A.T.I RN Maternity
Version-1
At 22 weeks of gestation, the fundal height should be around the level of the umbilicus. The
distance in centimeters from the symphysis pubis to the top of the fundus is a rough estimate of
gestational age.
,A nurse is caring for a client in the prenatal clinic who is at 7 weeks of
gestation. The client reports urinary frequency and asks the nurse if this will
continue throughout her pregnancy. Which of the following responses by the
nurse is appropriate?
"No, it should only last until about your 12th week, but it will return near the end of the
pregnancy."
Urinary frequency usually disappears at about 12 weeks of gestation but returns near term as the
enlarging uterus presses on the bladder. It can also worsen following fetal descent.
A nurse in a prenatal clinic overhears a newly licensed nurse discussing
conception with a client. Which of the following statements by the newly
licensed nurse requires intervention by the nurse?
“Implantation occurs between two and three weeks after conception.”
ANSWER
This statement requires clarification because implantation follows conception within 6 to 10 days.
A nurse in a prenatal clinic is caring for a client who is at 12 weeks
of gestation. The client asks about the cause of her heartburn.
Which of the following responses should the nurse make?
Increased progesterone production causes decreased motility of smooth muscle.
,Increased progesterone production causes a relaxation of the cardiac sphincter and delayed
gastric emptying, which can result in heartburn.
A nurse is preparing to auscultate fetal heart tones for a client who is
pregnant. Using Leopold maneuvers, the nurse palpates a round, firm,
moveable part in the fundal portion of the uterus and a long, smooth surface
on the mother’s right side. In which of the following maternal quadrants
should the nurse auscultate fetal heart tones?
Right upper quadrant
Fetal heart tones are best auscultated directly over the location of the fetal back,
which, in this breech presentation, is in the right upper quadrant.
A nurse is caring for a client who is pregnant and undergoing a nonstress test.
The nurse records the FHR as 130 to 150/min, with no fetal movement for 15
min. Which of the following actions should the nurse take?
Apply vibroacoustic stimulation to the woman's abdomen.
This technique is sometimes used with a nonstress test to stimulate a fetal response. A sound source, typically a laryngeal
stimulator, is applied to the client's abdomen over the fetal head for 3 seconds.
A nurse is reinforcing teaching with a client at her first prenatal visit about
expected changes during gestation. (Move the steps into the box on the right,
placing them in the selected order of occurrence from earliest to latest in
gestation. Use all the steps.)
, Breast tenderness
Nausea and vomiting
Goodell’s sign
Quickening
Striaegravidarum
A nurse in a prenatal clinic is determining a client’s estimated date of delivery
using Naegele’s rule. The first day of her last menstrual period was May 4.
Which of the following dates should the nurse tell the client is her estimated
date of delivery?
February 11
Using Naegele’s rule to calculate the client’s estimated date of delivery, the nurse should
subtract 3 calendar months and add 7 days to the client’s first day of her last menstrual period.
The nurse should calculate February 11th as the estimated date of delivery for this client.
A nurse is reinforcing teaching with a client who is in labor about why
epidural anesthesia is not initiated until a good labor pattern has been
established. Which of the following explanations should the nurse include?
"Given too soon, epidural anesthesia can prolong labor."
Progress in labor slows when clients are given anesthesia before the active phase of labor. The
medication depresses the central nervous system, thus it will take longer for the cervix to dilate
and efface.
A nurse is reinforcing nutrition teaching with a client during the first prenatal
visit. Which of the following statements by the client indicates an
understanding of the teaching?
"I can eat 12 to 18 ounces of albacore tuna weekly."
Version-1
At 22 weeks of gestation, the fundal height should be around the level of the umbilicus. The
distance in centimeters from the symphysis pubis to the top of the fundus is a rough estimate of
gestational age.
,A nurse is caring for a client in the prenatal clinic who is at 7 weeks of
gestation. The client reports urinary frequency and asks the nurse if this will
continue throughout her pregnancy. Which of the following responses by the
nurse is appropriate?
"No, it should only last until about your 12th week, but it will return near the end of the
pregnancy."
Urinary frequency usually disappears at about 12 weeks of gestation but returns near term as the
enlarging uterus presses on the bladder. It can also worsen following fetal descent.
A nurse in a prenatal clinic overhears a newly licensed nurse discussing
conception with a client. Which of the following statements by the newly
licensed nurse requires intervention by the nurse?
“Implantation occurs between two and three weeks after conception.”
ANSWER
This statement requires clarification because implantation follows conception within 6 to 10 days.
A nurse in a prenatal clinic is caring for a client who is at 12 weeks
of gestation. The client asks about the cause of her heartburn.
Which of the following responses should the nurse make?
Increased progesterone production causes decreased motility of smooth muscle.
,Increased progesterone production causes a relaxation of the cardiac sphincter and delayed
gastric emptying, which can result in heartburn.
A nurse is preparing to auscultate fetal heart tones for a client who is
pregnant. Using Leopold maneuvers, the nurse palpates a round, firm,
moveable part in the fundal portion of the uterus and a long, smooth surface
on the mother’s right side. In which of the following maternal quadrants
should the nurse auscultate fetal heart tones?
Right upper quadrant
Fetal heart tones are best auscultated directly over the location of the fetal back,
which, in this breech presentation, is in the right upper quadrant.
A nurse is caring for a client who is pregnant and undergoing a nonstress test.
The nurse records the FHR as 130 to 150/min, with no fetal movement for 15
min. Which of the following actions should the nurse take?
Apply vibroacoustic stimulation to the woman's abdomen.
This technique is sometimes used with a nonstress test to stimulate a fetal response. A sound source, typically a laryngeal
stimulator, is applied to the client's abdomen over the fetal head for 3 seconds.
A nurse is reinforcing teaching with a client at her first prenatal visit about
expected changes during gestation. (Move the steps into the box on the right,
placing them in the selected order of occurrence from earliest to latest in
gestation. Use all the steps.)
, Breast tenderness
Nausea and vomiting
Goodell’s sign
Quickening
Striaegravidarum
A nurse in a prenatal clinic is determining a client’s estimated date of delivery
using Naegele’s rule. The first day of her last menstrual period was May 4.
Which of the following dates should the nurse tell the client is her estimated
date of delivery?
February 11
Using Naegele’s rule to calculate the client’s estimated date of delivery, the nurse should
subtract 3 calendar months and add 7 days to the client’s first day of her last menstrual period.
The nurse should calculate February 11th as the estimated date of delivery for this client.
A nurse is reinforcing teaching with a client who is in labor about why
epidural anesthesia is not initiated until a good labor pattern has been
established. Which of the following explanations should the nurse include?
"Given too soon, epidural anesthesia can prolong labor."
Progress in labor slows when clients are given anesthesia before the active phase of labor. The
medication depresses the central nervous system, thus it will take longer for the cervix to dilate
and efface.
A nurse is reinforcing nutrition teaching with a client during the first prenatal
visit. Which of the following statements by the client indicates an
understanding of the teaching?
"I can eat 12 to 18 ounces of albacore tuna weekly."
