ATI MATERNITY ULTIMATE EXAM
============================================================
--- SECTION 1: ANTEPARTUM CARE & PRENATAL ASSESSMENT (Questions 1 - 25) ---
QUESTION 1
A nurse is calculating the estimated date of birth using Naegele's rule for a client
whose last menstrual cycle began on June 21. Which of the following is the estimated
date of delivery?
A) March 14
B) March 28
C) April 14
D) April 28
ANSWER: B
EXPLANATION: Naegele's rule: Subtract 3 months from the first day of the LMP and add
7 days. June 21 → subtract 3 months = March 21 → add 7 days = March 28.[reference:0]
------------------------------------------------------------
QUESTION 2
A nurse is teaching a client who is at 8 weeks of gestation about manifestations to
report to the provider during pregnancy. Which of the following information should the
nurse include?
A) Nausea upon awakening
B) Blurred or double vision
C) Increase in white vaginal discharge
,D) Leg cramps when sleeping
ANSWER: B
EXPLANATION: Blurred or double vision can indicate preeclampsia, a serious
complication of pregnancy. The nurse should instruct the client to report this
immediately. Nausea upon awakening is a common discomfort in the first trimester.
Increased white vaginal discharg e (leukorrhea) is normal during pregnancy. Leg
cramps are common in later pregnancy.[reference:1]
------------------------------------------------------------
QUESTION 3
A nurse is providing teaching for a client at 7 weeks of gestation who is experiencing
nausea and vomiting. Which of the following client statements indicates an
understanding of the teaching?
A) "I should have a small snack before bedtime."
B) "I should drink fluids with my meals."
C) "I should eat large meals three times a day."
D) "I should avoid eating crackers before getting out of bed."
ANSWER: A
EXPLANATION: Eating a small snack before bedtime can help prevent nausea by
keeping the stomach from being empty. Clients should drink fluids between meals, not
with meals, to reduce nausea. Small, frequent meals are recommended rather than
large meals.[reference:2]
------------------------------------------------------------
QUESTION 4
,A nurse is teaching a client who is at 12 weeks of gestation and has HIV. Which of the
following statements should the nurse include?
A) "You will be in isolation after delivery."
B) "Abstain from sexual intercourse throughout pregnancy."
C) "Breastfeed your newborn to provide passive immunity."
D) "You should continue to take zidovudine throughout the pregnancy."
ANSWER: D
EXPLANATION: Taking prescription antiviral medication daily decreases the risk of
transmission of HIV to the newborn. HIV can be transmitted through breastfeeding, so
breastfeeding is contraindicated. The client does not need to be isolated after delivery
nor abstain from sexual intercourse throughout pregnancy.[reference:3]
------------------------------------------------------------
QUESTION 5
A nurse in a women's health clinic is providing teaching about nutritional intake to a
client who is at 8 weeks of gestation. The nurse should instruct the client to increase
her daily intake of which of the following nutrients?
A) Calcium
B) Vitamin C
C) Folic acid
D) Iron
ANSWER: C
EXPLANATION: Folic acid is crucial during early pregnancy to prevent neural tube
defects. The recommended daily intake is 400 - 800 mcg. While calcium, vitamin C, and
iron are also important, folic acid is the priority in the first trimester.[reference:4]
, ------------------------------------------------------------
QUESTION 6
A nurse is reviewing a new prescription for an iron supplement with a client who is in
the 8th week of gestation and has iron deficiency anemia. Which beverage should the
nurse instruct the client to take the iron supplement with?
A) Milk
B) Orange juice
C) Tea
D) Coffee
ANSWER: B
EXPLANATION: Iron supplements should be taken with a source of vitamin C, such as
orange juice, to enhance absorption. Milk, tea, and coffee can decrease iron
absorption.[reference:5]
------------------------------------------------------------
QUESTION 7
A nurse is providing teaching to a client who now has mild preeclampsia and will be
caring for herself at home for the last two months of her pregnancy. Which of the
following statements by the client indicates understanding of the teaching?
A) "I will double check my urine for protein daily."
B) "I will consume 15 grams of protein daily."
C) "I will alternate my arms each time I take my blood pressure."
D) "I will count my baby's kicks every other day."
ANSWER: A
============================================================
--- SECTION 1: ANTEPARTUM CARE & PRENATAL ASSESSMENT (Questions 1 - 25) ---
QUESTION 1
A nurse is calculating the estimated date of birth using Naegele's rule for a client
whose last menstrual cycle began on June 21. Which of the following is the estimated
date of delivery?
A) March 14
B) March 28
C) April 14
D) April 28
ANSWER: B
EXPLANATION: Naegele's rule: Subtract 3 months from the first day of the LMP and add
7 days. June 21 → subtract 3 months = March 21 → add 7 days = March 28.[reference:0]
------------------------------------------------------------
QUESTION 2
A nurse is teaching a client who is at 8 weeks of gestation about manifestations to
report to the provider during pregnancy. Which of the following information should the
nurse include?
A) Nausea upon awakening
B) Blurred or double vision
C) Increase in white vaginal discharge
,D) Leg cramps when sleeping
ANSWER: B
EXPLANATION: Blurred or double vision can indicate preeclampsia, a serious
complication of pregnancy. The nurse should instruct the client to report this
immediately. Nausea upon awakening is a common discomfort in the first trimester.
Increased white vaginal discharg e (leukorrhea) is normal during pregnancy. Leg
cramps are common in later pregnancy.[reference:1]
------------------------------------------------------------
QUESTION 3
A nurse is providing teaching for a client at 7 weeks of gestation who is experiencing
nausea and vomiting. Which of the following client statements indicates an
understanding of the teaching?
A) "I should have a small snack before bedtime."
B) "I should drink fluids with my meals."
C) "I should eat large meals three times a day."
D) "I should avoid eating crackers before getting out of bed."
ANSWER: A
EXPLANATION: Eating a small snack before bedtime can help prevent nausea by
keeping the stomach from being empty. Clients should drink fluids between meals, not
with meals, to reduce nausea. Small, frequent meals are recommended rather than
large meals.[reference:2]
------------------------------------------------------------
QUESTION 4
,A nurse is teaching a client who is at 12 weeks of gestation and has HIV. Which of the
following statements should the nurse include?
A) "You will be in isolation after delivery."
B) "Abstain from sexual intercourse throughout pregnancy."
C) "Breastfeed your newborn to provide passive immunity."
D) "You should continue to take zidovudine throughout the pregnancy."
ANSWER: D
EXPLANATION: Taking prescription antiviral medication daily decreases the risk of
transmission of HIV to the newborn. HIV can be transmitted through breastfeeding, so
breastfeeding is contraindicated. The client does not need to be isolated after delivery
nor abstain from sexual intercourse throughout pregnancy.[reference:3]
------------------------------------------------------------
QUESTION 5
A nurse in a women's health clinic is providing teaching about nutritional intake to a
client who is at 8 weeks of gestation. The nurse should instruct the client to increase
her daily intake of which of the following nutrients?
A) Calcium
B) Vitamin C
C) Folic acid
D) Iron
ANSWER: C
EXPLANATION: Folic acid is crucial during early pregnancy to prevent neural tube
defects. The recommended daily intake is 400 - 800 mcg. While calcium, vitamin C, and
iron are also important, folic acid is the priority in the first trimester.[reference:4]
, ------------------------------------------------------------
QUESTION 6
A nurse is reviewing a new prescription for an iron supplement with a client who is in
the 8th week of gestation and has iron deficiency anemia. Which beverage should the
nurse instruct the client to take the iron supplement with?
A) Milk
B) Orange juice
C) Tea
D) Coffee
ANSWER: B
EXPLANATION: Iron supplements should be taken with a source of vitamin C, such as
orange juice, to enhance absorption. Milk, tea, and coffee can decrease iron
absorption.[reference:5]
------------------------------------------------------------
QUESTION 7
A nurse is providing teaching to a client who now has mild preeclampsia and will be
caring for herself at home for the last two months of her pregnancy. Which of the
following statements by the client indicates understanding of the teaching?
A) "I will double check my urine for protein daily."
B) "I will consume 15 grams of protein daily."
C) "I will alternate my arms each time I take my blood pressure."
D) "I will count my baby's kicks every other day."
ANSWER: A
