ATI- Maternity Practice Test A Study Review Test.
A) Reports increased urinary output
1. A nurse is assessing a client who has gesta-
tional diabetes mellitus and is experiencing Increased urinary output, nausea and
hyperglycemia. Which of the following find- vomiting, reports of thirst, abdomi-
ings should the nurse expect? nal pain, constipation, drowsiness, and
A) Reports increased urinary output headaches are manifestations of hyper-
B) Diaphoresis glycemia. Other manifestations include
C) Reports blurred vision weak rapid pulse, fruity breath odor,
D) Shallow respirations urine positive for sugar and acetone, and
a blood glucose level greater than 200
mg/dL.
D) Report the client's condition to the lo-
2. A nurse is caring for a client who is at 22
weeks gestation and is HIV positive. Which of cal health department.
the following actions should the nurse take?
A) Administer penicillin G 2.4 million units IM The nurse should report the condition to
to the client. the local health department. HIV is one
B) Instruct the client to schedule an annual of the conditions on the list of National-
pelvic examination. ly Notifiable Infectious Conditions that is
C) Tell the client she will start medication for required to be reported.
HIV immediately after delivery.
D) Report the client's condition to the local
health department.
3. A nurse is providing teaching for a client who A) Depression
has a new prescription for combined oral
contraceptives. Which of the following find- The nurse should instruct the client that
ings should the nurse include as an adverse depression is a common adverse ettect
effect of this medication? of combined oral contraceptives. Other
A) Depression common adverse ettects of the medica-
B) Polyuria tion include amenorrhea, weight gain,
, ATI- Maternity Practice Test A Study Review Test.
C) Hypotension headache, nausea, breakthrough bleed-
D) Urticaria ing, and breast tenderness.
4. A nurse is providing teaching to a client who A) "I can administer oxytocin 4 hours
is at 40 weeks og gestation and has a new after the insertion of the medication."
prescription for mistoprostol. Which of the
following instructions should a nurse include The nurse can administer oxytocin no
in the teaching? sooner than 4 hr after the last dose of
A) "I can administer oxytocin 4 hours after misoprostol. Oxytocin can be adminis-
the insertion of the medication." tered following misoprostol for clients
B) "You will need a full bladder prior to the who have cervical ripening and have not
insertion of the medication." begun labor.
C) "Remain in a side-lying position for 15 min-
utes after the medication is inserted."
D) "An antacid will be given 20 minutes prior
to the insertion of the medication."
5. A nurse is caring for a prenatal cleint who B) Schedule an ultrasound examination.
has parvovirus (5th's disease). Which of the
following actions should the nurse take? The nurse should schedule serial ultra-
A) Administer antiviral medication. sound examinations to monitor the fe-
B) Schedule an ultrasound examination. tus during the pregnancy to detect the
C) Administer Haemophilus influenzae type b possible development of fetal hydrops.
vaccine. dure on the newborn?
D) Schedule an indirect Coombs' test. A) Apply a cool pack for
10 min to the heel
6. A nurse is preparing to collect a blood spec-
imen from a newborn via a heel stick. Which
of the following techniques should the nurse
use to help minimize the pain of the proce-
, ATI- Maternity Practice Test A Study Review Test.
Also, the virus can cause miscarriage, in- trauterine growth restriction,
fetal ane- mia, or stillbirth.
D) Place the newborn skin to skin on the mother's chest.
Placing the newborn skin to skin on the mother's chest is an ettective
technique to significantly decrease the newborn's
, ATI- Maternity Practice Test A
Study online at https://quizlet.com/_8uhkej
prior to the puncture. pain level and anxiety. The nurse should
B) Request a prescription for IM analgesic. implement this technique before, during,
C) Use a manual lance blade to pierce the and after the procedure.
skin.
D) Place the newborn skin to skin on the
mother's chest.
7. A nurse is performing a vaginal assessment on A) Insert two gloved fingers into the vagi-
a client who is in labor and observes the na and apply upward pressure to the pre-
umbilical cord protruding from the vagina . senting part.
After calling for assistance, which of the fol-
The nurse should quickly apply gloves
lowing actions should the nurse take?
and insert two fingers into the vagina
A) Insert two gloved fingers into the vagina
and apply upward pressure to the presenting toward the cervix, exerting upward pres-
part. sure onto the presenting part to relieve
B) Wrap the visible cord tightly with sterile, umbilical cord compression and increase
dry gauze. oxygenation to the fetus.
C) Apply oxygen to the client at 2 L/min via
nasal cannula.
D) Place the client in the lithotomy position
and apply fundal pressure.
8. A nurse is caring for a client who is at 24 A) Kleihauer-Betke test
weeks of gestation and has a suspected pla-
cental aburption. Which of the following lab- The nurse should expect the provider
oratory tests should the nurse expect the D) Maternal Alpha-
provider to prescribe? fetoprotein (AFP)
A) Kleihauer-Betke test
B) Progesterone serum level
C) Lecithin/sphingomyelin (L/S) ratio
A) Reports increased urinary output
1. A nurse is assessing a client who has gesta-
tional diabetes mellitus and is experiencing Increased urinary output, nausea and
hyperglycemia. Which of the following find- vomiting, reports of thirst, abdomi-
ings should the nurse expect? nal pain, constipation, drowsiness, and
A) Reports increased urinary output headaches are manifestations of hyper-
B) Diaphoresis glycemia. Other manifestations include
C) Reports blurred vision weak rapid pulse, fruity breath odor,
D) Shallow respirations urine positive for sugar and acetone, and
a blood glucose level greater than 200
mg/dL.
D) Report the client's condition to the lo-
2. A nurse is caring for a client who is at 22
weeks gestation and is HIV positive. Which of cal health department.
the following actions should the nurse take?
A) Administer penicillin G 2.4 million units IM The nurse should report the condition to
to the client. the local health department. HIV is one
B) Instruct the client to schedule an annual of the conditions on the list of National-
pelvic examination. ly Notifiable Infectious Conditions that is
C) Tell the client she will start medication for required to be reported.
HIV immediately after delivery.
D) Report the client's condition to the local
health department.
3. A nurse is providing teaching for a client who A) Depression
has a new prescription for combined oral
contraceptives. Which of the following find- The nurse should instruct the client that
ings should the nurse include as an adverse depression is a common adverse ettect
effect of this medication? of combined oral contraceptives. Other
A) Depression common adverse ettects of the medica-
B) Polyuria tion include amenorrhea, weight gain,
, ATI- Maternity Practice Test A Study Review Test.
C) Hypotension headache, nausea, breakthrough bleed-
D) Urticaria ing, and breast tenderness.
4. A nurse is providing teaching to a client who A) "I can administer oxytocin 4 hours
is at 40 weeks og gestation and has a new after the insertion of the medication."
prescription for mistoprostol. Which of the
following instructions should a nurse include The nurse can administer oxytocin no
in the teaching? sooner than 4 hr after the last dose of
A) "I can administer oxytocin 4 hours after misoprostol. Oxytocin can be adminis-
the insertion of the medication." tered following misoprostol for clients
B) "You will need a full bladder prior to the who have cervical ripening and have not
insertion of the medication." begun labor.
C) "Remain in a side-lying position for 15 min-
utes after the medication is inserted."
D) "An antacid will be given 20 minutes prior
to the insertion of the medication."
5. A nurse is caring for a prenatal cleint who B) Schedule an ultrasound examination.
has parvovirus (5th's disease). Which of the
following actions should the nurse take? The nurse should schedule serial ultra-
A) Administer antiviral medication. sound examinations to monitor the fe-
B) Schedule an ultrasound examination. tus during the pregnancy to detect the
C) Administer Haemophilus influenzae type b possible development of fetal hydrops.
vaccine. dure on the newborn?
D) Schedule an indirect Coombs' test. A) Apply a cool pack for
10 min to the heel
6. A nurse is preparing to collect a blood spec-
imen from a newborn via a heel stick. Which
of the following techniques should the nurse
use to help minimize the pain of the proce-
, ATI- Maternity Practice Test A Study Review Test.
Also, the virus can cause miscarriage, in- trauterine growth restriction,
fetal ane- mia, or stillbirth.
D) Place the newborn skin to skin on the mother's chest.
Placing the newborn skin to skin on the mother's chest is an ettective
technique to significantly decrease the newborn's
, ATI- Maternity Practice Test A
Study online at https://quizlet.com/_8uhkej
prior to the puncture. pain level and anxiety. The nurse should
B) Request a prescription for IM analgesic. implement this technique before, during,
C) Use a manual lance blade to pierce the and after the procedure.
skin.
D) Place the newborn skin to skin on the
mother's chest.
7. A nurse is performing a vaginal assessment on A) Insert two gloved fingers into the vagi-
a client who is in labor and observes the na and apply upward pressure to the pre-
umbilical cord protruding from the vagina . senting part.
After calling for assistance, which of the fol-
The nurse should quickly apply gloves
lowing actions should the nurse take?
and insert two fingers into the vagina
A) Insert two gloved fingers into the vagina
and apply upward pressure to the presenting toward the cervix, exerting upward pres-
part. sure onto the presenting part to relieve
B) Wrap the visible cord tightly with sterile, umbilical cord compression and increase
dry gauze. oxygenation to the fetus.
C) Apply oxygen to the client at 2 L/min via
nasal cannula.
D) Place the client in the lithotomy position
and apply fundal pressure.
8. A nurse is caring for a client who is at 24 A) Kleihauer-Betke test
weeks of gestation and has a suspected pla-
cental aburption. Which of the following lab- The nurse should expect the provider
oratory tests should the nurse expect the D) Maternal Alpha-
provider to prescribe? fetoprotein (AFP)
A) Kleihauer-Betke test
B) Progesterone serum level
C) Lecithin/sphingomyelin (L/S) ratio
