OB Final, Maternal Newborn ATI 2022 //2023.

The nurse has learned that cultural rituals and practices during pregnancy seem to have one purpose in common. What statement best describes this purpose? A. They provide family unity B. They ward off the evil eye. C. They protect the mother and fetus D. They appease the god of fertility: A. They provide family unity C. They protect the mother and fetus 2. The nurse is caring for a patient who is 8 weeks pregnant and is not happy about being pregnant. What is an appropriate nursing response? A. "You need to talk this over with the doctor" B. "Aren't you happy about this new life?" C. "Your feelings are normal at this time." D. "Tell me more about how you are feeling": D. "Tell me more about how you are feeling" 3. The nurse recognizes the most significant barrier encountered by preg- nant women in accessing care is: A. Lack of transportation B. Other child care responsibilities C. Inability to pay D. Deficient knowledge about benefits of prenatal care: C. Inability to pay 4. The nurse has just finished teaching a class on weight gain during preg- nancy. Which statement by one of the mothers indicates she understands the teaching? A. "My baby will make up most of my weight gain." B. "Since I am overweight, I don't need to gain any weight." C. "The fat I gain during pregnancy will disappear right after birth." D. "My breasts will probably shrink and lead to weight loss.": A. 5. The nurse is caring for a patient who is scheduled for an amniocentesis to determine fetal lung maturity. When the nurse checks the chart for results, which test result will she be looking for? A. Lecithin/ Sphingomyelin (L/S ratio) B. Indirect Coombs test C. Kleinhaur-Berke Test D. Alpha-fetoprotein: A. 6. The nurse provides instructions to a malnourished pregnant client regard- ing Iron supplementation. Which client statement indicates an understanding 1 / 29 of the instructions? A. "Iron supplements will give me diarrhea." B. "Meat does not provide Iron and should be avoided." C. "Iron is absorbed best if taken on an empty stomach." D. "On the days I eat liver, I don't have to take my iron supplement.": C. 7. A nurse is caring for a pregnant patient needs to be aware that physical abuse during pregnancy can result in? A. Excessive weight gain due to stress B. Use of alcohol or tobacco as a means of coping C. Hypertension of pregnancy D. Premature delivery or spontaneous abortion: D. 8. The nurse who assesses the FHR is expecting to find the heart rate within which range? A. 100-130 bpm B. 110-160 bpm C. 120-180 bpm D. 130-160 bpm: B. 9. A nurse determines a pregnant patient needs further instruction about amniocentesis when the patient states: A. "I must report cramping or signs of infection to my doctor" B. "I should drink lots of fluids for 24 hours following this procedure." C. "I need to have a full bladder for this procedure." D. "My amniotic fluid can be examined to tell me if my baby has downs syndrome": C. 10. A nurse is caring for a client who is pregnant and states that her last men- strual period was April 1st. Which of the following is the client's estimated date of delivery? a. January 8 b. January 15 c. February 8 d. February 15: a 11. A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information? (SATA) a. client has delivered one newborn at term b client has experienced no preterm labor c. client has been through active labor d. client has had two prior pregnancies 2 / 29 e. client has one living child: a d e 12. A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? (SATA) a. montogomery's glands b. goodell's sign c. ballottement d. chadwick's sign e. quickening: b c d