ATI Maternal Newborn questions with correct answers A nurse is caring for a client who is pregnant and states
that their last menstrual period was April 1st. Which of
the following is the client's estimated date of delivery?
A. January 8
B. January 15
C. February 8
D. February 15 Correct Answer - A. CORRECT: April 1st minus 3 months plus 7 days and 1 year
equals an estimated date of delivery of January 8.
B. This is incorrect using Nägele's rule.
C. This is incorrect using Nägele's rule.
D. This is incorrect using Nägele's rule.
NCLEX® Connection: Health Promotion and Maintenance,
Ante/Intra/Postpartum and Newborn Care
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? (Select all that apply.)
A. Client has delivered one newborn at term.
B. Client has experienced no preterm labor.
C. Client has been through active labor. D. Client has had two prior pregnancies.
E. Client has one living child. Correct Answer - A. CORRECT: T1 indicates the client has
delivered one newborn at term.
B. P0 indicates the client has had no preterm deliveries.
C. A1 indicates the client has had one miscarriage.
D. CORRECT: G3 indicates the client has had two prior
pregnancies and the client is currently pregnant.
E. CORRECT: L1 indicates the client has one living child.
NCLEX® Connection: Health Promotion and Maintenance,
Ante/Intra/Postpartum and Newborn Care
A nurse is reviewing the health record of a client who
is pregnant. The provider indicated the client exhibits
probable signs of pregnancy. Which of the following
findings should the nurse expect? (Select all that apply.)
A. Montgomery's glands
B. Goodell's sign
C. Ballottement
D. Chadwick's sign
E. Quickening Correct Answer - A. Montgomery's glands are a presumptive
sign of pregnancy.
B. CORRECT: Goodell's sign is a probable sign of pregnancy.
C. CORRECT: Ballottement is a probable sign of pregnancy.
D. CORRECT: Chadwick's sign is a probable sign of pregnancy.
E. Quickening is a presumptive sign of pregnancy. NCLEX® Connection: Health Promotion and Maintenance,
Ante/Intra/Postpartum and Newborn Care
A nurse in a prenatal clinic is caring for a client
who is pregnant and experiencing episodes
of maternal hypotension. The client asks the
nurse what causes these episodes. Which of the
following responses should the nurse make?
A. "This is due to an increase in blood volume."
B. "This is due to pressure from the
uterus on the diaphragm."
C. "This is due to the weight of the
uterus on the vena cava."
D. "This is due to increased cardiac output." Correct Answer - A. An increase in blood volume during pregnancy
results in cardiac hypertrophy.
B. Pressure from the gravid uterus on the diaphragm might
cause the client to experience shortness of breath.
C. CORRECT: Maternal hypotension occurs when the
client is lying in the supine position and the weight of
the gravid uterus places pressure on the vena cava,
decreasing venous blood flow to the heart.
D. An increase in cardiac output during pregnancy
results in cardiac hypertrophy.
NCLEX® Connection: Physiological Adaptation,
Alterations in Body Systems A nurse in a clinic receives a phone call from a
client who would like to be tested in the clinic
to confirm a pregnancy. Which of the following
information should the nurse provide to the client?
A. "You should wait until 4 weeks after
conception to be tested."
B. "You should be off any medications
for 24 hours prior to the test."
C. "You should be NPO for at least
8 hours prior to the test."
D. "You should collect urine from
the first morning void." Correct Answer - A. The production of hCG can be detected as early
as 7 to 8 days before expected menses.
B. Do not advise the client to stop taking
medications in preparation for pregnancy tests.
Review the client's medications to determine
whether they can affect the results.
C. Do not advise the client to remain NPO prior to pregnancy
testing. Blood tests are not affected by food or fluid intake.
D. CORRECT: Urine pregnancy tests should be
done on a first-voided morning specimen to
provide the most accurate results.
NCLEX® Connection: Reduction of Risk Potential,
Laboratory Values
that their last menstrual period was April 1st. Which of
the following is the client's estimated date of delivery?
A. January 8
B. January 15
C. February 8
D. February 15 Correct Answer - A. CORRECT: April 1st minus 3 months plus 7 days and 1 year
equals an estimated date of delivery of January 8.
B. This is incorrect using Nägele's rule.
C. This is incorrect using Nägele's rule.
D. This is incorrect using Nägele's rule.
NCLEX® Connection: Health Promotion and Maintenance,
Ante/Intra/Postpartum and Newborn Care
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? (Select all that apply.)
A. Client has delivered one newborn at term.
B. Client has experienced no preterm labor.
C. Client has been through active labor. D. Client has had two prior pregnancies.
E. Client has one living child. Correct Answer - A. CORRECT: T1 indicates the client has
delivered one newborn at term.
B. P0 indicates the client has had no preterm deliveries.
C. A1 indicates the client has had one miscarriage.
D. CORRECT: G3 indicates the client has had two prior
pregnancies and the client is currently pregnant.
E. CORRECT: L1 indicates the client has one living child.
NCLEX® Connection: Health Promotion and Maintenance,
Ante/Intra/Postpartum and Newborn Care
A nurse is reviewing the health record of a client who
is pregnant. The provider indicated the client exhibits
probable signs of pregnancy. Which of the following
findings should the nurse expect? (Select all that apply.)
A. Montgomery's glands
B. Goodell's sign
C. Ballottement
D. Chadwick's sign
E. Quickening Correct Answer - A. Montgomery's glands are a presumptive
sign of pregnancy.
B. CORRECT: Goodell's sign is a probable sign of pregnancy.
C. CORRECT: Ballottement is a probable sign of pregnancy.
D. CORRECT: Chadwick's sign is a probable sign of pregnancy.
E. Quickening is a presumptive sign of pregnancy. NCLEX® Connection: Health Promotion and Maintenance,
Ante/Intra/Postpartum and Newborn Care
A nurse in a prenatal clinic is caring for a client
who is pregnant and experiencing episodes
of maternal hypotension. The client asks the
nurse what causes these episodes. Which of the
following responses should the nurse make?
A. "This is due to an increase in blood volume."
B. "This is due to pressure from the
uterus on the diaphragm."
C. "This is due to the weight of the
uterus on the vena cava."
D. "This is due to increased cardiac output." Correct Answer - A. An increase in blood volume during pregnancy
results in cardiac hypertrophy.
B. Pressure from the gravid uterus on the diaphragm might
cause the client to experience shortness of breath.
C. CORRECT: Maternal hypotension occurs when the
client is lying in the supine position and the weight of
the gravid uterus places pressure on the vena cava,
decreasing venous blood flow to the heart.
D. An increase in cardiac output during pregnancy
results in cardiac hypertrophy.
NCLEX® Connection: Physiological Adaptation,
Alterations in Body Systems A nurse in a clinic receives a phone call from a
client who would like to be tested in the clinic
to confirm a pregnancy. Which of the following
information should the nurse provide to the client?
A. "You should wait until 4 weeks after
conception to be tested."
B. "You should be off any medications
for 24 hours prior to the test."
C. "You should be NPO for at least
8 hours prior to the test."
D. "You should collect urine from
the first morning void." Correct Answer - A. The production of hCG can be detected as early
as 7 to 8 days before expected menses.
B. Do not advise the client to stop taking
medications in preparation for pregnancy tests.
Review the client's medications to determine
whether they can affect the results.
C. Do not advise the client to remain NPO prior to pregnancy
testing. Blood tests are not affected by food or fluid intake.
D. CORRECT: Urine pregnancy tests should be
done on a first-voided morning specimen to
provide the most accurate results.
NCLEX® Connection: Reduction of Risk Potential,
Laboratory Values
