1. A nurse is providing care to a client who is in labor. A Continue to monitor the
fetal heart tracing shows early decelerations. Which of fetal heart tracing.
the following actions should the nurse take?
2. A nurse is assessing a client who is 14 hours postpar- Assist the client to empty
tum and has a third-degree her new laceration. The her bladders
clients temperature is 37.8°C (100°F), and her fundus
is firm and slightly deviated to the right. The client
reports a gush of blood when she ambulate's and no
bowel movement since delivery. Which of the follow-
ing actions should the nurse take?
3. A nurse on the antepartum unit is caring for a client Lateral
who is at 28 weeks gestation and reports dizziness
when lying on her back. Into which of the following
positions should the nurse assess the client?
4. A nurse is providing teaching for a client at seven I should have a small
weeks of gestation who is experiencing nausea and snack before bedtime
vomiting. Which of the following client statements in-
dicates to the nurse and understanding of the teach-
ing?
5. A nurse is assessing a client who is at 36 weeks of ges- Double vision
tation which of the following manifestations should
the nurse recognize as a potential prenatal complica-
tion and report to the provider?
6. A nurse is assessing a client who is at 34 weeks gesta- The client reports a fre-
tion and has a cardiac disorder the nurse should notify quent cough
the provider about which of the following assessment
findings?
, ATI Maternal Proctored Final Exam Study Guide.
7. A nurse is caring for a client who is in labor the client Change the clients posi-
speaks a different language than the nurse and he's tion
been missing. Which of the following actions should
the nurse take while waiting for an interpreter?
8. A nurse is providing teaching for a client who is preg- You should expect to
nant and has type one diabetes mellitus. Which of the decrease your insulin
following statements should the nurse include in the dosage immediately after
teaching? you deliver your baby
9. A nurse is caring for a client in labor and observes Document the findings
a pattern of early decelerations on the fetal monitor. and continue to monitor
Which of the following actions should the nurse take?
10. A nurse is preparing to administer naloxone to a new- IV narcotics administered
born. Which of the following conditions can require to the mother during labor
administration of this medication?
11. A nurse is caring for a client labor who has an epidural Hypotension
for pain relief. Which of the following is a complication
of the epidural block?
12. A nurse at a prenatal clinic is teaching a client how Before bedtime is a good
to perform a kick count. Which of the following state- time to start counting the
ments should the nurse include in the teaching? kicks
13. A nurse is teaching a group of clients who are preg- Intracranial hemorrhage
nant about vitamin K for newborns. Vitamin K helps
prevent which of the following conditions in a new-
born?
, ATI Maternal Proctored Final Exam Study Guide.
14. Exaggerated reflexes
, ATI Maternal Proctored Final Exam Study Guide.
A nurse is caring for a newborn who has neonatal
abstinence syndrome which of the following Clinical
findings should the nurse expect?
15. A nurse is creating a plan of care for a client who is in Assist the client into a
the active stage of labor and expresses a desire to use warm shower
nonpharmacological methods of pain relief. Which of
the following intervention should the nurse include?
16. A nurse is providing teaching to a client who has come Your risk for ectopic preg-
to the family planning clinic requesting an intrauter- nancy increases with an
ine device IUD. Which of the following pieces of infor- IUD
mation should the nurse provide to the client?
17. A nurse is teaching a client who is pregnant and Carbohydrates should
has pre-gestational diabetes about dietary changes. make up 55% of your diet
Which of the following statements should the nurse
include in the teaching?
18. A provider does a client at 12 weeks gestation who Let's discuss other foods
practices Hinduism that she needs more protein in her that are also high in pro-
diet and suggest eating more meat after the provider tein that you can substi-
leaves the examination room the client tells the nurse tute for meat
that eating animal products will cause her to miscarry.
Which of the following responses should the nurse
make?
19. A nurse is caring for a client who is in labor. A vaginal Vertex
examination reveals the following findings: 2 cm, 50%,
+1, right occiput anterior (ROA). Based on this infor-
mation, which of the following fetal position should
the nurse document in the medical record?