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ATI RN Integrated Nursing
Exam 2025, 1-180
Maternal Child nursing questions and
correct answers
1. The nurse anticipates that the health care provider will order
carboprost to treat which condition related to labor and delivery? a.
Ripening of the cervix b. Labor induction
c. Uterine atony
d. Postpartum infection
2. The nurse is performing an assessment on a client who is at 38 weeks'
gestation and notes that the fetal heart rate is 174 beats/minute. On the
basis of this finding, what is the priority nursing action? a. Document the
finding. b. Check the mother's heart rate.
c. Notify the health care provider (HCP).
d. Tell the client that the fetal heart rate is normal.
3. The health care provider (HCP) is assessing the client for the
presence of ballottement. To make this determination, the HCP should
take which action? a. Auscultate for fetal heart sounds.
b. Assess the cervix for compressibility.
,c. Palpate the abdomen for fetal movement.
d. Initiate a gentle upward tap on the cervix.
4. The nurse is collecting data during an admission assessment of a
client who is pregnant with twins. The client has a healthy 5-year-old
child who was delivered at 38 weeks and tells the nurse that she does
not have a history of any type of abortion or fetal demise. Using GTPAL,
what should the nurse document in the client's chart?
a. G = 3, T = 2, P = 0, A = 0, L = 1
b. G = 2, T = 1, P = 0, A = 0, L = 1
c. G = 1, T = 1, P = 1, A = 0, L = 1
d. G = 2, T = 0, P = 0, A = 0, L = 1
5. The nurse is providing instructions to a pregnant client who is
scheduled for an amniocentesis. What instruction should the nurse
provide? a. Strict bed rest is required after the procedure.
b. Hospitalization is necessary for 24 hours after the procedure.
c. An informed consent needs to be signed before the procedure.
d. A fever is expected after the procedure because of the trauma
to the abdomen.
6. The nurse has performed a nonstress test on a pregnant client and is
reviewing the fetal monitor strip. The nurse interprets the test as
reactive. How should the nurse document this finding? a. Normal b.
Abnormal
c. The need for further evaluation
d. That findings were difficult to interpret
,7. A pregnant client asks the nurse about the types of exercises that are
allowable during pregnancy. The nurse should tell that client that which
exercise is safest? a. Swimming b. Scuba diving
c. Low-impact gymnastics
d. Bicycling with the legs in the air
8. A pregnant client calls a clinic and tells the nurse that she is
experiencing leg cramps that awaken her at night. What should the
nurse tell the client to provide relief from the leg cramps?
a. "Bend your foot toward your body while flexing the knee when the
cramps occur."
b. "Bend your foot toward your body while extending the knee when
the cramps
occur."
c. "Point your foot away from your body while flexing the knee when
the cramps occur."
d. "Point your foot away from your body while extending the knee
when the cramps occur."
9. The nurse in a health care clinic is instructing a pregnant client how to
perform "kick counts." Which statement by the client indicates a need
for further instructions?
a. "I will record the number of movements or kicks."
b. "I need to lie flat on my back to perform the procedure."
c. "If I count fewer than 10 kicks in a 2-hour period I should count
the kicks again over the next 2 hours."
d. "I should place my hands on the largest part of my abdomen
and concentrate on the fetal movements to count the kicks."
, 10. The home care nurse visits a pregnant client who has a diagnosis of
mild preeclampsia. Which assessment finding indicates a worsening of
the preeclampsia and the need to notify the health care provider? a.
Urinary output has increased. b. Dependent edema has resolved.
c. Blood pressure reading is at the prenatal baseline.
d. The client complains of a headache and blurred vision.
11. The nurse implements a teaching plan for a pregnant client who is
newly diagnosed with gestational diabetes mellitus. Which statement
made by the client indicates a need for further teaching?
a. "I should stay on the diabetic diet."
"I should avoid exercise because of the negative effects on
insulin production."
b. "I should perform glucose monitoring at home." c.
d. "Ishould be aware of any infections and report signs of
infection immediately to my health care provider."
12. The home care nurse is monitoring a pregnant client with
gestational hypertension who is at risk for preeclampsia. At each
home care visit, the nurse assesses the client for which classic signs
of preeclampsia? Select all that apply. a.
Proteinuria
b. Hypertension
c. Low-grade fever
d. Generalized edema
e. Increased pulse rate
ATI RN Integrated Nursing
Exam 2025, 1-180
Maternal Child nursing questions and
correct answers
1. The nurse anticipates that the health care provider will order
carboprost to treat which condition related to labor and delivery? a.
Ripening of the cervix b. Labor induction
c. Uterine atony
d. Postpartum infection
2. The nurse is performing an assessment on a client who is at 38 weeks'
gestation and notes that the fetal heart rate is 174 beats/minute. On the
basis of this finding, what is the priority nursing action? a. Document the
finding. b. Check the mother's heart rate.
c. Notify the health care provider (HCP).
d. Tell the client that the fetal heart rate is normal.
3. The health care provider (HCP) is assessing the client for the
presence of ballottement. To make this determination, the HCP should
take which action? a. Auscultate for fetal heart sounds.
b. Assess the cervix for compressibility.
,c. Palpate the abdomen for fetal movement.
d. Initiate a gentle upward tap on the cervix.
4. The nurse is collecting data during an admission assessment of a
client who is pregnant with twins. The client has a healthy 5-year-old
child who was delivered at 38 weeks and tells the nurse that she does
not have a history of any type of abortion or fetal demise. Using GTPAL,
what should the nurse document in the client's chart?
a. G = 3, T = 2, P = 0, A = 0, L = 1
b. G = 2, T = 1, P = 0, A = 0, L = 1
c. G = 1, T = 1, P = 1, A = 0, L = 1
d. G = 2, T = 0, P = 0, A = 0, L = 1
5. The nurse is providing instructions to a pregnant client who is
scheduled for an amniocentesis. What instruction should the nurse
provide? a. Strict bed rest is required after the procedure.
b. Hospitalization is necessary for 24 hours after the procedure.
c. An informed consent needs to be signed before the procedure.
d. A fever is expected after the procedure because of the trauma
to the abdomen.
6. The nurse has performed a nonstress test on a pregnant client and is
reviewing the fetal monitor strip. The nurse interprets the test as
reactive. How should the nurse document this finding? a. Normal b.
Abnormal
c. The need for further evaluation
d. That findings were difficult to interpret
,7. A pregnant client asks the nurse about the types of exercises that are
allowable during pregnancy. The nurse should tell that client that which
exercise is safest? a. Swimming b. Scuba diving
c. Low-impact gymnastics
d. Bicycling with the legs in the air
8. A pregnant client calls a clinic and tells the nurse that she is
experiencing leg cramps that awaken her at night. What should the
nurse tell the client to provide relief from the leg cramps?
a. "Bend your foot toward your body while flexing the knee when the
cramps occur."
b. "Bend your foot toward your body while extending the knee when
the cramps
occur."
c. "Point your foot away from your body while flexing the knee when
the cramps occur."
d. "Point your foot away from your body while extending the knee
when the cramps occur."
9. The nurse in a health care clinic is instructing a pregnant client how to
perform "kick counts." Which statement by the client indicates a need
for further instructions?
a. "I will record the number of movements or kicks."
b. "I need to lie flat on my back to perform the procedure."
c. "If I count fewer than 10 kicks in a 2-hour period I should count
the kicks again over the next 2 hours."
d. "I should place my hands on the largest part of my abdomen
and concentrate on the fetal movements to count the kicks."
, 10. The home care nurse visits a pregnant client who has a diagnosis of
mild preeclampsia. Which assessment finding indicates a worsening of
the preeclampsia and the need to notify the health care provider? a.
Urinary output has increased. b. Dependent edema has resolved.
c. Blood pressure reading is at the prenatal baseline.
d. The client complains of a headache and blurred vision.
11. The nurse implements a teaching plan for a pregnant client who is
newly diagnosed with gestational diabetes mellitus. Which statement
made by the client indicates a need for further teaching?
a. "I should stay on the diabetic diet."
"I should avoid exercise because of the negative effects on
insulin production."
b. "I should perform glucose monitoring at home." c.
d. "Ishould be aware of any infections and report signs of
infection immediately to my health care provider."
12. The home care nurse is monitoring a pregnant client with
gestational hypertension who is at risk for preeclampsia. At each
home care visit, the nurse assesses the client for which classic signs
of preeclampsia? Select all that apply. a.
Proteinuria
b. Hypertension
c. Low-grade fever
d. Generalized edema
e. Increased pulse rate
