ATI RN Maternal Newborn Online Practice 2024-
2025 A with NGN |Graded A+
A charge nurse on a labor and delivery unit is teaching a newly licensed
nurse how to perform Leopold maneuvers. Which of the following images
indicates the first step of Leopold maneuvers?
A.
B.
C.
D. – ans C.
Evidence-based practice indicates the nurse should perform this step first
when performing Leopold maneuvers. During this step, the nurse palpates
the client's abdomen with the palms to determine which fetal part is in the
uterine fundus. This step also identifies the lie (transverse or longitudinal)
and presentation (cephalic or breech) of the fetus.
A nurse in a clinic is caring for a 16-year-old adolescent.
Which of the following conditions should the nurse identify as being
consistent with the adolescent's assessment findings?
For each finding, click to specify if the assessment findings are consistent
with trichomoniasis, gonorrhea, or candidiasis. Each finding may support
more than one disease process.
History and Physical
Adolescent is sexually active with two current
partners. IUD in place
Reports not using condoms during sexual – ans Trichomoniasis
B. Greenish discharge
Green-yellow discharge can occur in both trichomoniasis and gonorrhea.
Candidiasis causes thick, white, lumpy discharge.
D. Pain on urination
Dysuria is a manifestation of trichomoniasis, gonorrhea, and candidiasis and
can be the result of urine flowing over an irritated and inflamed vulva and
surrounding skin.
E. Absence of condom use
Sexual activity without the use of a condom can result in the transmission of
STIs. Candidiasis is a vaginal infection that is not sexually transmitted.
Gonorrhea
A. Abdominal pain
Gonorrhea can present with reports of acute or chronic lower abdominal
pain.
To get this or any other Exam contact ()
,B. Greenish discharge
Green-yellow discharge can occur in both trichomoniasis and gonorrhea.
Candidiasis causes thick, white, lumpy discharge.
To get this or any other Exam contact ()
,D. Pain on urination
Dysuria is a manifestation of trichomoniasis, gonorrhea, and candidiasis and
can be the result of urine flowing over an irritated and inflamed vulva and
surrounding skin.
E. Absence of condom use
Sexual
A nurse in a clinic is caring for a 16-year-old adolescent.
Which of the following findings should the nurse report to the
provider? Select all that apply.
History and Physical
Adolescent is sexually active with two current
partners. IUD in place
Reports not using condoms during sexual
activity. History of type 1 diabetes mellitus
Nurses' Notes
1300:Admitted adolescent reporting "cramping in my stomach." Reports
pain as a 4 on 0 to 10 pain scale and describes pain as constant and dull.
Repor – ans A. Abdominal assessment
Abdominal tenderness with palpation is not an expected finding with an
abdominal assessment; therefore, the nurse should report this finding to the
provider.
B. Vaginal discharge
Greenish vaginal discharge indicates that the adolescent has an infection,
which is not an expected finding; therefore, the nurse should report this
finding to the provider.
D. Temperature
The client's temperature of 38.3° C (101° F) is above the expected
reference range. An elevated temperature could signal infection or
inflammation; therefore, the nurse should report this finding to the provider.
E. Dyspareunia
Dyspareunia is painful intercourse, which can be associated with STIs;
therefore, the nurse should report this finding to the provider.
F. Condom usage
Sexual activity without the use of condoms increases the risk of contracting
STIs; therefore, the nurse should report this finding to the provider.
A nurse in a prenatal clinic is assessing a group of clients. Which of the
following clients should the nurse see first?
To get this or any other Exam contact ()
, A. A client who is at 11 weeks of gestation and reports abdominal cramping
B. A client who is at 15 weeks of gestation and reports tingling and
numbness in right hand
C. A client who is at 20 weeks of gestation and reports constipation for the
past 4 days
D. A client who is at 8 weeks of gestation and reports having three bloody
noses in the past week – ans A. A client who is at 11 weeks of gestation and
reports abdominal cramping
When using the urgent vs nonurgent approach to client care, the nurse
should determine that the priority finding is a client who is at 11 weeks of
gestation and reports abdominal cramping. Abdominal cramping can
indicate an ectopic pregnancy or manifestations of spontaneous abortion.
The nurse should request that the provider see this client first.
A nurse in a provider's office is reviewing the medical record of a client who
is in the first trimester of pregnancy. Which of the following findings should
the nurse identify as a risk factor for the development of preeclampsia?
A. Singleton pregnancy
B. BMI of 20
C. Maternal age 32 years
D. Pregestational diabetes mellitus – ans D. Pregestational diabetes mellitus
Pregestational diabetes mellitus increases a client's risk for the development
of preeclampsia. Other risk factors include preexisting hypertension, renal
disease, systemic lupus erythematosus, and rheumatoid arthritis.
A nurse in an antepartum clinic is providing care for a client who is at 26
weeks of gestation. Upon reviewing the client's medical record, which of the
following findings should the nurse report to the provider? (Click on the
"Exhibit" button for additional information about the client. There are three
tabs that contain separate categories of data.)
Graphic Record
Blood pressure 130/78 mm Hg, Respiratory rate 20/min, Heart rate 90/min
Diagnostic Results
Hemoglobin 12 g/dL, Hematocrit 34 – ans C. Fundal height measurement
A fundal height measurement of 30 cm should be reported to the provider.
Fundal height should be measured in centimeters and is the same as the
number of gestational weeks plus or minus 2 weeks from 18 to 32 weeks
gestation. Therefore, the nurse should report this finding to the provider.
To get this or any other Exam contact ()
2025 A with NGN |Graded A+
A charge nurse on a labor and delivery unit is teaching a newly licensed
nurse how to perform Leopold maneuvers. Which of the following images
indicates the first step of Leopold maneuvers?
A.
B.
C.
D. – ans C.
Evidence-based practice indicates the nurse should perform this step first
when performing Leopold maneuvers. During this step, the nurse palpates
the client's abdomen with the palms to determine which fetal part is in the
uterine fundus. This step also identifies the lie (transverse or longitudinal)
and presentation (cephalic or breech) of the fetus.
A nurse in a clinic is caring for a 16-year-old adolescent.
Which of the following conditions should the nurse identify as being
consistent with the adolescent's assessment findings?
For each finding, click to specify if the assessment findings are consistent
with trichomoniasis, gonorrhea, or candidiasis. Each finding may support
more than one disease process.
History and Physical
Adolescent is sexually active with two current
partners. IUD in place
Reports not using condoms during sexual – ans Trichomoniasis
B. Greenish discharge
Green-yellow discharge can occur in both trichomoniasis and gonorrhea.
Candidiasis causes thick, white, lumpy discharge.
D. Pain on urination
Dysuria is a manifestation of trichomoniasis, gonorrhea, and candidiasis and
can be the result of urine flowing over an irritated and inflamed vulva and
surrounding skin.
E. Absence of condom use
Sexual activity without the use of a condom can result in the transmission of
STIs. Candidiasis is a vaginal infection that is not sexually transmitted.
Gonorrhea
A. Abdominal pain
Gonorrhea can present with reports of acute or chronic lower abdominal
pain.
To get this or any other Exam contact ()
,B. Greenish discharge
Green-yellow discharge can occur in both trichomoniasis and gonorrhea.
Candidiasis causes thick, white, lumpy discharge.
To get this or any other Exam contact ()
,D. Pain on urination
Dysuria is a manifestation of trichomoniasis, gonorrhea, and candidiasis and
can be the result of urine flowing over an irritated and inflamed vulva and
surrounding skin.
E. Absence of condom use
Sexual
A nurse in a clinic is caring for a 16-year-old adolescent.
Which of the following findings should the nurse report to the
provider? Select all that apply.
History and Physical
Adolescent is sexually active with two current
partners. IUD in place
Reports not using condoms during sexual
activity. History of type 1 diabetes mellitus
Nurses' Notes
1300:Admitted adolescent reporting "cramping in my stomach." Reports
pain as a 4 on 0 to 10 pain scale and describes pain as constant and dull.
Repor – ans A. Abdominal assessment
Abdominal tenderness with palpation is not an expected finding with an
abdominal assessment; therefore, the nurse should report this finding to the
provider.
B. Vaginal discharge
Greenish vaginal discharge indicates that the adolescent has an infection,
which is not an expected finding; therefore, the nurse should report this
finding to the provider.
D. Temperature
The client's temperature of 38.3° C (101° F) is above the expected
reference range. An elevated temperature could signal infection or
inflammation; therefore, the nurse should report this finding to the provider.
E. Dyspareunia
Dyspareunia is painful intercourse, which can be associated with STIs;
therefore, the nurse should report this finding to the provider.
F. Condom usage
Sexual activity without the use of condoms increases the risk of contracting
STIs; therefore, the nurse should report this finding to the provider.
A nurse in a prenatal clinic is assessing a group of clients. Which of the
following clients should the nurse see first?
To get this or any other Exam contact ()
, A. A client who is at 11 weeks of gestation and reports abdominal cramping
B. A client who is at 15 weeks of gestation and reports tingling and
numbness in right hand
C. A client who is at 20 weeks of gestation and reports constipation for the
past 4 days
D. A client who is at 8 weeks of gestation and reports having three bloody
noses in the past week – ans A. A client who is at 11 weeks of gestation and
reports abdominal cramping
When using the urgent vs nonurgent approach to client care, the nurse
should determine that the priority finding is a client who is at 11 weeks of
gestation and reports abdominal cramping. Abdominal cramping can
indicate an ectopic pregnancy or manifestations of spontaneous abortion.
The nurse should request that the provider see this client first.
A nurse in a provider's office is reviewing the medical record of a client who
is in the first trimester of pregnancy. Which of the following findings should
the nurse identify as a risk factor for the development of preeclampsia?
A. Singleton pregnancy
B. BMI of 20
C. Maternal age 32 years
D. Pregestational diabetes mellitus – ans D. Pregestational diabetes mellitus
Pregestational diabetes mellitus increases a client's risk for the development
of preeclampsia. Other risk factors include preexisting hypertension, renal
disease, systemic lupus erythematosus, and rheumatoid arthritis.
A nurse in an antepartum clinic is providing care for a client who is at 26
weeks of gestation. Upon reviewing the client's medical record, which of the
following findings should the nurse report to the provider? (Click on the
"Exhibit" button for additional information about the client. There are three
tabs that contain separate categories of data.)
Graphic Record
Blood pressure 130/78 mm Hg, Respiratory rate 20/min, Heart rate 90/min
Diagnostic Results
Hemoglobin 12 g/dL, Hematocrit 34 – ans C. Fundal height measurement
A fundal height measurement of 30 cm should be reported to the provider.
Fundal height should be measured in centimeters and is the same as the
number of gestational weeks plus or minus 2 weeks from 18 to 32 weeks
gestation. Therefore, the nurse should report this finding to the provider.
To get this or any other Exam contact ()
