is caring for a client who is pregnant &
reports a last menstrual period (LMP) that began on December
7th. Which of the following dates would be the client's estimated
date of birth (EDB)?
A. September 14
B. September 7
C. March 14
D. March 7 Correct Answers A. September 14
Naegele's rule involving subtracting 3 months & adding 7 days
to the LMP to calculate the EDB. Subtracting 3 months from
December (month 12) gives the month of September. Adding 7
days to the seventh day of the month equals 14. Therefore,
September 14 is the EDB.
A nurse is a provider's office is caring for a client who is in the
first trimester of pregnancy. Which of the following
psychological tasks should the nurse expect the client to
accomplish during this trimester?
A. Accepting the pregnancy
B. Preparing for the end of pregnancy
C. Preparing for parenthood
D. Accepting the baby Correct Answers A. Accepting the
pregnancy
,Accepting the pregnancy is a psychological task that the client is
expected to accomplish during the first trimester.
A nurse is assessing a 2-day-old newborn & notes an egg-
shaped, edematous, bluish discoloration that does not cross the
suture line. Which of the following pieces of information should
the nurse provide to the mother when she asks about this
finding?
A. "This will resolve in 3 - 6 weeks without treatment."
B. "This will resolve on its own within 3 - 4 days."
C. "The provider might drain this area with a syringe."
D. "This appearance is expected at birth, so you don't need to
worry." Correct Answers A. "This will resolve in 3 - 6 weeks
without treatment."
This discoloration is a cephalhematoma, resulting from a
collection of blood between the skull & periosteum. It will
resolve within 2 - 6 weeks.
A nurse is assessing a 7-month-old infant during a well-child
visit & notes the presence of a full Moro reflex. For which of the
following conditions should the nurse screen the infant?
A. Congenital heart disease
B. Hearing loss
C. Neurological disorder
D. Amblyopia Correct Answers C. Neurological disorder
, The Moro reflex, also known as the startle reflex, is elicited by
striking the surface next to the newborn to startle him/her. A
classic pattern of abduction & extension of the arms is expected.
This reflex should be gone by 4 months of age; its presence after
4 months of age is associated with a neurological disorder.
A nurse is assessing a client who is at 26 weeks gestation & has
mild preeclampsia. Which of the following findings should the
nurse report to the provider?
A. Platelet count 97,000/mm^3
B. Deep tendon reflexes 4+
C. Urine protein 1+
D. BUN 22mg/dL Correct Answers B. Deep tendon reflexes 4+
Hyperactive deep tendon reflexes demonstrate a progression
from mild preeclampsia to severe gestational hypertension or
preeclampsia with severe features. This finding indicates the
need for hospitalization & treatment with magnesium sulfate to
prevent eclamptic seizures.
A nurse is assessing a client who is at 35 weeks gestation & has
preeclampsia without severe features. Which of the following
findings should the nurse identify as the priority?
A. 480mL urine output in 24 hours
B. Blood pressure 144/92mmHg
C. +2 edema
D. 1+ protein in urine Correct Answers A. 480mL urine output
in 24 hours
