, ATI PN MATERNAL PROCTORED EXAMS QUESTIONS AND ANSWERS
A nurse in a health clinic is reinforcing teaching about contraceptive use with a group of clients. Which
of the following client statements demonstrates understanding?
A. "A water-soluble lubricant should be used with condoms."
B. "A diaphragm should be removed 2 hours after intercourse."
C. "Oral contraceptives can worsen a case of acne."
D. "A contraceptive patch is replaced once a month."
"A water-soluble lubricant should be used with condoms."
A nurse is instructing a client who is taking an oral contraceptive about manifestations to report to the
provider. Which of the following manifestations should the nurse include?
A. Reduced menstrual flow
B. Breast tenderness
C. Shortness of breath
D. Increased appetite
Shortness of breath
A nurse is reinforcing teaching with a client about potential adverse effects of implantable progestins.
Which of the following adverse effects should the nurse include? (select all that apply)
A. Tinnitus
B. Irregular vaginal bleeding
C. Weight gain
D. Nausea
E. Gingival hyperplasia
1. Irregular vaginal bleeding
2. Weight gain
3. Nausea
A nurse in an obstetrical clinic is reinforcing teaching with a client about using an IUD for
contraception. Which of the following statements by the client indicates an understanding of the
teaching?
A. "An IUD should be replaced annually during a pelvic exam."
B. "I cannot get an IUD until after I've had a child."
C. "I should plan on regaining fertility 5 months after the IUD is removed."
D. "I will check to be sure the strings of the IUD are still present after my periods."
"I will check to be sure the strings of the IUD are still present after my periods."
A nurse in a clinic is reinforcing teaching with a client about a new prescription for
medroxyprogesterone. Which of the following information should the nurse include in the teaching?
,(Select all that apply)
A. "Weigh fluctuations can occur."
B. "You are protected against STIs."
C. "You should increase your intake of calcium."
D. "You should avoid taking antibiotics."
E. "Irregular vaginal spotting can occur."
1. "Weigh fluctuations can occur."
2. "You should increase your intake of calcium."
3. "Irregular vaginal spotting can occur."
CHANGES DURING PREGNANCY
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
January 8
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
1. Client has delivered one newborn at term
2. Client has experienced no preterm labor
3. Client has had two prior pregnancies
4. Client has one living child
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
1. Goodell's sign
2. Ballottement
3. Chadwick's sign
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."
"This is due to the weight of the uterus on the vena cava."
A nurse in a clinic receives a phone call from a client who would like information about pregnancy
testing. Which of the following information should the nurse provide to the client?
A. "You should wait 4 weeks after conception to be tested for pregnancy."
B. "You should be off any medications for 24 hours prior to the pregnancy test."
C. "You should not eat or drink for at least 8 hors prior to the pregnancy test."
D. "You should use your first morning urination specimen for a home pregnancy test."
"You should use your first morning urination specimen for a home pregnancy test."
PRENATAL CARE
A nurse is providing information to a group of clients who are pregnant about measures to relieve
backache during pregnancy. Which of the following measures should the nurse include? (select all that
apply)
A. Avoid any lifting
B. Perform Kegel exercises twice a day
C. Perform the pelvic rock exercise every day
D. Use proper mechanics
E. Avoid constrictive clothing
1. Perform the pelvic rock exercise every day
2. Use proper mechanics
A nurse is reinforcing teaching with a client who is pregnant about manifestations of complications to
promptly report to the provider. Which of the following complications should the nurse reinforce to
the client?
A. Vaginal bleeding
A nurse in a health clinic is reinforcing teaching about contraceptive use with a group of clients. Which
of the following client statements demonstrates understanding?
A. "A water-soluble lubricant should be used with condoms."
B. "A diaphragm should be removed 2 hours after intercourse."
C. "Oral contraceptives can worsen a case of acne."
D. "A contraceptive patch is replaced once a month."
"A water-soluble lubricant should be used with condoms."
A nurse is instructing a client who is taking an oral contraceptive about manifestations to report to the
provider. Which of the following manifestations should the nurse include?
A. Reduced menstrual flow
B. Breast tenderness
C. Shortness of breath
D. Increased appetite
Shortness of breath
A nurse is reinforcing teaching with a client about potential adverse effects of implantable progestins.
Which of the following adverse effects should the nurse include? (select all that apply)
A. Tinnitus
B. Irregular vaginal bleeding
C. Weight gain
D. Nausea
E. Gingival hyperplasia
1. Irregular vaginal bleeding
2. Weight gain
3. Nausea
A nurse in an obstetrical clinic is reinforcing teaching with a client about using an IUD for
contraception. Which of the following statements by the client indicates an understanding of the
teaching?
A. "An IUD should be replaced annually during a pelvic exam."
B. "I cannot get an IUD until after I've had a child."
C. "I should plan on regaining fertility 5 months after the IUD is removed."
D. "I will check to be sure the strings of the IUD are still present after my periods."
"I will check to be sure the strings of the IUD are still present after my periods."
A nurse in a clinic is reinforcing teaching with a client about a new prescription for
medroxyprogesterone. Which of the following information should the nurse include in the teaching?
,(Select all that apply)
A. "Weigh fluctuations can occur."
B. "You are protected against STIs."
C. "You should increase your intake of calcium."
D. "You should avoid taking antibiotics."
E. "Irregular vaginal spotting can occur."
1. "Weigh fluctuations can occur."
2. "You should increase your intake of calcium."
3. "Irregular vaginal spotting can occur."
CHANGES DURING PREGNANCY
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
January 8
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
1. Client has delivered one newborn at term
2. Client has experienced no preterm labor
3. Client has had two prior pregnancies
4. Client has one living child
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
1. Goodell's sign
2. Ballottement
3. Chadwick's sign
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."
"This is due to the weight of the uterus on the vena cava."
A nurse in a clinic receives a phone call from a client who would like information about pregnancy
testing. Which of the following information should the nurse provide to the client?
A. "You should wait 4 weeks after conception to be tested for pregnancy."
B. "You should be off any medications for 24 hours prior to the pregnancy test."
C. "You should not eat or drink for at least 8 hors prior to the pregnancy test."
D. "You should use your first morning urination specimen for a home pregnancy test."
"You should use your first morning urination specimen for a home pregnancy test."
PRENATAL CARE
A nurse is providing information to a group of clients who are pregnant about measures to relieve
backache during pregnancy. Which of the following measures should the nurse include? (select all that
apply)
A. Avoid any lifting
B. Perform Kegel exercises twice a day
C. Perform the pelvic rock exercise every day
D. Use proper mechanics
E. Avoid constrictive clothing
1. Perform the pelvic rock exercise every day
2. Use proper mechanics
A nurse is reinforcing teaching with a client who is pregnant about manifestations of complications to
promptly report to the provider. Which of the following complications should the nurse reinforce to
the client?
A. Vaginal bleeding
