Maternal Newborn ATI Proctored Exams
With Verified Questions And Answers
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to
perform Leopoid maneuvers. Which of the following images indicates the first step of
Leopoid maneuvers?
- ANSWER-Picture of nurse palpating top of belly; where bottom is
A nurse administers betamethasone to a client who is at 33 weeks gestation to stimulate
fetal lung maturity. Which planning care for the newborn, which of the following
conditions should the nurse identify as an adverse effect of this medication?
Hyperthermia
Increased blood glucose
Rapid pulse rate
Irritability
- ANSWER-Decreased blood glucose
Betamethasone causes hyperglycemia in the client, which predisposes the newborn to
hypoglycemia in the first hours after delivery. It is important to assess the newborn's
blood glucose level within the first hour following birth and frequently thereafter until
blood glucose levels are stable.
,A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and
asks the nurse how the provider will confirm her pregnancy. The nurse should inform
the client that what lab test will be used to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone
- ANSWER-a. urine test for presence of HCG
A nurse in a family planning clinic is caring for a client who requests an oral
contraceptive. Which of the following findings in the client's hx should the nurse
recognize as a contraindication to oral contraceptives? (SATA)
A. Cholecystitis
B. Hypertension
C. HPV
D. Migraine headaches
E. Anxiety
- ANSWER-A,B,D
Cholecystitis is correct.
A history of gallbladder disease is a contraindication for the use of oral contraceptives.
Hypertension is correct.
Hypertension is a contraindication for the use of oral contraceptives.
Human papillomavirus is incorrect.
The presence of human papillomavirus is not a contraindication for the use of oral
contraceptives.
,Migraine headaches is correct. A history of migraine headaches is a contraindication for
the use of oral contraceptives.
Anxiety disorder is incorrect. The presence of an anxiety disorder is not a
contraindication for the use of oral contraceptives.
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients
should the nurse see first?
- ANSWER-A client who is at 11 weeks of gestation and reports abdominal cramping
A nurse in a prenatal clinic is caring for a client who is within the recommended
guidelines for weight. The client asks the nurse how much weight is safe for her to gain
during her pregnancy. Which of the following responses should the nurse make?
"Your provider can discuss an appropriate amount of weight gain with you."
"A weight gain of about 14 pounds each trimester is suggested."
"If you eat nutritious foods when you feel hungry, the amount of weight gain is
insignificant."
"A weight gain of about 25 to 35 pounds is good."
- ANSWER-A weight gain of about 25-35 pounds is good
A weight gain of 25 to 35 lb is associated with good fetal outcome. A gain of 4 lb in the
first trimester and 12 lb each for the second and third trimester is recommended.
A nurse in a prenatal clinic is caring for a client who reports that her menstrual period
is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which
of the following responses should the nurse make?
, A. "You can miss your period for several other reasons. Describe your typical menstrual
cycle."
B. "If you have been sexually active and haven't used protection, it is likely that you are
pregnant."
C. "Let's check to see if you have any other signs of pregnancy. Have you noticed any
abdominal enlargement yet?"
D. "Because you have missed your period, you should try taking a home pregnancy test
before you start worrying."
- ANSWER-Answer: "You can miss your period for several other reasons. Describe your
typical menstrual cycle."
A. "You can miss your period for several other reasons. Describe your typical menstrual
cycle."
Amenorrhea is a presumptive sign of pregnancy, not a positive sign. Therefore, the
nurse should explore the client's menstrual cycle to determine other necessary
interventions.
B. "If you have been sexually active and haven't used protection, it is likely that you are
pregnant."
The nurse's response is assuming and confirming that the client is pregnant based only
on the client's statement, which can increase the client's anxiety level.
C. "Let's check to see if you have any other signs of pregnancy. Have you noticed any
abdominal enlargement yet?"
The nurse's response is making a false assumption that the client is pregnant based only
on the client's statement. The nurse should gather more information from the client
before making any false assumptions.
With Verified Questions And Answers
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to
perform Leopoid maneuvers. Which of the following images indicates the first step of
Leopoid maneuvers?
- ANSWER-Picture of nurse palpating top of belly; where bottom is
A nurse administers betamethasone to a client who is at 33 weeks gestation to stimulate
fetal lung maturity. Which planning care for the newborn, which of the following
conditions should the nurse identify as an adverse effect of this medication?
Hyperthermia
Increased blood glucose
Rapid pulse rate
Irritability
- ANSWER-Decreased blood glucose
Betamethasone causes hyperglycemia in the client, which predisposes the newborn to
hypoglycemia in the first hours after delivery. It is important to assess the newborn's
blood glucose level within the first hour following birth and frequently thereafter until
blood glucose levels are stable.
,A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and
asks the nurse how the provider will confirm her pregnancy. The nurse should inform
the client that what lab test will be used to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone
- ANSWER-a. urine test for presence of HCG
A nurse in a family planning clinic is caring for a client who requests an oral
contraceptive. Which of the following findings in the client's hx should the nurse
recognize as a contraindication to oral contraceptives? (SATA)
A. Cholecystitis
B. Hypertension
C. HPV
D. Migraine headaches
E. Anxiety
- ANSWER-A,B,D
Cholecystitis is correct.
A history of gallbladder disease is a contraindication for the use of oral contraceptives.
Hypertension is correct.
Hypertension is a contraindication for the use of oral contraceptives.
Human papillomavirus is incorrect.
The presence of human papillomavirus is not a contraindication for the use of oral
contraceptives.
,Migraine headaches is correct. A history of migraine headaches is a contraindication for
the use of oral contraceptives.
Anxiety disorder is incorrect. The presence of an anxiety disorder is not a
contraindication for the use of oral contraceptives.
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients
should the nurse see first?
- ANSWER-A client who is at 11 weeks of gestation and reports abdominal cramping
A nurse in a prenatal clinic is caring for a client who is within the recommended
guidelines for weight. The client asks the nurse how much weight is safe for her to gain
during her pregnancy. Which of the following responses should the nurse make?
"Your provider can discuss an appropriate amount of weight gain with you."
"A weight gain of about 14 pounds each trimester is suggested."
"If you eat nutritious foods when you feel hungry, the amount of weight gain is
insignificant."
"A weight gain of about 25 to 35 pounds is good."
- ANSWER-A weight gain of about 25-35 pounds is good
A weight gain of 25 to 35 lb is associated with good fetal outcome. A gain of 4 lb in the
first trimester and 12 lb each for the second and third trimester is recommended.
A nurse in a prenatal clinic is caring for a client who reports that her menstrual period
is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which
of the following responses should the nurse make?
, A. "You can miss your period for several other reasons. Describe your typical menstrual
cycle."
B. "If you have been sexually active and haven't used protection, it is likely that you are
pregnant."
C. "Let's check to see if you have any other signs of pregnancy. Have you noticed any
abdominal enlargement yet?"
D. "Because you have missed your period, you should try taking a home pregnancy test
before you start worrying."
- ANSWER-Answer: "You can miss your period for several other reasons. Describe your
typical menstrual cycle."
A. "You can miss your period for several other reasons. Describe your typical menstrual
cycle."
Amenorrhea is a presumptive sign of pregnancy, not a positive sign. Therefore, the
nurse should explore the client's menstrual cycle to determine other necessary
interventions.
B. "If you have been sexually active and haven't used protection, it is likely that you are
pregnant."
The nurse's response is assuming and confirming that the client is pregnant based only
on the client's statement, which can increase the client's anxiety level.
C. "Let's check to see if you have any other signs of pregnancy. Have you noticed any
abdominal enlargement yet?"
The nurse's response is making a false assumption that the client is pregnant based only
on the client's statement. The nurse should gather more information from the client
before making any false assumptions.
