ATI Custom Maternal Practice Test 1 with
70 questions and complete solutions.
ATI Custom Maternal Practice Test 1 with
70 questions and complete solutions.
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late
decelerations on the monitor strip and interprets them as indicating which of the following?
a) uteroplacental insufficiency
b) maternal bradycardia
c) umbilical cord compression
d) fetal head compression - ANSWER a) uteroplacental insufficiency
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be
reported to the provider immediately?
a) A tearful client who is at 32 weeks of gestation and is experiencing irregular, frequent contractions
b) A client who is at 28 weeks of gestation and receiving terbutaline reports fine tremors
c) A client who has a diagnosis of preeclampsia has 2+ proteinuria and 2+ patellar reflexes
d) A client who has a diagnosis of preeclampsia reports epigastric pain and unresolved headache -
ANSWER d) A client who has a diagnosis of preeclampsia reports epigastric pain and unresolved
headache
A nurse on an antepartum unit is caring for a client who is at 24 weeks of gestation.
Complete the diagram by dragging from the choices below to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress. - ANSWER The nurse should administer ceftriaxone
as prescribed and assess for signs of sepsis because the client is most likely experiencing pyelonephritis
as evidenced by bilateral flank pain, dysuria, and chills. Because pyelonephritis is an extension of a UTI
or might have spread from some other area, the client is at risk for sepsis.
The nurse should monitor the client's urine output and for uterine contractions because pyelonephritis
can increase the risk of preterm labor.
A nurse in the labor and delivery unit is caring for a pregnant client. The nurse is contacting the provider
regarding the client's status. Which of the following interventions should the nurse anticipate?
,ATI Custom Maternal Practice Test 1 with
70 questions and complete solutions.
Select the 3 interventions the nurse should anticipate. - ANSWER Administer terbutaline 0.25 mg
subcutaneous stat is correct.
Give betamethasone 12 mg IM now and repeat in 24 hr is correct.
Position the client in a lateral position is correct.
A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has
a history of thromboembolic disease. which of the following nursing interventions should be included in
the plan of care?
a) Apply warm, moist heat to the client's lower extremities.
b) Massage the client's posterior lower legs.
c) Place pillows under the client's knees when resting in bed.
d) Have the client ambulate. - ANSWER d) Have the client ambulate.
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with
severe backache. which of the following contributing causes should the nurse identify?
a) Fetal attitude is in general flexion.
b) Fetal lie is longitudinal.
c) Maternal pelvis is gynecoid.
d) Fetal position is persistent occiput posterior. - ANSWER d) Fetal position is persistent occiput
posterior.
A nurse is providing teaching to a client who is at 30 weeks of gestation and is to have a nonstress test
(NST). which of the following statements by the client indicates a need for further teaching?
a) "I will have to lie on my back during the test."
b) "My baby's heart rate will be monitored during the test."
c) "I should schedule the test when the baby is usually active."
d) "It will take 20 to 30 minutes to complete the test." - ANSWER a) "I will have to lie on my back during
the test."
, ATI Custom Maternal Practice Test 1 with
70 questions and complete solutions.
A nurse is caring for a client who is in the second stage of labor. The nurse observes retraction of the
fetal head against the maternal perineum as the head is birthed.
Complete the diagram by dragging from the choices below to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress. - ANSWER The nurse should flex the client's legs
against the abdomen and apply suprapubic pressure because the client is most likely experiencing
shoulder dystocia. Flexing the clients legs against the abdomen straightens the maternal pelvis, helping
to free the trapped anterior shoulder of the fetus. Applying suprapubic pressure also helps free the
anterior shoulder, allowing for birth of the newborn's body. The nurse should monitor the movement of
the newborn's upper extremities because newborns who experience a shoulder dystocia are at a greater
risk for brachial plexus injuries. The nurse should also monitor the maternal perineum because mothers
who experience shoulder dystocia are at a greater risk for trauma to the vagina, perineum, and rectum.
A nurse is caring for a client who is in the first stage of labor and is using pattern-placed breathing. The
client says she feels lightheaded and her fingers are tingling. Which of the following actions should the
nurse take?
a) Administer oxygen via nasal cannula.
b) Assist the client to breathe into a paper bag.
c) Have the client tuck her chin to her chest.
d) Instruct the client to increase her respiratory rate to more than 42 breaths per min. - ANSWER b)
Assist the client to breathe into a paper bag.
A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the
presentation, a client asks the nurse which method would be best to use. Which of the following
responses should the nurse make?
a) "You are so young. Are you ready for the responsibilities of a sexual relationship?"
b) "Because of your age, I think that a barrier method would be the best choice."
c) "Before I can help you, I need to know more about your sexual activity."
d) "A provider can help you with that after a physical examination." - ANSWER c) "Before I can help you,
I need to know more about your sexual activity."
A nurse is providing education to a client during the first prenatal visit. Which of the following
statements by the client should indicate to the nurse a need for clarification?
70 questions and complete solutions.
ATI Custom Maternal Practice Test 1 with
70 questions and complete solutions.
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late
decelerations on the monitor strip and interprets them as indicating which of the following?
a) uteroplacental insufficiency
b) maternal bradycardia
c) umbilical cord compression
d) fetal head compression - ANSWER a) uteroplacental insufficiency
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be
reported to the provider immediately?
a) A tearful client who is at 32 weeks of gestation and is experiencing irregular, frequent contractions
b) A client who is at 28 weeks of gestation and receiving terbutaline reports fine tremors
c) A client who has a diagnosis of preeclampsia has 2+ proteinuria and 2+ patellar reflexes
d) A client who has a diagnosis of preeclampsia reports epigastric pain and unresolved headache -
ANSWER d) A client who has a diagnosis of preeclampsia reports epigastric pain and unresolved
headache
A nurse on an antepartum unit is caring for a client who is at 24 weeks of gestation.
Complete the diagram by dragging from the choices below to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress. - ANSWER The nurse should administer ceftriaxone
as prescribed and assess for signs of sepsis because the client is most likely experiencing pyelonephritis
as evidenced by bilateral flank pain, dysuria, and chills. Because pyelonephritis is an extension of a UTI
or might have spread from some other area, the client is at risk for sepsis.
The nurse should monitor the client's urine output and for uterine contractions because pyelonephritis
can increase the risk of preterm labor.
A nurse in the labor and delivery unit is caring for a pregnant client. The nurse is contacting the provider
regarding the client's status. Which of the following interventions should the nurse anticipate?
,ATI Custom Maternal Practice Test 1 with
70 questions and complete solutions.
Select the 3 interventions the nurse should anticipate. - ANSWER Administer terbutaline 0.25 mg
subcutaneous stat is correct.
Give betamethasone 12 mg IM now and repeat in 24 hr is correct.
Position the client in a lateral position is correct.
A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has
a history of thromboembolic disease. which of the following nursing interventions should be included in
the plan of care?
a) Apply warm, moist heat to the client's lower extremities.
b) Massage the client's posterior lower legs.
c) Place pillows under the client's knees when resting in bed.
d) Have the client ambulate. - ANSWER d) Have the client ambulate.
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with
severe backache. which of the following contributing causes should the nurse identify?
a) Fetal attitude is in general flexion.
b) Fetal lie is longitudinal.
c) Maternal pelvis is gynecoid.
d) Fetal position is persistent occiput posterior. - ANSWER d) Fetal position is persistent occiput
posterior.
A nurse is providing teaching to a client who is at 30 weeks of gestation and is to have a nonstress test
(NST). which of the following statements by the client indicates a need for further teaching?
a) "I will have to lie on my back during the test."
b) "My baby's heart rate will be monitored during the test."
c) "I should schedule the test when the baby is usually active."
d) "It will take 20 to 30 minutes to complete the test." - ANSWER a) "I will have to lie on my back during
the test."
, ATI Custom Maternal Practice Test 1 with
70 questions and complete solutions.
A nurse is caring for a client who is in the second stage of labor. The nurse observes retraction of the
fetal head against the maternal perineum as the head is birthed.
Complete the diagram by dragging from the choices below to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress. - ANSWER The nurse should flex the client's legs
against the abdomen and apply suprapubic pressure because the client is most likely experiencing
shoulder dystocia. Flexing the clients legs against the abdomen straightens the maternal pelvis, helping
to free the trapped anterior shoulder of the fetus. Applying suprapubic pressure also helps free the
anterior shoulder, allowing for birth of the newborn's body. The nurse should monitor the movement of
the newborn's upper extremities because newborns who experience a shoulder dystocia are at a greater
risk for brachial plexus injuries. The nurse should also monitor the maternal perineum because mothers
who experience shoulder dystocia are at a greater risk for trauma to the vagina, perineum, and rectum.
A nurse is caring for a client who is in the first stage of labor and is using pattern-placed breathing. The
client says she feels lightheaded and her fingers are tingling. Which of the following actions should the
nurse take?
a) Administer oxygen via nasal cannula.
b) Assist the client to breathe into a paper bag.
c) Have the client tuck her chin to her chest.
d) Instruct the client to increase her respiratory rate to more than 42 breaths per min. - ANSWER b)
Assist the client to breathe into a paper bag.
A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the
presentation, a client asks the nurse which method would be best to use. Which of the following
responses should the nurse make?
a) "You are so young. Are you ready for the responsibilities of a sexual relationship?"
b) "Because of your age, I think that a barrier method would be the best choice."
c) "Before I can help you, I need to know more about your sexual activity."
d) "A provider can help you with that after a physical examination." - ANSWER c) "Before I can help you,
I need to know more about your sexual activity."
A nurse is providing education to a client during the first prenatal visit. Which of the following
statements by the client should indicate to the nurse a need for clarification?
