ATI RN MATERNAL NEWBORN
PRACTICE / MATERNAL NEWBORN
ATI Questions and Answers
Naegele's Test
Ans: Menstrual period date minus 3 months, plus 7 days and 1 year
GTPAL
Ans: G - Gravida
T - Term
P - preterm
A - Abortion
L - Living Children
Probable signs of pregnancy - changes that make the examiner
suspect a woman is pregnant (related to physical changes of the
uterus).
Ans: Goodell's sign, ballottement, Chadwick's sign, Hegar's sign,
Abdominal enlargement related to changes in uterine size, shape, &
position, fetal outline felt by examiner, Braxton Hicks contractions,
Positive pregnancy test
Hegar's sign
Ans: Softening and compressibility of the lower uterus
Chadwick's sign
Ans: Deepened violet-bluish color of vaginal mucosa secondary to
increased vascularity of the area.
Goodell's sign
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Ans: Softening of cervical tip
Ballottement
Ans: Rebound of unengaged fetus
Braxton Hicks
Ans: Painless, irregular contractions that are usually relieved with
walking
Quickening
Ans: Slight fluttering movements of fetus felt by a woman
Chloasma
Ans: Mask of pregnancy (pigmentation increases on the face)
Linea nigra
Ans: Dark line of pigmentation from the umbilicus to the pubic area.
Striae gravidarum
Ans: Stretch marks most often found on the abdomen and thighs
A RN is teaching a group of women who are pregnant about
measures to relieve backache during pregnancy. The nurse should
teach the women...
Ans: Perform the pelvic rock exercise every day.
Use good body mechanics.
A RN is teaching a group of clients who are pregnant about
behaviors to avoid during pregnancy. The client needs further
instruction when
Ans: the client states "I can have a drink of wine with dinner."
No alcohol should be consumed during pregnancy.
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A client who is at 8 weeks of gestation tells the RN that she isn't
sure she is happy about being pregnant. The RN should respond to
the client by
Ans: stating, "It is normal to have feelings during the first few months of
pregnancy."
Ambivalence during the first trimester is a normal response. The client
usually overcomes ambivalence before the second trimester.
A client who is pregnant should promptly report which of the
following symptoms to the primary care provider?
Ans: Vaginal bleeding
*Vaginal bleeding during pregnancy is always a dangerous sign and the
client should notify her primary care provider.
A client who is at 7 weeks of gestation is experiencing N/V in the
morning. The nurse in the prenatal clinic provides teaching that
should include:
Ans: Eat crackers or plain toast before getting out of bed.
Nausea and vomiting may occur during the first trimester. The client
should eat crackers or dry toast ½ to 1 hr before rising in the morning to
relieve discomfort.
RN working in a prenatal clinic is providing education to a client
who is pregnant. The client states that she hates milk. A good
source of calcium
Ans: Dark green, leafy vegetables
*Calcium is very important to a developing fetus. It is involved in bone
and teeth formation.
Good sources of calcium include calcium-fortified orange juice, nuts,
legumes, and low oxalate, dark green, leafy vegetables.
Which of the following clients should the nurse be concerned
about regarding weight gain? A client who has gained
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Ans: A client who has gained 3.6 kg (8 lb) in her first trimester has
gained too much weight.
Recommended weight gain during pregnancy is usually 11.2 to 15.9 kg
(25 to 35 lb).
A prenatal nurse recommends folic acid supplements to a client
who is 18. Which of the following defects can occur in the fetus or
neonate as a result of folic acid deficiency?
Ans: Folic acid supplements are recommended to prevent neural tube
defects in the fetus. It is recommended that all women of childbearing
age take this supplement. Fresh green, leafy vegetables, liver, peanuts,
cereals, and wholegrain breads.
A pregnant client is diagnosed with iron deficiency anemia and
has been prescribed iron supplements. The rn should advise the
client to
Ans: Take the iron supplements with orange juice because Orange juice
contains vitamin C, which aids in the absorption of iron.
A nurse is evaluating a client's biophysical profile (BPP). Which of
the following are variables should be included in this test?
Ans: BPP assesses the fetal well-being by measuring, fetal breathing,
tone, reactive FHR, amniotic fluid volume, and gross body movements
with a score of 2 for each normal finding, and 0 for each abnormal
finding for each variable.
Which of the following is a test for fetal lung maturity?
Ans: An L/S ratio of 2:1 indicates fetal lung maturity (2.5:1 or 3:1 for a
client who has diabetes mellitus).
A client who is undergoing a nonstress test asks a RN to explain
why use an acoustic vibration device. The RN states that the device
is used to:
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