Maternal Infant practice questions for ATI CMS
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1. A nurse is planning care for C. Group B streptococcus B-hemolytic
a client who is at 35 weeks
gestation. Which of the Rationale:
following laboratory tests A vaginal/anal group B streptococcus B-hemolytic (GBS) culture
should the nurse obtain? should be done @ 35-37 weeks gestation to screen for infections.
Prophylactic antibiotics should be given during labor to clients who
A. Rubella titer are + for GBS
B. Blood type
C. Group B streptococcus Incorrect Answers:
B-hemolytic Rubella titer is obtained at 1st prenatal visit; Maternal blood type
D. 1-hour glucose tolerance & Rh factor should be obtained at 1st prenatal visit to determine if
test client will need Rho(D) immune globulin at 28 wks.; !-hr. glucose
tolerance test should be obtained at 24 - 28 weeks
2. A nurse is reviewing the D. Gonorrhea
laboratory findings for 4
clients. Which of the follow- Rationale:
ing infections should be re- Gonorrhea is often asymptomatic. The client may have purulent en-
ported to the public health docervical discharge. Gonorrhea is one of the infectious conditions
department? on the Nationally Notifiable Infections list and should be reported
by the nurse to the community health department, which will report
A. Bacterial Vaginosis the infection to the CDC.
B. Trichomoniasis Incorrect Answers:
C. Candidiasis A. Bacterial vaginosis, also known as vaginitis, is the most com-
D. Gonorrhea mon vaginal infection. Manifestations include client report of "fishy
odor" and vaginal discharge that appears thin, watery, gray, white,
or milky. The client may also report pruritus. This vaginal infec-
tion doesn't require reporting: however, it should be treated with
metronidazole or clindamycin cream.
B. Trichomoniasis can be asymptomatic. Manifestations include
greenish to yellowish mucopurulent, frothy, malodorous discharge.
This vaginal infection does not require reporting.
, Maternal Infant practice questions for ATI CMS
Study online at https://quizlet.com/_dja8bx
C. Candidiasis, also known as a yeast infection, is the 2nd most
common vaginal infection. Manifestations include a client report
of thick, cottage cheese-like discharge and vaginal itching. This
vaginal infection does not require reporting.
3. A nurse is providing teach- C. 1,000 mg
ing about calcium intake to
a client who is breastfeed- Rationale:
ing. Which of the following The nurse should instruct the client that 1,000 mg of clacium is
is the recommended daily recommended for women age 19 and older, as well as those who
calcium intake for a client are lactating. This amount of calcium is sufficient to meet the needs
who is breastfeeding? of the client and the infant b/c additional calcium is absorbed from
the intestines during this time.
A. 800 mg Both A & B are incorrect b/c they are below the recommended daily
B. 400 mg allowance of calcium for women age 19 & older. D is incorrect b/c
C. 1,000 mg 2,00mg is above the recommended daily allowance and a high
D. 2,000 mg calcium intake can result in the development of kidney stones and
decrease the absorption of other nutrients, such as iron and zinc.
4. A nurse is teaching a D. "A reduction in sexualr interest could indicate postpartum de-
client who is postpartum pression."
and breastfeeding. Which
of the following statements Rationale:
should the nurse include? Manifestations of postpartum depression include decreased li-
bido, feelings of sadness or anxiety, difficulty sleeping, or loss of
A. "You will need to wait appetite.
3 months before resuming Incorrect answers:
sexual intercourse." A. Sexual intercourse can be resumed once the bleeding has
B. "You don't need to use stopped, which occurs approximately 2-4 weeks postpartum.
contraception until you are B. Clients who breastfeed can still ovulate and will need a reliable
4 months postpartum." method of birth control if they want to prevent pregnancy.
C. As long as you breast- C. Lactation can cause vaginal dryness, and breastfeeding mothers
, Maternal Infant practice questions for ATI CMS
Study online at https://quizlet.com/_dja8bx
feed, you will experience an often benefit from the use of a water-soluble gel during inter-
overproduction of vaginal course.
lubrication."
D. "A reduction in sexual in-
terest could indicate post-
partum depression."
5. A nurse is assessing a post- D. "The same hormone that is released in response to the baby's
partum client who reports sucking and causes milk to flow also makes the uterus contract."
strong contractions when-
ever she breastfeeds her Rationale:
newborn. The nurse should Oxytocin is released in response to breastfeeding. This hormone
respond with which of the also causes the uterus to contract, which decreases the risk for
following statements? postpartum hemorrhage and increases involution.
A. "Prolactin is increasing Incorrect answers:
the blood supply to your Prolactin is responsible for milk production, not uterine contrac-
uterus, and you are feeling tions. Uterine contractions with breastfeeding do not indicate the
the blood vessel engorge- the uterus is trying to expel clotted blood. Small clots are typi-
ment." cally expressed in the lochia rubra. Breast tissue doesn't secrete
B. "You probably have a hormones. the hormones that affect breast functions, such as milk
small blood clot in your production, are produced by the anterior pituitary gland and the
uterus, which is causing the posterior pituitary gland.
uterus to contract in order
to expel it."
C. "Your breasts are secret-
ing a hormone that enters
the bloodstream and caus-
es your abdominal muscles
to contract."
D. "The same hormone
that is released in response
, Maternal Infant practice questions for ATI CMS
Study online at https://quizlet.com/_dja8bx
to the baby's sucking and
causes milk to flow also
makes the uterus contract."
6. While caring for a client who D. Apply oxygen at 10 L/min via nonrebreather face mask
is in active labor, a nurse
notes late decelerations on rationale:
the fetal monitor. Which of Late decels are caused by uteroplacental insufficiency and require
the following actions should intervention to increase oxygen flow to the fetus. Administering O2
the nurse take? to the client will increase the amount of oxygen available to the
fetus.
A. Administer Incorrect Answers:
methyl-prostaglandin IM Methyl-prostaglandin is a uterotonic, will increase contractility of
B. Encourage the client to the uterus. Should never be administered to a pregnant client.
use the shower Shower decreases discomfort for patient but doesn't increase oxy-
C. Place the client in a gen to fetus. Supine position can decrease uteroplacental blood
supine position flow d/t compression of the vena cava. Client should be placed in
D. Apply oxygen at 10 lateral position to optimize cardiac output.
L/min via nonrebreather
face mask
7. A charge nurse is teach- D. Drinking alcohol during pregnancy
ing newly licensed nurs-
es about teratogens that Rationale:
affect fetal development. Alcohol is an outside substance, that is ingested during pregnan-
The nurses should recog- cy, can cause abnormal fetal development. Alcohol consumption
nize that which of the fol- during pregnancy can cause CNS disorders, abnormal craniofacial
lowing is an example of a features, and cognitive impairment
teratogen?
A. Consuming caffeine dur-
ing pregnancy
Study online at https://quizlet.com/_dja8bx
1. A nurse is planning care for C. Group B streptococcus B-hemolytic
a client who is at 35 weeks
gestation. Which of the Rationale:
following laboratory tests A vaginal/anal group B streptococcus B-hemolytic (GBS) culture
should the nurse obtain? should be done @ 35-37 weeks gestation to screen for infections.
Prophylactic antibiotics should be given during labor to clients who
A. Rubella titer are + for GBS
B. Blood type
C. Group B streptococcus Incorrect Answers:
B-hemolytic Rubella titer is obtained at 1st prenatal visit; Maternal blood type
D. 1-hour glucose tolerance & Rh factor should be obtained at 1st prenatal visit to determine if
test client will need Rho(D) immune globulin at 28 wks.; !-hr. glucose
tolerance test should be obtained at 24 - 28 weeks
2. A nurse is reviewing the D. Gonorrhea
laboratory findings for 4
clients. Which of the follow- Rationale:
ing infections should be re- Gonorrhea is often asymptomatic. The client may have purulent en-
ported to the public health docervical discharge. Gonorrhea is one of the infectious conditions
department? on the Nationally Notifiable Infections list and should be reported
by the nurse to the community health department, which will report
A. Bacterial Vaginosis the infection to the CDC.
B. Trichomoniasis Incorrect Answers:
C. Candidiasis A. Bacterial vaginosis, also known as vaginitis, is the most com-
D. Gonorrhea mon vaginal infection. Manifestations include client report of "fishy
odor" and vaginal discharge that appears thin, watery, gray, white,
or milky. The client may also report pruritus. This vaginal infec-
tion doesn't require reporting: however, it should be treated with
metronidazole or clindamycin cream.
B. Trichomoniasis can be asymptomatic. Manifestations include
greenish to yellowish mucopurulent, frothy, malodorous discharge.
This vaginal infection does not require reporting.
, Maternal Infant practice questions for ATI CMS
Study online at https://quizlet.com/_dja8bx
C. Candidiasis, also known as a yeast infection, is the 2nd most
common vaginal infection. Manifestations include a client report
of thick, cottage cheese-like discharge and vaginal itching. This
vaginal infection does not require reporting.
3. A nurse is providing teach- C. 1,000 mg
ing about calcium intake to
a client who is breastfeed- Rationale:
ing. Which of the following The nurse should instruct the client that 1,000 mg of clacium is
is the recommended daily recommended for women age 19 and older, as well as those who
calcium intake for a client are lactating. This amount of calcium is sufficient to meet the needs
who is breastfeeding? of the client and the infant b/c additional calcium is absorbed from
the intestines during this time.
A. 800 mg Both A & B are incorrect b/c they are below the recommended daily
B. 400 mg allowance of calcium for women age 19 & older. D is incorrect b/c
C. 1,000 mg 2,00mg is above the recommended daily allowance and a high
D. 2,000 mg calcium intake can result in the development of kidney stones and
decrease the absorption of other nutrients, such as iron and zinc.
4. A nurse is teaching a D. "A reduction in sexualr interest could indicate postpartum de-
client who is postpartum pression."
and breastfeeding. Which
of the following statements Rationale:
should the nurse include? Manifestations of postpartum depression include decreased li-
bido, feelings of sadness or anxiety, difficulty sleeping, or loss of
A. "You will need to wait appetite.
3 months before resuming Incorrect answers:
sexual intercourse." A. Sexual intercourse can be resumed once the bleeding has
B. "You don't need to use stopped, which occurs approximately 2-4 weeks postpartum.
contraception until you are B. Clients who breastfeed can still ovulate and will need a reliable
4 months postpartum." method of birth control if they want to prevent pregnancy.
C. As long as you breast- C. Lactation can cause vaginal dryness, and breastfeeding mothers
, Maternal Infant practice questions for ATI CMS
Study online at https://quizlet.com/_dja8bx
feed, you will experience an often benefit from the use of a water-soluble gel during inter-
overproduction of vaginal course.
lubrication."
D. "A reduction in sexual in-
terest could indicate post-
partum depression."
5. A nurse is assessing a post- D. "The same hormone that is released in response to the baby's
partum client who reports sucking and causes milk to flow also makes the uterus contract."
strong contractions when-
ever she breastfeeds her Rationale:
newborn. The nurse should Oxytocin is released in response to breastfeeding. This hormone
respond with which of the also causes the uterus to contract, which decreases the risk for
following statements? postpartum hemorrhage and increases involution.
A. "Prolactin is increasing Incorrect answers:
the blood supply to your Prolactin is responsible for milk production, not uterine contrac-
uterus, and you are feeling tions. Uterine contractions with breastfeeding do not indicate the
the blood vessel engorge- the uterus is trying to expel clotted blood. Small clots are typi-
ment." cally expressed in the lochia rubra. Breast tissue doesn't secrete
B. "You probably have a hormones. the hormones that affect breast functions, such as milk
small blood clot in your production, are produced by the anterior pituitary gland and the
uterus, which is causing the posterior pituitary gland.
uterus to contract in order
to expel it."
C. "Your breasts are secret-
ing a hormone that enters
the bloodstream and caus-
es your abdominal muscles
to contract."
D. "The same hormone
that is released in response
, Maternal Infant practice questions for ATI CMS
Study online at https://quizlet.com/_dja8bx
to the baby's sucking and
causes milk to flow also
makes the uterus contract."
6. While caring for a client who D. Apply oxygen at 10 L/min via nonrebreather face mask
is in active labor, a nurse
notes late decelerations on rationale:
the fetal monitor. Which of Late decels are caused by uteroplacental insufficiency and require
the following actions should intervention to increase oxygen flow to the fetus. Administering O2
the nurse take? to the client will increase the amount of oxygen available to the
fetus.
A. Administer Incorrect Answers:
methyl-prostaglandin IM Methyl-prostaglandin is a uterotonic, will increase contractility of
B. Encourage the client to the uterus. Should never be administered to a pregnant client.
use the shower Shower decreases discomfort for patient but doesn't increase oxy-
C. Place the client in a gen to fetus. Supine position can decrease uteroplacental blood
supine position flow d/t compression of the vena cava. Client should be placed in
D. Apply oxygen at 10 lateral position to optimize cardiac output.
L/min via nonrebreather
face mask
7. A charge nurse is teach- D. Drinking alcohol during pregnancy
ing newly licensed nurs-
es about teratogens that Rationale:
affect fetal development. Alcohol is an outside substance, that is ingested during pregnan-
The nurses should recog- cy, can cause abnormal fetal development. Alcohol consumption
nize that which of the fol- during pregnancy can cause CNS disorders, abnormal craniofacial
lowing is an example of a features, and cognitive impairment
teratogen?
A. Consuming caffeine dur-
ing pregnancy
