ATI maternal newborn proctored test prep
A, B - ANS-a nurse is caring for a client who is at 14 weeks of gestation and has hyperemsis
gravidarum. the nurse should identify that which of the following are risk factors for the client?
(SATA)
A. obesity
B. multifetal pregnancy
C. maternal age greater than 40
D. migraine headache
E. oligohydramnios
A, B, C - ANS-a nurse is assisting with the care of a client who is pregnant and is to undergo a
contraction stress test (CST). which of the following findings are indications for this procedure?
(SATA)
A. decreased fetal movement
B. intrauterine growth
C. postmaturity
D. placenta previa
E. amniotic fluid emboli
A, B, C - ANS-a nurse is discussing common discomforts of pregnancy with a client who is at 6
weeks of gestation. Which of the following findings should the nurse include? (SATA)
A. breast tenderness
B. urinary frequency
C. epistaxis
D. dysuria
E. epigastric pain
A, B, C, D - ANS-a nurse is caring for a client who is in labor. the nurse should identify that
which of the following infections can be treated during labor or immediately following birth?
(SATA)
A. gonorrhea
B. chlamydia
C. HIV
D. group B streptococcus beta-hemolytic
E. TORCH infection
A, B, C, D - ANS-a nurse is discussing risk factors for urinary tract infections with a newly
licensed nurse. which of the following risk factors should the nurse include? (SATA)
A. epidural anesthesia
B. urinary bladder catheterization
,C. frequent pelvic examinations
D. history of UTI's
E. vaginal birth
A, B, C, E - ANS-a nurse in an antepartum clinic is collecting data on a client who has a TORCH
infection. which of the following findings should the nurse expect? (SATA)
A. joint pain
B. malaise
C. rash
D. urinary frequency
E. tender lymph nodes
A, B, D - ANS-a nurse is assisting in the care of a slient who has severe preeclampsia and is
receiving magnesium sulfate via continuous IV infusion. which of the following menifestations
should the nurse identify as an indication of magnesium sulfate toxicity? (SATA)
A. respirations less than 12/min
B. urinary ouput less than 30 mL/hr
C. hyperreflexic deep tendon reflexes
D. decreased level of consciousness
E. flushing and sweating
A, B, D, E - ANS-a nurse is reviewing the medical record of a client who reports indications of
preterm labor. which of the following client findings are risk factors for this condition? (SATA)
A. urinary tract infection
B. multifetal pregnancy
C. oligohydramnios
D. diabetes mellitus
E. uterine abnormalities
A, C - ANS-a nurse is caring for a client who is 1 day postpartum. the nurse is checking for
maternal adaptation and bonding with the newborn. for which of the following client behaviors
should the nurse intervene? (SATA)
A. demonstrates apathy when the newborn cries
B. touches the newborn while maintaining close physical proximity
C. views the newborn's behavior as uncooperative during diaper changing
D. identifies and relates newborn's characteristics to those of family members
E. interprets the newborn's behavior as a meaningful way of expressing needs
A, C, D - ANS-a nurse is assisting with data collection of a newborn who was born at 32 weeks
of gestation. the newborn's birth weight is 1,100g. which of the following should the nurse
expect? (SATA)
A. lanugo
B. long nails
C. weak grasp reflex
, D. translucent skin
E. plump face
A, C, D - ANS-a nurse is assisting with the care of a client who has a prescription for
magnesium sulfate. the nurse should recognize that which of the following are contraindications
for use of this medication? (SATA)
A. fetal distress
B. preterm labor
C. vaginal bleeding
D. cervical dilation greater than 6 cm
E. severe gestational hypertension
A, C, D - ANS-a nurse is assisting with the care of a client who is at 40 weeks of gestation and
experiencing contractions every 3-5 minutes and becoming stronger. a vaginal exam reveals
that the clients cervix is 3 cm dilated, 80% effaced, and -1 station. the client asks for pain
medication. which of the following actions should the nurse take? (SATA)
A. encourage use of patterned breathing techniques
B. insert an indwelling urinary catheter
C. administer opioid analgesic medicaiton
D. suggest application of cold
E. provide ice chips
A, C, E - ANS-a nurse is admitting a client who is in labor and has an HIV infection. the nurse
should identify that HIV infection is a contraindication to which of the following interventions?
(SATA)
A. episiotomy
B. oxytocin infusion
C. forceps
D. cesarean birth
E. internal fetal monitoring
A, C, E - ANS-a nurse is discussing circumcision with a newly hired nurse. which of the following
conditions should the nurse identify as contraindications? (SATA)
A. hypospadias
B. hydrocele
C. family history of hemophilia
D. hyperbilirubinemia
E. epispadias
A, D, E - ANS-a nurse in a prenatal clinic is caring for a client who is in the first trimester of
pregnancy. the client's health record includes this data: G3 T1 P0 A1 L1. how should the nurse
interpret this information? (SATA)
A. client has delivered one newborn at term
B. client has not experienced a preterm labor
A, B - ANS-a nurse is caring for a client who is at 14 weeks of gestation and has hyperemsis
gravidarum. the nurse should identify that which of the following are risk factors for the client?
(SATA)
A. obesity
B. multifetal pregnancy
C. maternal age greater than 40
D. migraine headache
E. oligohydramnios
A, B, C - ANS-a nurse is assisting with the care of a client who is pregnant and is to undergo a
contraction stress test (CST). which of the following findings are indications for this procedure?
(SATA)
A. decreased fetal movement
B. intrauterine growth
C. postmaturity
D. placenta previa
E. amniotic fluid emboli
A, B, C - ANS-a nurse is discussing common discomforts of pregnancy with a client who is at 6
weeks of gestation. Which of the following findings should the nurse include? (SATA)
A. breast tenderness
B. urinary frequency
C. epistaxis
D. dysuria
E. epigastric pain
A, B, C, D - ANS-a nurse is caring for a client who is in labor. the nurse should identify that
which of the following infections can be treated during labor or immediately following birth?
(SATA)
A. gonorrhea
B. chlamydia
C. HIV
D. group B streptococcus beta-hemolytic
E. TORCH infection
A, B, C, D - ANS-a nurse is discussing risk factors for urinary tract infections with a newly
licensed nurse. which of the following risk factors should the nurse include? (SATA)
A. epidural anesthesia
B. urinary bladder catheterization
,C. frequent pelvic examinations
D. history of UTI's
E. vaginal birth
A, B, C, E - ANS-a nurse in an antepartum clinic is collecting data on a client who has a TORCH
infection. which of the following findings should the nurse expect? (SATA)
A. joint pain
B. malaise
C. rash
D. urinary frequency
E. tender lymph nodes
A, B, D - ANS-a nurse is assisting in the care of a slient who has severe preeclampsia and is
receiving magnesium sulfate via continuous IV infusion. which of the following menifestations
should the nurse identify as an indication of magnesium sulfate toxicity? (SATA)
A. respirations less than 12/min
B. urinary ouput less than 30 mL/hr
C. hyperreflexic deep tendon reflexes
D. decreased level of consciousness
E. flushing and sweating
A, B, D, E - ANS-a nurse is reviewing the medical record of a client who reports indications of
preterm labor. which of the following client findings are risk factors for this condition? (SATA)
A. urinary tract infection
B. multifetal pregnancy
C. oligohydramnios
D. diabetes mellitus
E. uterine abnormalities
A, C - ANS-a nurse is caring for a client who is 1 day postpartum. the nurse is checking for
maternal adaptation and bonding with the newborn. for which of the following client behaviors
should the nurse intervene? (SATA)
A. demonstrates apathy when the newborn cries
B. touches the newborn while maintaining close physical proximity
C. views the newborn's behavior as uncooperative during diaper changing
D. identifies and relates newborn's characteristics to those of family members
E. interprets the newborn's behavior as a meaningful way of expressing needs
A, C, D - ANS-a nurse is assisting with data collection of a newborn who was born at 32 weeks
of gestation. the newborn's birth weight is 1,100g. which of the following should the nurse
expect? (SATA)
A. lanugo
B. long nails
C. weak grasp reflex
, D. translucent skin
E. plump face
A, C, D - ANS-a nurse is assisting with the care of a client who has a prescription for
magnesium sulfate. the nurse should recognize that which of the following are contraindications
for use of this medication? (SATA)
A. fetal distress
B. preterm labor
C. vaginal bleeding
D. cervical dilation greater than 6 cm
E. severe gestational hypertension
A, C, D - ANS-a nurse is assisting with the care of a client who is at 40 weeks of gestation and
experiencing contractions every 3-5 minutes and becoming stronger. a vaginal exam reveals
that the clients cervix is 3 cm dilated, 80% effaced, and -1 station. the client asks for pain
medication. which of the following actions should the nurse take? (SATA)
A. encourage use of patterned breathing techniques
B. insert an indwelling urinary catheter
C. administer opioid analgesic medicaiton
D. suggest application of cold
E. provide ice chips
A, C, E - ANS-a nurse is admitting a client who is in labor and has an HIV infection. the nurse
should identify that HIV infection is a contraindication to which of the following interventions?
(SATA)
A. episiotomy
B. oxytocin infusion
C. forceps
D. cesarean birth
E. internal fetal monitoring
A, C, E - ANS-a nurse is discussing circumcision with a newly hired nurse. which of the following
conditions should the nurse identify as contraindications? (SATA)
A. hypospadias
B. hydrocele
C. family history of hemophilia
D. hyperbilirubinemia
E. epispadias
A, D, E - ANS-a nurse in a prenatal clinic is caring for a client who is in the first trimester of
pregnancy. the client's health record includes this data: G3 T1 P0 A1 L1. how should the nurse
interpret this information? (SATA)
A. client has delivered one newborn at term
B. client has not experienced a preterm labor
