ATI RN Maternal Newborn
2023-2024 With NGN
(Proctored) Exam 70
Questions And Correct
Answers
Naegele's Test - ANSWER-Menstrual period date minus 3 months, plus 7 days and 1
year
GTPAL - ANSWER-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). - ANSWER-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 - ANSWER-Softening and compressibility of the lower uterus
Chadwick's sign - ANSWER-Deepened violet-bluish color of vaginal mucosa secondary
to increased vascularity of the area.
Goodell's sign - ANSWER-Softening of cervical tip
Ballottement - ANSWER-Rebound of unengaged fetus
,Braxton Hicks - ANSWER-Painless, irregular contractions that are usually relieved with
walking
Quickening - ANSWER-Slight fluttering movements of fetus felt by a woman
Chloasma - ANSWER-Mask of pregnancy (pigmentation increases on the face)
Linea nigra - ANSWER-Dark line of pigmentation from the umbilicus to the pubic area.
Striae gravidarum - ANSWER-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... - ANSWER-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 - ANSWER-the client states "I can
have a drink of wine with dinner."
No alcohol should be consumed during pregnancy.
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 - ANSWER-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? - ANSWER-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: - ANSWER-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 - ANSWER-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 - ANSWER-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? -
ANSWER-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 - ANSWER-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? - ANSWER-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? - ANSWER-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: - ANSWER-Awaken the
sleeping fetus.
*If there is no fetal movement (fetus sleeping), vibroacoustic stimulation (sound source,
usually a laryngeal stimulator) is activated for 3 seconds on the maternal abdomen over
the fetal head to awaken a sleeping fetus
A nurse determines that a client who is pregnant needs further instructions about an
amniocentesis when the client states, - ANSWER-"I need to have a full bladder for the
procedure to be done."
*An amniocentesis requires an empty bladder to prevent an inadvertent puncture from
occurring.
Which findings from a client who is pregnant should indicate to a nurse that the client
should undergo a contraction stress test (CST)? - ANSWER-Decreased fetal
movement, Intrauterine growth restriction (IUGR), Postmaturity, Advanced maternal
age, are all findings that require interventions. Assessing fetal well-being by performing
a CST would be indicated.
2023-2024 With NGN
(Proctored) Exam 70
Questions And Correct
Answers
Naegele's Test - ANSWER-Menstrual period date minus 3 months, plus 7 days and 1
year
GTPAL - ANSWER-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). - ANSWER-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 - ANSWER-Softening and compressibility of the lower uterus
Chadwick's sign - ANSWER-Deepened violet-bluish color of vaginal mucosa secondary
to increased vascularity of the area.
Goodell's sign - ANSWER-Softening of cervical tip
Ballottement - ANSWER-Rebound of unengaged fetus
,Braxton Hicks - ANSWER-Painless, irregular contractions that are usually relieved with
walking
Quickening - ANSWER-Slight fluttering movements of fetus felt by a woman
Chloasma - ANSWER-Mask of pregnancy (pigmentation increases on the face)
Linea nigra - ANSWER-Dark line of pigmentation from the umbilicus to the pubic area.
Striae gravidarum - ANSWER-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... - ANSWER-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 - ANSWER-the client states "I can
have a drink of wine with dinner."
No alcohol should be consumed during pregnancy.
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 - ANSWER-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? - ANSWER-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: - ANSWER-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 - ANSWER-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 - ANSWER-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? -
ANSWER-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 - ANSWER-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? - ANSWER-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? - ANSWER-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: - ANSWER-Awaken the
sleeping fetus.
*If there is no fetal movement (fetus sleeping), vibroacoustic stimulation (sound source,
usually a laryngeal stimulator) is activated for 3 seconds on the maternal abdomen over
the fetal head to awaken a sleeping fetus
A nurse determines that a client who is pregnant needs further instructions about an
amniocentesis when the client states, - ANSWER-"I need to have a full bladder for the
procedure to be done."
*An amniocentesis requires an empty bladder to prevent an inadvertent puncture from
occurring.
Which findings from a client who is pregnant should indicate to a nurse that the client
should undergo a contraction stress test (CST)? - ANSWER-Decreased fetal
movement, Intrauterine growth restriction (IUGR), Postmaturity, Advanced maternal
age, are all findings that require interventions. Assessing fetal well-being by performing
a CST would be indicated.
