ATI Maternal Newborn Practice
Questions with Correct Answers
A nurse in a health clinic is reviewing contraceptive use with a group of clients. Which of
the following client statements demonstrates understanding?
A. "A water-soluble lubricant should be used with condoms."
B. "A diaphragm should be removed 2 hours after intercourse."
C. "Oral contraceptives can worsen a case of acne."
D. "A contraceptive patch is replaced once a month." - ANSWERSA. "A water-soluble
lubricant should be used with condoms."
Rationale:
A. Condoms are used with water-soluble lubricants.
A nurse is instructing a client who is taking an oral contraceptive about manifestations to
report to the provider. Which of the following manifestations should the nurse include?
A. Reduced menstrual flow.
B. Breast tenderness.
C. Shortness of breath.
D. Increased appetite. - ANSWERSC. Shortness of breath.
Rationale:
C. Shortness of breath can indicate a pulmonary embolus or myocardial infarction and
should be reported to the provider immediately.
A nurse is an obstetrical clinic is teaching a client about using an IUD for contraception.
Which of the following statements by the client indicates an understanding of the
teaching?
A. "An IUD should be replaced annually during a pelvic exam."
B. "I cannot get an IUD until after I've had a child."
C. "I should plan on regaining fertility 5 months after the IUD is removed."
D. "I will check to be sure the strings of the IUD are still present after my periods." -
ANSWERSD. "I will check to be sure the strings of the IUD are still present after my
periods."
Rationale:
D. The client should check for the presence of IUD strings following each menstruation
to ensure the device is still present. A change in the length of the strings should be
reported to the provider.
,A nurse is teaching a client about potential adverse effects of implantable progestins.
Which of the following adverse effects should the nurse include? (Select all that apply.)
A. Tinnitus.
B. Irregular vaginal bleeding.
C. Weight gain.
D. Nausea.
E. Gingival hyperplasia. - ANSWERSB. Irregular vaginal bleeding.
C. Weight gain.
D. Nausea.
Rationale:
B. Irregular vaginal bleeding is a potential adverse effect of implantable progestins.
C. Weight gain is a potential adverse effect of implantable progestins.
D. Nausea is a potential adverse effect of implantable progestins.
A nurse in a clinic is teaching a client about a new prescription for
medroxyprogesterone. Which of the following information should the nurse include in
the teaching? (Select all that apply.)
A. "Weight fluctuations can occur."
B. "You are protected against STIs."
C. "You should increase your intake of calcium."
D. "You should avoid taking antibiotics."
E. "Irregular spotting can occur." - ANSWERSA. "Weight fluctuations can occur."
C. "You should increase your intake of calcium."
E. "Irregular spotting can occur."
Rationale:
A. Weight fluctuations can occur when taking medroxyprogesterone.
C. Clients should take calcium and vitamin D to prevent loss of bone density, which can
occur when taking medroxyprogesterone.
E. Medroxyprogesterone can cause irregular vaginal bleeding.
A nurse in a clinic caring for a group of female clients who are being evaluated for
infertility. Which of the following clients should the nurse anticipate the provider will refer
to a genetic counselor?
A. A client whose sister has alopecia.
B. A client whose partner has von Willebrand disease.
C. A client who has an allergy to sulfa.
D. A client who had rubella 3 months ago. - ANSWERSB. A client whose partner has
von Willebrand disease.
Rationale:
, B. Von Willebrand disease is a genetic bleeding disorder and warrant referral to a
genetic counselor.
A nurse is caring for a couple who is being evaluated for infertility. Which of the
following statements by the nurse indicates understanding of the infertility assessment
process?
A. "You will need to see a genetic counselor as part of the assessment."
B. "It is usually the female who is having trouble, so the male doesn't have to be
involved."
C. "The male is the easiest to assess, and the provider will usually begin there."
D. "Think about adopting first because there are many babies that need good homes." -
ANSWERSC. "The male is the easiest to assess, and the provider will usually begin
there."
Rationale:
C. A sperm analysis is one of the first steps in the infertility assessment process and
can identify a cause of infertility in a less invasive and costly manner.
A nurse in an infertility clinic is providing care to clients who have been unable to
conceive for 18 months. Which of the following data should the nurse assess? (Select
all that apply.)
A. Occupation.
B. Menstrual history.
C. Childhood infectious diseases.
D. History of falls.
E. Recent blood transfusions. - ANSWERSA. Occupation.
B. Menstrual history.
C. Childhood infectious diseases.
Rationale:
A. Occupational hazards include exposure to teratogenic substances in the workplace
(radiation, chemicals, herbicides, pesticides.)
B. Menstrual history can identify hormone-related patterns (anovulation, pituitary
disorders, endometriosis.)
C. Childhood infectious diseases can identify the male partner having had the mumps.
A nurse in a clinic is caring for a client who is postoperative following a salpingectomy
due to an ectopic pregnancy. Which of the following statements by the client requires
clarification?
A. "It is good to know that I won't have a tubal pregnancy in the future."
B. "The doctor said that this surgery can affect my ability to get pregnant again."
C. "I understand that one of my fallopian tubes had to be removed."
Questions with Correct Answers
A nurse in a health clinic is reviewing contraceptive use with a group of clients. Which of
the following client statements demonstrates understanding?
A. "A water-soluble lubricant should be used with condoms."
B. "A diaphragm should be removed 2 hours after intercourse."
C. "Oral contraceptives can worsen a case of acne."
D. "A contraceptive patch is replaced once a month." - ANSWERSA. "A water-soluble
lubricant should be used with condoms."
Rationale:
A. Condoms are used with water-soluble lubricants.
A nurse is instructing a client who is taking an oral contraceptive about manifestations to
report to the provider. Which of the following manifestations should the nurse include?
A. Reduced menstrual flow.
B. Breast tenderness.
C. Shortness of breath.
D. Increased appetite. - ANSWERSC. Shortness of breath.
Rationale:
C. Shortness of breath can indicate a pulmonary embolus or myocardial infarction and
should be reported to the provider immediately.
A nurse is an obstetrical clinic is teaching a client about using an IUD for contraception.
Which of the following statements by the client indicates an understanding of the
teaching?
A. "An IUD should be replaced annually during a pelvic exam."
B. "I cannot get an IUD until after I've had a child."
C. "I should plan on regaining fertility 5 months after the IUD is removed."
D. "I will check to be sure the strings of the IUD are still present after my periods." -
ANSWERSD. "I will check to be sure the strings of the IUD are still present after my
periods."
Rationale:
D. The client should check for the presence of IUD strings following each menstruation
to ensure the device is still present. A change in the length of the strings should be
reported to the provider.
,A nurse is teaching a client about potential adverse effects of implantable progestins.
Which of the following adverse effects should the nurse include? (Select all that apply.)
A. Tinnitus.
B. Irregular vaginal bleeding.
C. Weight gain.
D. Nausea.
E. Gingival hyperplasia. - ANSWERSB. Irregular vaginal bleeding.
C. Weight gain.
D. Nausea.
Rationale:
B. Irregular vaginal bleeding is a potential adverse effect of implantable progestins.
C. Weight gain is a potential adverse effect of implantable progestins.
D. Nausea is a potential adverse effect of implantable progestins.
A nurse in a clinic is teaching a client about a new prescription for
medroxyprogesterone. Which of the following information should the nurse include in
the teaching? (Select all that apply.)
A. "Weight fluctuations can occur."
B. "You are protected against STIs."
C. "You should increase your intake of calcium."
D. "You should avoid taking antibiotics."
E. "Irregular spotting can occur." - ANSWERSA. "Weight fluctuations can occur."
C. "You should increase your intake of calcium."
E. "Irregular spotting can occur."
Rationale:
A. Weight fluctuations can occur when taking medroxyprogesterone.
C. Clients should take calcium and vitamin D to prevent loss of bone density, which can
occur when taking medroxyprogesterone.
E. Medroxyprogesterone can cause irregular vaginal bleeding.
A nurse in a clinic caring for a group of female clients who are being evaluated for
infertility. Which of the following clients should the nurse anticipate the provider will refer
to a genetic counselor?
A. A client whose sister has alopecia.
B. A client whose partner has von Willebrand disease.
C. A client who has an allergy to sulfa.
D. A client who had rubella 3 months ago. - ANSWERSB. A client whose partner has
von Willebrand disease.
Rationale:
, B. Von Willebrand disease is a genetic bleeding disorder and warrant referral to a
genetic counselor.
A nurse is caring for a couple who is being evaluated for infertility. Which of the
following statements by the nurse indicates understanding of the infertility assessment
process?
A. "You will need to see a genetic counselor as part of the assessment."
B. "It is usually the female who is having trouble, so the male doesn't have to be
involved."
C. "The male is the easiest to assess, and the provider will usually begin there."
D. "Think about adopting first because there are many babies that need good homes." -
ANSWERSC. "The male is the easiest to assess, and the provider will usually begin
there."
Rationale:
C. A sperm analysis is one of the first steps in the infertility assessment process and
can identify a cause of infertility in a less invasive and costly manner.
A nurse in an infertility clinic is providing care to clients who have been unable to
conceive for 18 months. Which of the following data should the nurse assess? (Select
all that apply.)
A. Occupation.
B. Menstrual history.
C. Childhood infectious diseases.
D. History of falls.
E. Recent blood transfusions. - ANSWERSA. Occupation.
B. Menstrual history.
C. Childhood infectious diseases.
Rationale:
A. Occupational hazards include exposure to teratogenic substances in the workplace
(radiation, chemicals, herbicides, pesticides.)
B. Menstrual history can identify hormone-related patterns (anovulation, pituitary
disorders, endometriosis.)
C. Childhood infectious diseases can identify the male partner having had the mumps.
A nurse in a clinic is caring for a client who is postoperative following a salpingectomy
due to an ectopic pregnancy. Which of the following statements by the client requires
clarification?
A. "It is good to know that I won't have a tubal pregnancy in the future."
B. "The doctor said that this surgery can affect my ability to get pregnant again."
C. "I understand that one of my fallopian tubes had to be removed."
