ATI Maternal Child 1 Exam 2024 Questions And
Correct Answer
Are all probable signs of pregnancy - changes that make the examiner suspect a
woman is pregnant (related to physical changes of the uterus). - ✔✔ANSWER✔✔-
Goodell's sign, ballottement, Chadwick's sign, Hegar's sign, Abdominal
enlargement related to changes in uterine size, shape, & position, fetal outline felt
by examiner, Braxton Hicks contractions, Positive pregnancy test
Hegar's sign - ✔✔ANSWER✔✔-Softening and compressibility of the lower uterus
,Chadwick's sign - ✔✔ANSWER✔✔-Deepened violet-bluish color of vaginal mucosa
secondary to increased vascularity of the area.
A client who is undergoing a nonstress test asks a RN to explain why use an
acoustic vibration device. The RN states that the device is used to: -
✔✔ANSWER✔✔-Awaken the sleeping fetus.
*If there is no fetal movement (fetus sleeping), vibroacoustic stimulation (sound
source, usually a laryngeal stimulator) is activated for 3 seconds on the maternal
abdomen over the fetal head to awaken a sleeping fetus
Naegele's Test - ✔✔ANSWER✔✔-Menstrual period date minus 3 months, plus 7
days and 1 year
GTPAL - ✔✔ANSWER✔✔-G - Gravida
T - Term
P - preterm
A - Abortion
L - Living Children
A nurse determines that a client who is pregnant needs further instructions about
an amniocentesis when the client states, - ✔✔ANSWER✔✔-"I need to have a full
bladder for the procedure to be done."
*An amniocentesis requires an empty bladder to prevent an inadvertent puncture
from occurring.
Which findings from a client who is pregnant should indicate to a nurse that the
client should undergo a contraction stress test (CST)? - ✔✔ANSWER✔✔-
Decreased fetal movement, Intrauterine growth restriction (IUGR), Postmaturity,
Advanced maternal age, are all findings that require interventions. Assessing fetal
well-being by performing a CST would be indicated.
,Goodell's sign - ✔✔ANSWER✔✔-Softening of cervical tip
Ballottement - ✔✔ANSWER✔✔-Rebound of unengaged fetus
Braxton Hicks - ✔✔ANSWER✔✔-Painless, irregular contractions that are usually
relieved with walking
Quickening - ✔✔ANSWER✔✔-Slight fluttering movements of fetus felt by a
woman
Chloasma - ✔✔ANSWER✔✔-Mask of pregnancy (pigmentation increases on the
face)
Linea nigra - ✔✔ANSWER✔✔-Dark line of pigmentation from the umbilicus to the
pubic area.
Striae gravidarum - ✔✔ANSWER✔✔-Stretch marks most often found on the
abdomen and thighs
A RN is teaching a group of women who are pregnant about measures to relieve
backache during pregnancy. The nurse should teach the women... -
✔✔ANSWER✔✔-Perform the pelvic rock exercise every day.
Use good body mechanics.
, A RN is teaching a group of clients who are pregnant about behaviors to avoid
during pregnancy. The client needs further instruction when - ✔✔ANSWER✔✔-
the client states "I can have a drink of wine with dinner."
No alcohol should be consumed during pregnancy.
A client who is at 8 weeks of gestation tells the RN that she isn't sure she is happy
about being pregnant. The RN should respond to the client by - ✔✔ANSWER✔✔-
stating, "It is normal to have feelings during the first few months of pregnancy."
Ambivalence during the first trimester is a normal response. The client usually
overcomes ambivalence before the second trimester.
A client who is pregnant should promptly report which of the following symptoms
to the primary care provider? - ✔✔ANSWER✔✔-Vaginal bleeding
*Vaginal bleeding during pregnancy is always a dangerous sign and the client
should notify her primary care provider.
A client who is at 7 weeks of gestation is experiencing N/V in the morning. The
nurse in the prenatal clinic provides teaching that should include: -
✔✔ANSWER✔✔-Eat crackers or plain toast before getting out of bed.
Nausea and vomiting may occur during the first trimester. The client should eat
crackers or dry toast ½ to 1 hr before rising in the morning to relieve discomfort.
RN working in a prenatal clinic is providing education to a client who is pregnant.
The client states that she hates milk. A good source of calcium - ✔✔ANSWER✔✔-
Dark green, leafy vegetables
*Calcium is very important to a developing fetus. It is involved in bone and teeth
formation.
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