ATI MATERNITY PRACTICE TEST A – QUESTIONS AND ANSWERS A nurse on a postpartum unit is assisting with the care of a client who has a hypotonic uterus and
excessive vaginal bleeding. Which of the following actions should the nurse take?
1-Provide fundal massage
2-Insert an indwelling catheter for the client
3-Administer methylegonovine IM to the client Correct Answer - provide fundal massagge
A nurse is caring for a client who is at 11 weeks of gestation and reports vomiting. Which of the following findings should the nurse identify as an indication that the client has hyperemesis gravidarum?
1-Ketouria
2-Bradycardia
3-Bradypnea
4-Proteinuria Correct Answer - Ketouria
A nurse is assisting with the care of a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. The client has a respiratory rate of 10/min. Which of the following should the nurse expect a charge nurse to administer to the client?
1-Calcium gluconate
2-Naloxone
3-Protamine sulfate
4-Diphenhydramine Correct Answer - Calcium gluconate
A nurse is reviewing the laboratory results of a 4 hr old newborn. Which of the following findings should the nurse report to the provider?
1-Hemoglobin 20 mg/dL
2-Platelet count 120,000/mm3
3-Glucose 50 mg/dL
4-WBC count 20,000/mm3 Correct Answer - Platelet count 120,000/mm3
A nurse is caring for a client who is at 20 weeks of gestation and is in the clinic for a routine prenatal visit. Which of the following findings in the data from the client's medical record should
the nurse report to the providor?
1-Weight gain of 2.9 lbs in 4 weeks
2-Fundal height of 25 cm at 20 weeks
3-Fetal heart rate of 160/min
4-Blood pressure that went to 130/80 Correct Answer - Fundal height of 25 cm at 20 weeks
A client in a prenatal clinic is caring for a group of clients. Which of the following clients should
the nurse recommend the provider see first?
1-A client who is at 37 weeks of gestation and reports persistent headache 2-A client who is at 38 weeks of gestation and reports irregular uterine contractions
3-A client who is at 12 weeks of gestation and reports abdominal cramping
4-A client who is at 26 weeks of gestation and reports periodic numbness in the fingers Correct Answer - A client who is at 37 weeks of gestation and reports persistent headache
A nurse is assisting with planning for a client who is breastfeeding and has mastitis. Which of the
following recommendations should the nurse include?
1-Instruct the client to discontinue feeding from the affected breast
2-Tell the client to wear an underwire bra
3-Instruct the client to apply warm compresses to the affected breast
4-Administer an antiviral medication Correct Answer - Instruct the client to apply warm compresses to the affected breast
A nurse in an antepartum clinic is reinforcing teaching about how to prevent supine hypotension with a client who is at 16 weeks of gestation. Which of the following responses by the client indicated an understanding of the teaching?
1-"I will applying support stockings 30 minutes after getting out of bed."
2-"I will lie on my left side with my head elevated on a pillow."
3-"I will cross my legs when sitting."
4-"I will limit my salt intake." Correct Answer - "I will lie on my left side with my head elevated on a pillow."
A nurse is reinforcing with a client who has preeclampsia and is receiving magnesium sulfate via
continuous IV infusion. Which of the following statements should the nurse include in the teaching?
1-"We will monitor your blood pressure every 2 hours."
2-"Your fluid intake will be limited to no more than 125 mL/hr."
3-You might notice that you will begin breathing faster than normal."
4-"We will monitor your baby's heart rate once per hour." Correct Answer - "Your fluid intake will be limited to no more than 125 mL/hr."
A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal examination. Which of the following must the nurse report to the provider?
1-Blurred vision
2-Nonpitting ankle edema
3-10 fetal movements in 2 hours
4-Leg cramps Correct Answer - Blurred vision
A nurse is caring for a client 6 hours after vaginal birth who is going to breastfeed her newborn. The client reports perineal pain of 6. The nurse also notes milk perineal edema and ecchymosis, with a fundus that is 2 cm above the umbilicus with deviation to the right. Which of the following actions is the nurse's priority?
1-Administer analgesics
2-Apply an ice pack to the perineum
3-Assist the client with breastfeeding
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