ATI MATERNAL HEALTH Test Bank - Essentials of
Maternity, Newborn, and Women's Health Nursing Top
Grade
-After teaching a woman who has had an evacuation for a hydatidiform mole (molar pregnancy) about
her condition, which of the following statements indicates that the nurse's teaching was successful?
A) "I will be sure to avoid getting pregnant for at least 1 year."
B) "My intake of iron will have to be closely monitored for 6 months."
C) "My blood pressure will continue to be increased for about 6 more months."
D) "I won't use my birth control pills for at least a year or two."
((answers))Ans: A
Rationel
After evacuation of a hydatidiform mole, long-term follow-up is necessary to make sure any remaining
trophoblastic tissue does not become malignant. Serial hCG levels are monitored closely for 1 year and
the client is urged to avoid pregnancy for 1 year because it can interfere with the monitoring of hCG
levels. Iron intake and blood pressure are not important aspects of follow -up after evacuation of a
hydatidiform mole. Use of a reliable contraceptive is strongly recommended so that pregnancy is
avoided.)
-Which of the following findings on a prenatal visit at 10 weeks might lead the nurse to suspect a
hydatidiform mole?
A) Complaint of frequent mild nausea
B) Blood pressure of 120/84 mm Hg
C) History of bright red spotting 6 weeks ago
D) Fundal height measurement of 18 cm
, ((answers))Ans: D
Rationel
Findings with a hydatidiform mole may include uterine size larger than expected. Mild nausea would be
a normal finding at 10 weeks' gestation. Blood pressure of 120/84 would not be associated with
hydatidiform mole and depending on the woman's baseline blood pressure may be within acceptable
parameters for her. Bright red spotting might suggest a spontaneous abortion.)
-A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding
would the nurse interpret as indicating a therapeutic level of medication?
A) Urinary output of 20 mL per hour
B) Respiratory rate of 10 breaths/minute
C) Deep tendons reflexes 2+
D) Difficulty in arousing
((answers))Ans: C
Rationel
With magnesium sulfate, deep tendon reflexes of 2+ would be considered normal and therefore a
therapeutic level of the drug. Urinary output of less than 30 mL, a respiratory rate of less than 12
breaths/minute, and a diminished level of consciousness would indicate magnesium toxicity.)
-Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client
crying. Which of the following responses by the nurse would be most appropriate?
A) "Why are you crying?"
B) "Will a pill help your pain?"
C) "I'm sorry you lost your baby."
D) "A baby still wasn't formed in your uterus."
((answers))Ans: C
Maternity, Newborn, and Women's Health Nursing Top
Grade
-After teaching a woman who has had an evacuation for a hydatidiform mole (molar pregnancy) about
her condition, which of the following statements indicates that the nurse's teaching was successful?
A) "I will be sure to avoid getting pregnant for at least 1 year."
B) "My intake of iron will have to be closely monitored for 6 months."
C) "My blood pressure will continue to be increased for about 6 more months."
D) "I won't use my birth control pills for at least a year or two."
((answers))Ans: A
Rationel
After evacuation of a hydatidiform mole, long-term follow-up is necessary to make sure any remaining
trophoblastic tissue does not become malignant. Serial hCG levels are monitored closely for 1 year and
the client is urged to avoid pregnancy for 1 year because it can interfere with the monitoring of hCG
levels. Iron intake and blood pressure are not important aspects of follow -up after evacuation of a
hydatidiform mole. Use of a reliable contraceptive is strongly recommended so that pregnancy is
avoided.)
-Which of the following findings on a prenatal visit at 10 weeks might lead the nurse to suspect a
hydatidiform mole?
A) Complaint of frequent mild nausea
B) Blood pressure of 120/84 mm Hg
C) History of bright red spotting 6 weeks ago
D) Fundal height measurement of 18 cm
, ((answers))Ans: D
Rationel
Findings with a hydatidiform mole may include uterine size larger than expected. Mild nausea would be
a normal finding at 10 weeks' gestation. Blood pressure of 120/84 would not be associated with
hydatidiform mole and depending on the woman's baseline blood pressure may be within acceptable
parameters for her. Bright red spotting might suggest a spontaneous abortion.)
-A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding
would the nurse interpret as indicating a therapeutic level of medication?
A) Urinary output of 20 mL per hour
B) Respiratory rate of 10 breaths/minute
C) Deep tendons reflexes 2+
D) Difficulty in arousing
((answers))Ans: C
Rationel
With magnesium sulfate, deep tendon reflexes of 2+ would be considered normal and therefore a
therapeutic level of the drug. Urinary output of less than 30 mL, a respiratory rate of less than 12
breaths/minute, and a diminished level of consciousness would indicate magnesium toxicity.)
-Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client
crying. Which of the following responses by the nurse would be most appropriate?
A) "Why are you crying?"
B) "Will a pill help your pain?"
C) "I'm sorry you lost your baby."
D) "A baby still wasn't formed in your uterus."
((answers))Ans: C
