Ati-maternal-newborn-new-exam-2023-revised-with-correct-answers.
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?
-pictures-
a. Hands on either side of baby's head.
b. one hand on baby's head.
c. Both hands on either side of baby's bottom.
d. One hand on baby's back and one hand on baby's front. - ANSc. Both hands on either side of baby's
bottom.
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 her 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. The nurse should identify this image as the fourth step of Leopold maneuvers. During this step, the
nurse faces the client's feet and uses the fingertips to palpate the cephalic prominence. This assessment
allows the nurse to determine the attitude of the fetal head.
b. The nurse should identify this image as the third step of Leopold maneuvers. During this step, the
nurse determines which fetal part is presenting in the pelvic inlet. The nurse gently grasps the lower
uterine segment between the thumb and forefingers, pressing in slightly.
d. The nurse should identify this image as the second step of Leopold maneuvers. During this step, the
nurse uses the palms of her hands to determine the location of the smooth fetal back and the irregularly
shaped, smaller fetal parts.
a client who is 34 week gestation asks the nurse how will she know when she is in labor and should go to
the hospital. which of the following responses should the nurse make?
a. "you will feel the contractions primarily in your upper abdomen"
b. "you will feel extremely fatigued when your labor starts"
c. "your breasts will begin to excrete colostrum"
d. "you will notice blood-tinged discharge from your vagina" - ANSd. "you will notice blood-tinged
discharge from your vagina"
the nurse should inform the client that a sign of true labor is the *bloody show*, which is a blood-tinged
discharge from the vagina that occurs when the cervix begins to efface and dilate. this is an indication
that the client should go to the hospital
a. Contractions during true labor are usually felt in the lower abdomen, not the upper abdomen.
b. True labor is usually preceded by a burst of energy, not extreme fatigue.
c. The breasts begin producing and excreting colostrum as early as 16 weeks of gestation. Therefore, this
does not indicate the onset of labor.
a nurse for a client who is anemic at 32 weeks gestation and is in preterm labor. the provider prescribed
betamethasone 12mg IM. which of the following outcome should the nurse expect?
a. decreased uterine contractions
b. in increase in the client's hemoglobin levels
,Ati-maternal-newborn-new-exam-2023-revised-with-correct-answers.
c. a reduction in respiratory distress in the newborn
d.increased production of antibodies in the newborn - ANSc. a reduction in respiratory distress in the
newborn
betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and prevent respiratory
distress.
a. This is not an expected outcome of betamethasone.
b. This is not an expected outcome of betamethasone.
d. This is not an expected outcome of betamethasone.
a nurse in a prenatal clinic is assessing a group of clients. which of the following clients should the nurse
request the provider to see first?
a. a client who is 11 weeks gestation and reports abdominal cramping
b. a client who is 15 weeks gestation and reports tingling and numbness in her right hand
c. a client who is 20 weeks gestation and reports constipation for the past 4 days
d. a client who is 8 weeks gestation and reports having 3 bloody noses this week - ANSa. a client who is
11 weeks gestation and reports abdominal cramping
when using the urgent vs nonurgent approach to care, the nurse should determine that the priority finding
is a client who is 11 weeks 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
b. Tingling and numbness of the right hand is nonurgent because it is a common discomfort related to
pregnancy for a client who is at 15 weeks of gestation. .
c. Constipation is nonurgent because it is common discomfort related to pregnancy for a client who is at
20 weeks of gestation.
d. Epistaxis is nonurgent because it is a common discomfort related to pregnancy for a client who is at 8
weeks of gestation.
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 you 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" - ANSa. "you can miss you period for several other reasons. describe your typical menstrual
cycle"
, Ati-maternal-newborn-new-exam-2023-revised-with-correct-answers.
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. The nurse's response dismisses the client's concerns, which can cause the client to have increased
anxiety.
c. 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.
d. The nurse's response dismisses the client's concerns and does not answer or address the client's
question, which can increase the client's anxiety level.
A nurse in an antepartal 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.)
Vital Signs: BP 130/78 mmHg; ~RR 20/min;~ HR 90/min
Lab Results: hemoglobin 12 g/dL;~hematocrit 34%; ~1-hr glucose tolerance test 120 mg/dL
Progress Note: Fundal height 30 cm~
good fetal movement; not experiencing headache, dizziness, blurred vision, or vaginal bleeding; fetal
heart rate 110/min.
a. 1 hr glucose tolerance test
b. hematocrit
c. fundal height measurement
d. fetal heart rate (FHR) - ANSc. 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.
a. A glucose tolerance test result of 120 mg/dL is within the expected reference range for this client. A
value of 130 to 140 mg/dL or greater for a 1-hr glucose tolerance test indicates a positive test result and
should be reported to the provider.
b. A hematocrit of 34% is within the expected reference range for this client. The level should be greater
than 33%.
d. This FHR is within the expected reference range of 110/min to 160/min for a client at 26 weeks of
gestation.
a nurse int he antepartum clinic is assessing a client's adaptation to pregnancy. the client states that she
is, "happy one minute and crying the next." the nurse should interpret the client's statement as an
indication of which of the following?
a. emotional lability
b. focusing phase
c. cognitive restructuring
d. couvade syndrome - ANSa. emotional lability
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?
-pictures-
a. Hands on either side of baby's head.
b. one hand on baby's head.
c. Both hands on either side of baby's bottom.
d. One hand on baby's back and one hand on baby's front. - ANSc. Both hands on either side of baby's
bottom.
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 her 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. The nurse should identify this image as the fourth step of Leopold maneuvers. During this step, the
nurse faces the client's feet and uses the fingertips to palpate the cephalic prominence. This assessment
allows the nurse to determine the attitude of the fetal head.
b. The nurse should identify this image as the third step of Leopold maneuvers. During this step, the
nurse determines which fetal part is presenting in the pelvic inlet. The nurse gently grasps the lower
uterine segment between the thumb and forefingers, pressing in slightly.
d. The nurse should identify this image as the second step of Leopold maneuvers. During this step, the
nurse uses the palms of her hands to determine the location of the smooth fetal back and the irregularly
shaped, smaller fetal parts.
a client who is 34 week gestation asks the nurse how will she know when she is in labor and should go to
the hospital. which of the following responses should the nurse make?
a. "you will feel the contractions primarily in your upper abdomen"
b. "you will feel extremely fatigued when your labor starts"
c. "your breasts will begin to excrete colostrum"
d. "you will notice blood-tinged discharge from your vagina" - ANSd. "you will notice blood-tinged
discharge from your vagina"
the nurse should inform the client that a sign of true labor is the *bloody show*, which is a blood-tinged
discharge from the vagina that occurs when the cervix begins to efface and dilate. this is an indication
that the client should go to the hospital
a. Contractions during true labor are usually felt in the lower abdomen, not the upper abdomen.
b. True labor is usually preceded by a burst of energy, not extreme fatigue.
c. The breasts begin producing and excreting colostrum as early as 16 weeks of gestation. Therefore, this
does not indicate the onset of labor.
a nurse for a client who is anemic at 32 weeks gestation and is in preterm labor. the provider prescribed
betamethasone 12mg IM. which of the following outcome should the nurse expect?
a. decreased uterine contractions
b. in increase in the client's hemoglobin levels
,Ati-maternal-newborn-new-exam-2023-revised-with-correct-answers.
c. a reduction in respiratory distress in the newborn
d.increased production of antibodies in the newborn - ANSc. a reduction in respiratory distress in the
newborn
betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and prevent respiratory
distress.
a. This is not an expected outcome of betamethasone.
b. This is not an expected outcome of betamethasone.
d. This is not an expected outcome of betamethasone.
a nurse in a prenatal clinic is assessing a group of clients. which of the following clients should the nurse
request the provider to see first?
a. a client who is 11 weeks gestation and reports abdominal cramping
b. a client who is 15 weeks gestation and reports tingling and numbness in her right hand
c. a client who is 20 weeks gestation and reports constipation for the past 4 days
d. a client who is 8 weeks gestation and reports having 3 bloody noses this week - ANSa. a client who is
11 weeks gestation and reports abdominal cramping
when using the urgent vs nonurgent approach to care, the nurse should determine that the priority finding
is a client who is 11 weeks 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
b. Tingling and numbness of the right hand is nonurgent because it is a common discomfort related to
pregnancy for a client who is at 15 weeks of gestation. .
c. Constipation is nonurgent because it is common discomfort related to pregnancy for a client who is at
20 weeks of gestation.
d. Epistaxis is nonurgent because it is a common discomfort related to pregnancy for a client who is at 8
weeks of gestation.
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 you 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" - ANSa. "you can miss you period for several other reasons. describe your typical menstrual
cycle"
, Ati-maternal-newborn-new-exam-2023-revised-with-correct-answers.
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. The nurse's response dismisses the client's concerns, which can cause the client to have increased
anxiety.
c. 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.
d. The nurse's response dismisses the client's concerns and does not answer or address the client's
question, which can increase the client's anxiety level.
A nurse in an antepartal 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.)
Vital Signs: BP 130/78 mmHg; ~RR 20/min;~ HR 90/min
Lab Results: hemoglobin 12 g/dL;~hematocrit 34%; ~1-hr glucose tolerance test 120 mg/dL
Progress Note: Fundal height 30 cm~
good fetal movement; not experiencing headache, dizziness, blurred vision, or vaginal bleeding; fetal
heart rate 110/min.
a. 1 hr glucose tolerance test
b. hematocrit
c. fundal height measurement
d. fetal heart rate (FHR) - ANSc. 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.
a. A glucose tolerance test result of 120 mg/dL is within the expected reference range for this client. A
value of 130 to 140 mg/dL or greater for a 1-hr glucose tolerance test indicates a positive test result and
should be reported to the provider.
b. A hematocrit of 34% is within the expected reference range for this client. The level should be greater
than 33%.
d. This FHR is within the expected reference range of 110/min to 160/min for a client at 26 weeks of
gestation.
a nurse int he antepartum clinic is assessing a client's adaptation to pregnancy. the client states that she
is, "happy one minute and crying the next." the nurse should interpret the client's statement as an
indication of which of the following?
a. emotional lability
b. focusing phase
c. cognitive restructuring
d. couvade syndrome - ANSa. emotional lability
