ATI MATERNAL 2019 PRACTICE A &B EXAM QUESTIONS AND ANSWERS WITH
NGN ALREADY GRADED A+
A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia.
Which of the following findings should the nurse expect? - answer-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 of gestation and is HIV positive. Which of the following
actions should the nurse take? - answer-Report the client's condition to the local health department
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? -
answer-Depression
MY ANSWER
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 of gestation and has a new prescription for
misoprostol. Which of the following instructions should the nurse include in the teaching? - answer-"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 client who has parvovirus B19 (fifth disease). Which of the following
actions should the nurse take? - answer-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. There is currently no vaccine against fifth disease.
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 for the newborn -
answerPlace the newborn skin to skin on the mothers 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 exam 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? - answer-Insert two gloved fingers into the vagina and apply upward pressure to the presenting
part.
MY ANSWER
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. The nurse should wrap the visible cord with a loose sterile towel saturated
with warm 0.9% sodium chloride solution. The nurse should apply oxygen to the client at 8 to 10 L/min
via nonbreather mask. The nurse should place the client into a modified Sims position, knee-chest
position, or extreme Trendelenburg to attempt to relieve the compression of the umbilical cord.
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption.
Which of the following laboratory tests should the nurse expect the provider to prescribe? -
answerKleihauer-Betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who has suspected
placental abruption to determine if fetal blood is in maternal circulation. This test is useful to determine
if Rho-(D) immune globulin therapy should be administered to a client who is Rh-negative.
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the
following complications should the nurse assess? - answer-Abruptio placenta
MY ANSWER
Cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should
the nurse expect? - answer-Blurred Vision
A nurse is providing education about family bonding to parents who recently adopted a newborn. The
nurse should make which of the following suggestions to aid the family's 7-year-old in accepting the new
family memeber? - answer-Obtain an gift from the newborn to present to the sibling
A nurse is assessing a client who is receiving morphine via IV bolus for pain following a C-section. The
nurse notes a respiratory rate of 8/min. Which of the following medications should be administered? -
answer-Naloxone
, A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of
the following statements by the client indicates an understanding of the teaching? - answer-"I should
take 600 micrograms of folic acid each day."
MY ANSWER
A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic acid assists with
preventing neural tube birth defects. A client who is pregnant should increase protein intake to 71 g
each day during the second and third trimesters.
A client who is pregnant should consume 3 L of water each day.
A client who is pregnant should increase caloric intake by 340 cal during the second trimester and by 452
cal during the third trimester.
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse
report to the provider? - answer-Jaundice
MY ANSWER
Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility, hemolysis, or
Rhisoimmunization. The nurse should report this manifestation to the provider.
A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which of the
following actions by the parent should the nurse recognize as a positive parenting behavior? -
answerLays the newborn across her lap and gently sways
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn
screening. Which of the following statements should the nurse include in the teaching? - answer"Ensure
that the newborn has been receiving feeding for 24 hours prior to obtaining the specimen"
A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which
of the following actions is the nurse priority? - answer-Massage the client's fundus
A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the
following manifestations should the nurse expect? Yellow sclera
Acrocyanosis
Posterior fontanel larger than the anterior fontanel
NGN ALREADY GRADED A+
A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia.
Which of the following findings should the nurse expect? - answer-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 of gestation and is HIV positive. Which of the following
actions should the nurse take? - answer-Report the client's condition to the local health department
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? -
answer-Depression
MY ANSWER
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 of gestation and has a new prescription for
misoprostol. Which of the following instructions should the nurse include in the teaching? - answer-"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 client who has parvovirus B19 (fifth disease). Which of the following
actions should the nurse take? - answer-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. There is currently no vaccine against fifth disease.
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 for the newborn -
answerPlace the newborn skin to skin on the mothers 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 exam 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? - answer-Insert two gloved fingers into the vagina and apply upward pressure to the presenting
part.
MY ANSWER
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. The nurse should wrap the visible cord with a loose sterile towel saturated
with warm 0.9% sodium chloride solution. The nurse should apply oxygen to the client at 8 to 10 L/min
via nonbreather mask. The nurse should place the client into a modified Sims position, knee-chest
position, or extreme Trendelenburg to attempt to relieve the compression of the umbilical cord.
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption.
Which of the following laboratory tests should the nurse expect the provider to prescribe? -
answerKleihauer-Betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who has suspected
placental abruption to determine if fetal blood is in maternal circulation. This test is useful to determine
if Rho-(D) immune globulin therapy should be administered to a client who is Rh-negative.
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the
following complications should the nurse assess? - answer-Abruptio placenta
MY ANSWER
Cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should
the nurse expect? - answer-Blurred Vision
A nurse is providing education about family bonding to parents who recently adopted a newborn. The
nurse should make which of the following suggestions to aid the family's 7-year-old in accepting the new
family memeber? - answer-Obtain an gift from the newborn to present to the sibling
A nurse is assessing a client who is receiving morphine via IV bolus for pain following a C-section. The
nurse notes a respiratory rate of 8/min. Which of the following medications should be administered? -
answer-Naloxone
, A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of
the following statements by the client indicates an understanding of the teaching? - answer-"I should
take 600 micrograms of folic acid each day."
MY ANSWER
A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic acid assists with
preventing neural tube birth defects. A client who is pregnant should increase protein intake to 71 g
each day during the second and third trimesters.
A client who is pregnant should consume 3 L of water each day.
A client who is pregnant should increase caloric intake by 340 cal during the second trimester and by 452
cal during the third trimester.
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse
report to the provider? - answer-Jaundice
MY ANSWER
Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility, hemolysis, or
Rhisoimmunization. The nurse should report this manifestation to the provider.
A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which of the
following actions by the parent should the nurse recognize as a positive parenting behavior? -
answerLays the newborn across her lap and gently sways
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn
screening. Which of the following statements should the nurse include in the teaching? - answer"Ensure
that the newborn has been receiving feeding for 24 hours prior to obtaining the specimen"
A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which
of the following actions is the nurse priority? - answer-Massage the client's fundus
A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the
following manifestations should the nurse expect? Yellow sclera
Acrocyanosis
Posterior fontanel larger than the anterior fontanel
