NSG 4525 EXAM 1: ATI QUIZZES (ANTEPARTUM,
INTRAPARTUM, POSTPARTUM, NEONATE, SELF &
SEXUALITY)
A nurse is caring for a client who is to undergo a biophysical profile. The client asks the
nurse what is being evaluated during this test. Which of the following should the nurse
include? (SATA)
A) Fetal breathing
B) Fetal motion
C) Fetal neck translucency
D) Amniotic fluid volume
E) Fetal gender - Answers - A) Fetal breathing
B) Fetal motion
D) Amniotic fluid volume
A nurse is reinforcing teaching with a group of adolescent females who are pregnant
about expected changes related to pregnancy. Which of the following client statements
indicates understanding of the teaching?
A) "It is normal to have a white vaginal discharge."
B) "I should recognize fetal movement by 12 weeks."
C) "I will take fluid pills if my ankles begin to swell."
D) "My nipples and areolae will become pale as my breasts enlarge." - Answers - A) "It
is normal to have a white vaginal discharge."
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and
is reviewing the provider's orders. Which of the following orders requires clarification?
A) Assess deep tendon reflexes every hour
B) Obtain a daily weight
C) Continuous fetal monitoring
D) Ambulate twice daily - Answers - D) Ambulate twice daily
A nurse is completing the admission assessment of a client who is at 38 weeks of
gestation and has severe preeclampsia. Which of the following is an expected finding?
A) Tachycardia
B) Absence of clonus
C) Polyuria
D) Report of headache - Answers - D) Report of headache
,A nurse is assessing a client who is in the third trimester of pregnancy. The nurse
should recognize which of the following findings as an expected physiologic change
during pregnancy?
A) Gradual lordosis
B) Increased abdominal muscle tone
C) Posterior neck flexion
D) Decreased mobility of pelvic joints - Answers - A) Gradual lordosis
A nurse is teaching a client about positive signs of pregnancy. Which of the following
findings should the nurse include?
A) Breast tenderness
B) Fatigue
C) Fetal heart tones detected by ultrasound
D) Positive urine pregnancy test - Answers - C) Fetal heart tones detected by
ultrasound
A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red
vaginal bleeding. The nurse should recognize this finding as an indication of which of
the following conditions?
A) Abruptio placentae
B) Placenta previa
C) Precipitous labor
D) Threatened abortion - Answers - B) Placenta previa
A nurse is caring for an antepartum client who has iron-deficiency anemia. When
teaching the client about nutrition, the nurse should emphasize the need for an
increased intake of which of the following foods?
A) Milk and cheese
B) Red meat and organ meat
C) Fresh fruits
D) Whole grain breads - Answers - B) Red meat and organ meat
A nurse is conducting nutritional counseling with a client who is in her second trimester
of pregnancy. The nurse should recommend the client increase her caloric intake by
how many calories during this trimester?
A) 110 cal/day
B) 225 cal/day
C) 340 cal/day
D) 450 cal/day - Answers - C) 340 cal/day
,A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa.
The client asks the nurse why the provider does not do an internal examination. Which
of the following explanations of the primary reason should the nurse provide?
A) "There is an increased risk of introducing infection."
B) "This could initiate preterm labor."
C) "This could result in profound bleeding."
D) "There is an increased risk of rupture of the membranes." - Answers - C) "This could
result in profound bleeding."
A nurse is caring for a client who at 18 weeks of gestation. The client tells the nurse that
she felt fluttering movements in her abdomen 3 days ago. The nurse should interpret
this finding as which of the following?
A) Ballottement
B) Lightening
C) Quickening
D) Chloasma - Answers - C) Quickening
A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that
she has saturated two perineal pads in the past 30 min. The nurse caring for her
suspects placenta previa. Which of the following is an appropriate nursing action?
A) Examination to determine cervical status
B) A magnesium sulfate infusion
C) Initiation of pushing
D) Preparation for cesarean birth - Answers - D) Preparation for cesarean birth
A nurse is assessing a client who is pregnant for preeclampsia. Which of the following
findings should indicate to the nurse that the client requires further evaluation for this
disorder?
A) Increased urine output
B) Vaginal discharge
C) Elevated blood pressure
D) Joint pain - Answers - C) Elevated blood pressure
A nurse is teaching a client who is at 23 weeks of gestation about immunizations. Which
of the following statements should the nurse include in the teaching?
A) "You should not receive the rubella vaccine while breastfeeding."
B) "You should receive a varicella vaccine before you deliver."
C) "You can receive an influenza vaccine during pregnancy."
D) "You cannot receive the Tdap vaccine until after you deliver." - Answers - C) "You
can receive an influenza vaccine during pregnancy."
, A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected
placenta previa. Which of the following findings support this diagnosis?
A) Painless red vaginal bleeding
B) Increasing abdominal pain with a nonrelaxed uterus
C) Abdominal pain with scant red vaginal bleeding
D) Intermittent abdominal pain following passage of bloody mucus - Answers - A)
Painless red vaginal bleeding
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of
gestation. At which location should the nurse expect to palpate the fundus?
A) 3 cm above the umbilicus
B) Slightly above the umbilicus
C) Slightly below the umbilicus
D) 3 cm below the umbilicus - Answers - B) Slightly above the umbilicus
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 - Answers - D) A client who has a diagnosis of preeclampsia reports
epigastric pain and unresolved headache
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at
risk for placental abruption. The nurse should recognize that which of the following is
the most common risk factor for abruption?
A) Cocaine use
B) Hypertension
C) Blunt force trauma
D) Cigarette smoking - Answers - B) Hypertension
A nurse is providing teaching to a client who is planning on becoming pregnant about
the changes she should expect. Identify the sequence of maternal changes. (Place
steps in the correct order)
- Quickening
- Lightening
- Goodell's sign
- Amenorrhea - Answers - 1. Amenorrhea
INTRAPARTUM, POSTPARTUM, NEONATE, SELF &
SEXUALITY)
A nurse is caring for a client who is to undergo a biophysical profile. The client asks the
nurse what is being evaluated during this test. Which of the following should the nurse
include? (SATA)
A) Fetal breathing
B) Fetal motion
C) Fetal neck translucency
D) Amniotic fluid volume
E) Fetal gender - Answers - A) Fetal breathing
B) Fetal motion
D) Amniotic fluid volume
A nurse is reinforcing teaching with a group of adolescent females who are pregnant
about expected changes related to pregnancy. Which of the following client statements
indicates understanding of the teaching?
A) "It is normal to have a white vaginal discharge."
B) "I should recognize fetal movement by 12 weeks."
C) "I will take fluid pills if my ankles begin to swell."
D) "My nipples and areolae will become pale as my breasts enlarge." - Answers - A) "It
is normal to have a white vaginal discharge."
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and
is reviewing the provider's orders. Which of the following orders requires clarification?
A) Assess deep tendon reflexes every hour
B) Obtain a daily weight
C) Continuous fetal monitoring
D) Ambulate twice daily - Answers - D) Ambulate twice daily
A nurse is completing the admission assessment of a client who is at 38 weeks of
gestation and has severe preeclampsia. Which of the following is an expected finding?
A) Tachycardia
B) Absence of clonus
C) Polyuria
D) Report of headache - Answers - D) Report of headache
,A nurse is assessing a client who is in the third trimester of pregnancy. The nurse
should recognize which of the following findings as an expected physiologic change
during pregnancy?
A) Gradual lordosis
B) Increased abdominal muscle tone
C) Posterior neck flexion
D) Decreased mobility of pelvic joints - Answers - A) Gradual lordosis
A nurse is teaching a client about positive signs of pregnancy. Which of the following
findings should the nurse include?
A) Breast tenderness
B) Fatigue
C) Fetal heart tones detected by ultrasound
D) Positive urine pregnancy test - Answers - C) Fetal heart tones detected by
ultrasound
A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red
vaginal bleeding. The nurse should recognize this finding as an indication of which of
the following conditions?
A) Abruptio placentae
B) Placenta previa
C) Precipitous labor
D) Threatened abortion - Answers - B) Placenta previa
A nurse is caring for an antepartum client who has iron-deficiency anemia. When
teaching the client about nutrition, the nurse should emphasize the need for an
increased intake of which of the following foods?
A) Milk and cheese
B) Red meat and organ meat
C) Fresh fruits
D) Whole grain breads - Answers - B) Red meat and organ meat
A nurse is conducting nutritional counseling with a client who is in her second trimester
of pregnancy. The nurse should recommend the client increase her caloric intake by
how many calories during this trimester?
A) 110 cal/day
B) 225 cal/day
C) 340 cal/day
D) 450 cal/day - Answers - C) 340 cal/day
,A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa.
The client asks the nurse why the provider does not do an internal examination. Which
of the following explanations of the primary reason should the nurse provide?
A) "There is an increased risk of introducing infection."
B) "This could initiate preterm labor."
C) "This could result in profound bleeding."
D) "There is an increased risk of rupture of the membranes." - Answers - C) "This could
result in profound bleeding."
A nurse is caring for a client who at 18 weeks of gestation. The client tells the nurse that
she felt fluttering movements in her abdomen 3 days ago. The nurse should interpret
this finding as which of the following?
A) Ballottement
B) Lightening
C) Quickening
D) Chloasma - Answers - C) Quickening
A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that
she has saturated two perineal pads in the past 30 min. The nurse caring for her
suspects placenta previa. Which of the following is an appropriate nursing action?
A) Examination to determine cervical status
B) A magnesium sulfate infusion
C) Initiation of pushing
D) Preparation for cesarean birth - Answers - D) Preparation for cesarean birth
A nurse is assessing a client who is pregnant for preeclampsia. Which of the following
findings should indicate to the nurse that the client requires further evaluation for this
disorder?
A) Increased urine output
B) Vaginal discharge
C) Elevated blood pressure
D) Joint pain - Answers - C) Elevated blood pressure
A nurse is teaching a client who is at 23 weeks of gestation about immunizations. Which
of the following statements should the nurse include in the teaching?
A) "You should not receive the rubella vaccine while breastfeeding."
B) "You should receive a varicella vaccine before you deliver."
C) "You can receive an influenza vaccine during pregnancy."
D) "You cannot receive the Tdap vaccine until after you deliver." - Answers - C) "You
can receive an influenza vaccine during pregnancy."
, A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected
placenta previa. Which of the following findings support this diagnosis?
A) Painless red vaginal bleeding
B) Increasing abdominal pain with a nonrelaxed uterus
C) Abdominal pain with scant red vaginal bleeding
D) Intermittent abdominal pain following passage of bloody mucus - Answers - A)
Painless red vaginal bleeding
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of
gestation. At which location should the nurse expect to palpate the fundus?
A) 3 cm above the umbilicus
B) Slightly above the umbilicus
C) Slightly below the umbilicus
D) 3 cm below the umbilicus - Answers - B) Slightly above the umbilicus
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 - Answers - D) A client who has a diagnosis of preeclampsia reports
epigastric pain and unresolved headache
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at
risk for placental abruption. The nurse should recognize that which of the following is
the most common risk factor for abruption?
A) Cocaine use
B) Hypertension
C) Blunt force trauma
D) Cigarette smoking - Answers - B) Hypertension
A nurse is providing teaching to a client who is planning on becoming pregnant about
the changes she should expect. Identify the sequence of maternal changes. (Place
steps in the correct order)
- Quickening
- Lightening
- Goodell's sign
- Amenorrhea - Answers - 1. Amenorrhea
