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2024 NGN NURSING ATI Maternity Evolve Exam GRADED A+ LATEST
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2024 NGN NURSING ATI Maternity Evolve ExamGRADED A+ LATEST
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to
perform Leopoid maneuvers. Which of the following images indicates the first step of
Leopoid maneuvers? - ANSPicture of nurse palpating top of belly; where bottom is
A nurse administers betamethasone to a client who is at 33 weeks gestation to
stimulate fetal lung maturity. Which planning care for the newborn, which of the
following conditions should the nurse identify as an adverse effect of this medication?
Hyperthermia
Decreased blood glucose
Rapid pulse rate
Irritability - ANSDecreased blood glucose
Betamethasone causes hyperglycemia in the client, which predisposes the newborn to
hypoglycemia in the first hours after delivery. It is important to assess the newborn's
blood glucose level within the first hour following birth and frequently thereafter until
blood glucose levels are stable.
A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and
asks the nurse how the provider will confirm her pregnancy. The nurse should inform
the client that what lab test will be used to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone - ANSa. urine test for presence
of HCG
A nurse in a family planning clinic is caring for a client who requests an oral
contraceptive. Which of the following findings in the client's hx should the nurse
recognize as a contraindication to oral contraceptives? (SATA) - ANSCholecystitis is
correct.
A history of gallbladder disease is a contraindication for the use of oral contraceptives.
Hypertension is correct.
Hypertension is a contraindication for the use of oral contraceptives.
Human papillomavirus is incorrect.
The presence of human papillomavirus is not a contraindication for the use of oral
contraceptives.
Migraine headaches is correct. A history of migraine headaches is a contraindication for
the use of oral contraceptives.
Anxiety disorder is incorrect. The presence of an anxiety disorder is not a
contraindication for the use of oral contraceptives.
,2024 NGN NURSING ATI Maternity Evolve Exam
GRADED A+ LATEST
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients
should the nurse see first? - ANSA client who is at 11 weeks of gestation and reports
abdominal cramping
A nurse in a prenatal clinic is caring for a client who is within the recommended
guidelines for weight. The client asks the nurse how much weight is safe for her to gain
during her pregnancy. Which of the following responses should the nurse make?
"Your provider can discuss an appropriate amount of weight gain with you."
"A weight gain of about 14 pounds each trimester is suggested."
"If you eat nutritious foods when you feel hungry, the amount of weight gain is
insignificant."
"A weight gain of about 25 to 35 pounds is good." - ANSA weight gain of about 25-35
pounds is good
A weight gain of 25 to 35 lb is associated with good fetal outcome. A gain of 4 lb in the
first trimester and 12 lb each for the second and third trimester is recommended.
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? - ANSA. "You can miss your 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."
Answer: "You can miss your period for several other reasons. Describe your typical
menstrual cycle."
A. "You can miss your period for several other reasons. Describe your typical menstrual
cycle."
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. "If you have been sexually active and haven't used protection, it is likely that you are
pregnant."
The nurse's response is assuming and confirming that the client is pregnant based only
on the client's statement, which can increase the client's anxiety level.
,2024 NGN NURSING ATI Maternity Evolve Exam
GRADED A+ LATEST
C. "Let's check to see if you have any other signs of pregnancy. Have you noticed any
abdominal enlargement yet?"
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. "Because you have missed your period, you should try taking a home pregnancy test
before you start worrying."
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 a provider's office is reviewing the medical record of a client who is in the first
trimester of pregnancy. Which of the following should the nurse identify as a risk factor
for the development of preeclampsia - ANSPregestational Diabetes Mellitus
A nurse in a women's health clinic is providing teaching about nutritional intake to a
client who is at 8 weeks of gestation. The nurse should instruct the client to increase her
daily intake of which of the following nutrients? - ANSA. Calcium
B. Vitamin E
C. Iron
D. Vitamin D
Answer: Iron
A. Calcium
The recommendation for calcium intake during pregnancy is the same as that for
women who are not pregnant: 1,300 mg/day for women younger than 19 years old and
1,000 mg/day for women between the ages of 19 and 50 years old.
B. Vitamin E
The recommendation for vitamin E intake during pregnancy is 15 mg/day, the same as
that for women who are not pregnant.
C. Iron
The recommendation for iron intake during pregnancy is higher than that for women
who are not pregnant. For women who are pregnant, it is 27 mg/day. For women who
are not pregnant, it is 15 mg/day for women younger than 19 years old and 18 mg/day
for women between the ages of 19 and 50 years old.
D. Vitamin D
The recommendation for vitamin D intake during pregnancy is 600 IU/day, the same as
that for women who are not pregnant.
, 2024 NGN NURSING ATI Maternity Evolve Exam
GRADED A+ LATEST
A nurse in an antepartum clinic answers a phone call from a client who is at 37 weeks of
gestation and reports, "I become very dizzy while lying in bed this morning, but the
feeling went away when I turned on my side." Which of the following actions should the
nurse take?
Instruct the client about vena cava syndrome and measures to prevent it.
Arrange for the client to come to the clinic for an assessment.
Check the client's chart for gestational diabetes mellitus.
Schedule a nonstress test for the client. - ANSInstruct the client about vena cava
syndrome and measures to prevent it
This is the typical finding of vena cava syndrome, or hypotension that occurs in clients
who are pregnant upon assuming a supine position. It is caused by compression of the
inferior vena cava by the gravid uterus with a consequent reduction in venous return. A
side lying position promotes uterine perfusion and fetoplacental oxygenation.
A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation.
Which of the following findings should the nurse report to the provider? - ANSReports of
decreased fetal movement
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? - ANSFundal Height Measurement
A nurse in the 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
interperate the client's statement as an indication of which of the following? - ANSA.
Emotional lability
B. Focusing phase
C. Cognitive restructuring
D. Couvade syndrome
Answer: Emotional lability
A. Emotional lability
The nurse should recognize and interpret the client's statement as an indication of
emotional lability. Many clients experience rapid and unpredictable changes in mood
during pregnancy. Intense hormonal changes may be responsible for mood changes
that occur during pregnancy. Tears and anger alternate with feelings of joy or
cheerfulness for little or no reason.
B. Focusing phase
The focusing phase is the third phase of the father's emotional response to the
pregnancy. It is characterized by his active involvement in the pregnancy and his
relationship with the child.
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