Maternal Newborn ATI Chapters 1-9
\- - ANS--
\A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning.
Which of the following information should the nurse include?
1. eat crackers or plain toast before getting out of bed
2. awaken during the night to eat a snack
3. skip breakfast and eat lunch after nausea has subsided
4. eat a large evening meal - ANS-1
\A client who is at 8 weeks gestation tells the nurse "I am not sure I am happy about being
pregnant." Which of the following responses should the nurse make?
1. I will inform the provider that you are having these feelings
2. it is normal to have these feelings during the first few months of pregnancy
3. you should be happy that you are going to bring new life into the world
4. I am going to make an appointment with the counselor for you to discuss these thoughts -
ANS-2
\A nurse at an antepartum clinic is caring for a client who is at 4 months gestation. The client
reports continued nausea; vomiting; and scant, prune-colored discharge. The client has
experienced no weight loss and has a fundal height larger than expected. Which of the following
complications should the nurse suspect?
1. hyperemesis gravidarum
2. threatened abortion
3. hydatidiform mole
4. preterm labor - ANS-3
\A nurse in a clinic is caring for a client who is postoperative following a salpingectomy due to an
ectopic pregnancy. Which of the following statements by the client requires clarification?
1. it is good to know that I won't have a tubal pregnancy in the future
2. the doctor said that this surgery can affect my ability to get pregnant again
3. I understand that one of my fallopian tubes had to be removed
4. ovulation can still occur because my ovaries were not affected - ANS-1
\A nurse in a clinic is caring for a group of female clients who are being evaluated for infertility.
Which of the following clients should the nurse anticipate the provider will refer to a genetic
counselor?
1. a client whose sister has alopecia
2. a client whose partner has von Willebrand disease
3. a client who has an allergy to sulfa
4. a client who had rubella 3 months ago - ANS-2
, \A nurse in a clinic is teaching a client about a new prescription for medroxyprogesterone.
Which of the following information should the nurse include in the teaching? SATA
1. weight fluctuations can occur
2. you are protected against STIs
3. you should increase your intake of calcium
4. you should avoid taking antibiotics
5. irregular vaginal spotting can occur - ANS-1, 3, 5
\A nurse in a clinic is teaching a client of childbearing age about recommended folic acid
supplements. Which of the following defects can occur in the fetus or neonate as a result of folic
acid deficiency?
1. iron deficiency anemia
2. poor bone formation
3. macrosomic fetus
4. neural tube defects - ANS-4
\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?
1. you should wait until 4 weeks after conception to be tested
2. you should be off any medications for 24 hours prior to the test
3. you should be NPO for at least 8 hours prior to the test
4. you should collect urine from the first morning void - ANS-4
\A nurse in a health clinic is reviewing contraceptive use with a group of clients. Which of the
following client statements demonstrates understanding?
1. a water-soluble lubricant should be used with condoms
2. a diaphragm should be removed 2 hours after intercourse
3. oral contraceptives can worsen a case of acne
4. a contraceptive patch is replaces once a month - ANS-1
\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
1. client has delivered one newborn at term
2. client has experienced no preterm labor
3. client has been through active labor
4. client has had two prior pregnancies
5. client has one living child - ANS-1, 4, 5
\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?
1. this is due to an increase in blood volume
\- - ANS--
\A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning.
Which of the following information should the nurse include?
1. eat crackers or plain toast before getting out of bed
2. awaken during the night to eat a snack
3. skip breakfast and eat lunch after nausea has subsided
4. eat a large evening meal - ANS-1
\A client who is at 8 weeks gestation tells the nurse "I am not sure I am happy about being
pregnant." Which of the following responses should the nurse make?
1. I will inform the provider that you are having these feelings
2. it is normal to have these feelings during the first few months of pregnancy
3. you should be happy that you are going to bring new life into the world
4. I am going to make an appointment with the counselor for you to discuss these thoughts -
ANS-2
\A nurse at an antepartum clinic is caring for a client who is at 4 months gestation. The client
reports continued nausea; vomiting; and scant, prune-colored discharge. The client has
experienced no weight loss and has a fundal height larger than expected. Which of the following
complications should the nurse suspect?
1. hyperemesis gravidarum
2. threatened abortion
3. hydatidiform mole
4. preterm labor - ANS-3
\A nurse in a clinic is caring for a client who is postoperative following a salpingectomy due to an
ectopic pregnancy. Which of the following statements by the client requires clarification?
1. it is good to know that I won't have a tubal pregnancy in the future
2. the doctor said that this surgery can affect my ability to get pregnant again
3. I understand that one of my fallopian tubes had to be removed
4. ovulation can still occur because my ovaries were not affected - ANS-1
\A nurse in a clinic is caring for a group of female clients who are being evaluated for infertility.
Which of the following clients should the nurse anticipate the provider will refer to a genetic
counselor?
1. a client whose sister has alopecia
2. a client whose partner has von Willebrand disease
3. a client who has an allergy to sulfa
4. a client who had rubella 3 months ago - ANS-2
, \A nurse in a clinic is teaching a client about a new prescription for medroxyprogesterone.
Which of the following information should the nurse include in the teaching? SATA
1. weight fluctuations can occur
2. you are protected against STIs
3. you should increase your intake of calcium
4. you should avoid taking antibiotics
5. irregular vaginal spotting can occur - ANS-1, 3, 5
\A nurse in a clinic is teaching a client of childbearing age about recommended folic acid
supplements. Which of the following defects can occur in the fetus or neonate as a result of folic
acid deficiency?
1. iron deficiency anemia
2. poor bone formation
3. macrosomic fetus
4. neural tube defects - ANS-4
\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?
1. you should wait until 4 weeks after conception to be tested
2. you should be off any medications for 24 hours prior to the test
3. you should be NPO for at least 8 hours prior to the test
4. you should collect urine from the first morning void - ANS-4
\A nurse in a health clinic is reviewing contraceptive use with a group of clients. Which of the
following client statements demonstrates understanding?
1. a water-soluble lubricant should be used with condoms
2. a diaphragm should be removed 2 hours after intercourse
3. oral contraceptives can worsen a case of acne
4. a contraceptive patch is replaces once a month - ANS-1
\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
1. client has delivered one newborn at term
2. client has experienced no preterm labor
3. client has been through active labor
4. client has had two prior pregnancies
5. client has one living child - ANS-1, 4, 5
\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?
1. this is due to an increase in blood volume
