ATI RN Maternal Newborn Nursing UNIT
1 Antepartum Nursing Care
1. A nurse in a health clinic is reviewing contraceptive use with a group of adolescent
clients. Which of the following statements
. by an adolescent reflects an understanding of
the teaching?
A. "a water-soluble lubricant should be used with condoms."
B. "a diaphragm should be removed 2 hours after intercourse."
C. "oral contraceptives can worsen a case of acne."
D. "a contraceptive patch is replaced once a month."
a. CORRECT: "a water-soluble lubricant should be used with condoms."
B. "a diaphragm should be removed no sooner than 6 hr. and no later than 24 hr.
after intercourse."
C. "acne is reduced when taking oral contraceptives."
D. "Contraceptive patches are replaced once a week."
2. A nurse is instructing a client who is taking an oral contraceptive about danger signs to
report to her provider. The nurse determines the client understands the teaching when the
client states the need to report which of the following?
A. reduced menstrual flow
B. Breast tenderness
C. Shortness of breath
D. Headaches.
3. C. reduced menstrual flow is a common adverse effect of oral contraceptives and usually
subsides after a few months of use.
B. Breast tenderness is a common adverse effect of oral contraceptives and usually
subsides after a few months of use.
C. CORRECT: Shortness of breath can indicate a pulmonary embolus or myocardial
infarction and should be reported to the provider immediately.
D. Headaches are a common adverse effect of oral contraceptives and usually subside
after a few months of use."
4. A nurse in an obstetrical clinic is teaching a client about using an IUD for contraception.
Which of the following statements by the client indicates an understanding of the
teaching?
A. "an IUD should be replaced annually during a pelvic exam."
B. "I cannot get an IUD until after I've had a child."
C. "I should expect intermittent abdominal pain while the IUD is in place."
D. "a change in the string length of my iUD is [not] expected."
,5. D "a. an iUD will be replaced every 3 to 5 years, dependent upon the type of iUD used.
B. Clients do not have to have given birth prior to the insertion of an IUD.
C. abdominal pain with an IUD can indicate a potential complication and should be
reported to the provider.
D. CORRECT: a change in the length of the string of an IUD can indicate expulsion and
should be reported to the provider."
6. A nurse is teaching a client about potential adverse effects of implantable progestins.
Which of the following adverse effects should the nurse include? (Select all that apply.)
A. tinnitus
B. irregular vaginal bleeding
C. Weight gain
D. Breast changes e. gingival hyperplasia.
a. tinnitus is not an adverse effect of implantable progestins.
B. CORRECT: irregular vaginal bleeding is a potential adverse effect of
implantable progestins. C. CORRECT: Weight gain is a potential adverse effect
of implantable progestins.
D. CORRECT: Breast changes are a potential adverse effect of implantable
progestins.
E. Gingival hyperplasia is not a potential adverse effect of implantable
progestins."
7. A nurse in a clinic is teaching a client about her new prescription for
medroxyprogesterone. Which of the following information should the nurse include in
the teaching? (Select all that apply.)
A. "Weight loss can occur."
B. "You are protected against Stis."
C. "You should increase your intake of calcium."
D. "You should avoid taking antibiotics."
E. "irregular vaginal spotting can occur."
a. "Weight gain can occur when taking medroxyprogesterone.
B. Medroxyprogesterone does not provide protection against Stis.
C. CORRECT: Clients should take calcium and vitamin D to prevent loss of bone
density, which can occur when taking medroxyprogesterone.
D. antibiotics are not contraindicated when taking medroxyprogesterone.
E. CORRECT: Medroxyprogesterone can cause irregular vaginal bleeding."
8. A nurse in a clinic is caring for a group of female clients who are being evaluated for
infertility. Which of the following clients should the nurse anticipate the provider will
refer to a genetic counselor?
A. A client whose sister has alopecia
B. A client whose partner has von Willebrand disease
, C. A client who has an allergy to sulfa
D. A client who had rubella 3 months ago
a. Alopecia is a nonhereditary disorder and does not warrant referral to a genetic
counselor.
B. CORRECT: Von Willebrand disease is a genetic bleeding disorder and
warrants a client being referred to a genetic counselor.
C. Allergy to sulfa is a nonhereditary condition and does not warrant referral to a
genetic counselor.
D. A recent episode of rubella in a nonpregnant female does not warrant a referral
to a genetic counselor."
9. A nurse is caring for a couple who is being evaluated for infertility. Which of the
following statements by the nurse indicates understanding of the infertility assessment
process?
A. "you will need to see a genetic counselor as part of the assessment."
B. "It is usually the woman who is having trouble, so the man doesn't have to be
involved."
C. "the man is the easiest to assess, and the provider will usually begin there."
D. "think about adopting first because there are many babies that need good homes."
a. A referral to a genetic counselor occurs if there is a reason to suspect birth defects
or other physiological concerns. It is not included in all infertility assessment
processes.
B. the cause of infertility is almost evenly divided between men and women.
C. CORRECT: A sperm analysis is one of the first steps in the infertility
assessment process and can identify a cause of infertility in a less invasive and
costly manner.
D. Adoption is an option for the infertile couple after identifying a possible cause
for the infertility."
10. A nurse in an infertility clinic is providing care to a couple who has been unable to
conceive for 18 months. Which of the following data should be included in the
assessment? (Select all that apply.)
A. Occupation
B. Menstrual history
C. Childhood infectious diseases
D. History of falls
E. recent blood transfusions
a. CORRECT: Occupational hazards include exposure to teratogenic substances in
the workplace, such as radiation, chemicals, herbicides, and pesticides.
B. CORRECT: Menstrual history can identify hormone-related patterns, such as
anovulation, pituitary disorders, and endometriosis.
C. CORRECT: Childhood infectious diseases can identify the male partner having
had the mumps.
1 Antepartum Nursing Care
1. A nurse in a health clinic is reviewing contraceptive use with a group of adolescent
clients. Which of the following statements
. by an adolescent reflects an understanding of
the teaching?
A. "a water-soluble lubricant should be used with condoms."
B. "a diaphragm should be removed 2 hours after intercourse."
C. "oral contraceptives can worsen a case of acne."
D. "a contraceptive patch is replaced once a month."
a. CORRECT: "a water-soluble lubricant should be used with condoms."
B. "a diaphragm should be removed no sooner than 6 hr. and no later than 24 hr.
after intercourse."
C. "acne is reduced when taking oral contraceptives."
D. "Contraceptive patches are replaced once a week."
2. A nurse is instructing a client who is taking an oral contraceptive about danger signs to
report to her provider. The nurse determines the client understands the teaching when the
client states the need to report which of the following?
A. reduced menstrual flow
B. Breast tenderness
C. Shortness of breath
D. Headaches.
3. C. reduced menstrual flow is a common adverse effect of oral contraceptives and usually
subsides after a few months of use.
B. Breast tenderness is a common adverse effect of oral contraceptives and usually
subsides after a few months of use.
C. CORRECT: Shortness of breath can indicate a pulmonary embolus or myocardial
infarction and should be reported to the provider immediately.
D. Headaches are a common adverse effect of oral contraceptives and usually subside
after a few months of use."
4. A nurse in an obstetrical clinic is teaching a client about using an IUD for contraception.
Which of the following statements by the client indicates an understanding of the
teaching?
A. "an IUD should be replaced annually during a pelvic exam."
B. "I cannot get an IUD until after I've had a child."
C. "I should expect intermittent abdominal pain while the IUD is in place."
D. "a change in the string length of my iUD is [not] expected."
,5. D "a. an iUD will be replaced every 3 to 5 years, dependent upon the type of iUD used.
B. Clients do not have to have given birth prior to the insertion of an IUD.
C. abdominal pain with an IUD can indicate a potential complication and should be
reported to the provider.
D. CORRECT: a change in the length of the string of an IUD can indicate expulsion and
should be reported to the provider."
6. A nurse is teaching a client about potential adverse effects of implantable progestins.
Which of the following adverse effects should the nurse include? (Select all that apply.)
A. tinnitus
B. irregular vaginal bleeding
C. Weight gain
D. Breast changes e. gingival hyperplasia.
a. tinnitus is not an adverse effect of implantable progestins.
B. CORRECT: irregular vaginal bleeding is a potential adverse effect of
implantable progestins. C. CORRECT: Weight gain is a potential adverse effect
of implantable progestins.
D. CORRECT: Breast changes are a potential adverse effect of implantable
progestins.
E. Gingival hyperplasia is not a potential adverse effect of implantable
progestins."
7. A nurse in a clinic is teaching a client about her new prescription for
medroxyprogesterone. Which of the following information should the nurse include in
the teaching? (Select all that apply.)
A. "Weight loss can occur."
B. "You are protected against Stis."
C. "You should increase your intake of calcium."
D. "You should avoid taking antibiotics."
E. "irregular vaginal spotting can occur."
a. "Weight gain can occur when taking medroxyprogesterone.
B. Medroxyprogesterone does not provide protection against Stis.
C. CORRECT: Clients should take calcium and vitamin D to prevent loss of bone
density, which can occur when taking medroxyprogesterone.
D. antibiotics are not contraindicated when taking medroxyprogesterone.
E. CORRECT: Medroxyprogesterone can cause irregular vaginal bleeding."
8. A nurse in a clinic is caring for a group of female clients who are being evaluated for
infertility. Which of the following clients should the nurse anticipate the provider will
refer to a genetic counselor?
A. A client whose sister has alopecia
B. A client whose partner has von Willebrand disease
, C. A client who has an allergy to sulfa
D. A client who had rubella 3 months ago
a. Alopecia is a nonhereditary disorder and does not warrant referral to a genetic
counselor.
B. CORRECT: Von Willebrand disease is a genetic bleeding disorder and
warrants a client being referred to a genetic counselor.
C. Allergy to sulfa is a nonhereditary condition and does not warrant referral to a
genetic counselor.
D. A recent episode of rubella in a nonpregnant female does not warrant a referral
to a genetic counselor."
9. A nurse is caring for a couple who is being evaluated for infertility. Which of the
following statements by the nurse indicates understanding of the infertility assessment
process?
A. "you will need to see a genetic counselor as part of the assessment."
B. "It is usually the woman who is having trouble, so the man doesn't have to be
involved."
C. "the man is the easiest to assess, and the provider will usually begin there."
D. "think about adopting first because there are many babies that need good homes."
a. A referral to a genetic counselor occurs if there is a reason to suspect birth defects
or other physiological concerns. It is not included in all infertility assessment
processes.
B. the cause of infertility is almost evenly divided between men and women.
C. CORRECT: A sperm analysis is one of the first steps in the infertility
assessment process and can identify a cause of infertility in a less invasive and
costly manner.
D. Adoption is an option for the infertile couple after identifying a possible cause
for the infertility."
10. A nurse in an infertility clinic is providing care to a couple who has been unable to
conceive for 18 months. Which of the following data should be included in the
assessment? (Select all that apply.)
A. Occupation
B. Menstrual history
C. Childhood infectious diseases
D. History of falls
E. recent blood transfusions
a. CORRECT: Occupational hazards include exposure to teratogenic substances in
the workplace, such as radiation, chemicals, herbicides, and pesticides.
B. CORRECT: Menstrual history can identify hormone-related patterns, such as
anovulation, pituitary disorders, and endometriosis.
C. CORRECT: Childhood infectious diseases can identify the male partner having
had the mumps.
