ATI Maternity Practice Test A****

ATI Maternity Practice Test All Answers Correct 2023 A nurse on a postpartum unit is assisting with the care of a client who has a hypotonic uterus and excessive vaginal bleeding. Which of the following actions should the nurse take? 1-Provide fundal massage 2-Insert an indwelling catheter for the client 3-Administer methylegonovine IM to the client Ans-provide fundal massagge A nurse is caring for a client who is at 11 weeks of gestation and reports vomiting. Which of the following findings should the nurse identify as an indication that the client has hyperemesis gravidarum? 1-Ketouria 2-Bradycardia 3-Bradypnea 4-Proteinuria Ans-Ketouria A nurse is assisting with the care of a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. The client has a respiratory rate of 10/min. Which of the following should the nurse expect a charge nurse to administer to the client? 1-Calcium gluconate 2-Naloxone 3-Protamine sulfate 4-Diphenhydramine Ans-Calcium gluconate A nurse is reviewing the laboratory results of a 4 hr old newborn. Which of the following findings should the nurse report to the provider? 1-Hemoglobin 20 mg/dL 2-Platelet count 120,000/mm3 3-Glucose 50 mg/dL 4-WBC count 20,000/mm3 Ans-Platelet count 120,000/mm3 A nurse is caring for a client who is at 20 weeks of gestation and is in the clinic for a routine prenatal visit. Which of the following findings in the data from the client's medical record should the nurse report to the providor? 1-Weight gain of 2.9 lbs in 4 weeks 2-Fundal height of 25 cm at 20 weeks 3-Fetal heart rate of 160/min 4-Blood pressure that went to 130/80 Ans-Fundal height of 25 cm at 20 weeks A client in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend the provider see first? 1-A client who is at 37 weeks of gestation and reports persistent headache 2-A client who is at 38 weeks of gestation and reports irregular uterine contractions 3-A client who is at 12 weeks of gestation and reports abdominal cramping 4-A client who is at 26 weeks of gestation and reports periodic numbness in the fingers Ans-A client who is at 37 weeks of gestation and reports persistent headache A nurse is assisting with planning for a client who is breastfeeding and has mastitis. Which of the following recommendations should the nurse include? 1-Instruct the client to discontinue feeding from the affected breast 2-Tell the client to wear an underwire bra 3-Instruct the client to apply warm compresses to the affected breast 4-Administer an antiviral medication Ans-Instruct the client to apply warm compresses to the affected breast A nurse in an antepartum clinic is reinforcing teaching about how to prevent supine hypotension with a client who is at 16 weeks of gestation. Which of the following responses by the client indicated an understanding of the teaching? 1-"I will applying support stockings 30 minutes after getting out of bed." 2-"I will lie on my left side with my head elevated on a pillow." 3-"I will cross my legs when sitting." 4-"I will limit my salt intake." Ans-"I will lie on my left side with my head elevated on a pillow." A nurse is reinforcing with a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. Which of the following statements should the nurse include in the teaching? 1-"We will monitor your blood pressure every 2 hours." 2-"Your fluid intake will be limited to no more than 125 mL/hr." 3-You might notice that you will begin breathing faster than normal." 4-"We will monitor your baby's heart rate once per hour." Ans-"Your fluid intake will be limited to no more than 125 mL/hr." A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal examination. Which of the following must the nurse report to the provider? 1-Blurred vision 2-Nonpitting ankle edema 3-10 fetal movements in 2 hours 4-Leg cramps Ans-Blurred vision A nurse is caring for a client 6 hours after vaginal birth who is going to breastfeed her newborn. The client reports perineal pain of 6. The nurse also notes milk perineal edema and ecchymosis, with a fundus that is 2 cm above the umbilicus with deviation to the right. Which of the following actions is the nurse's priority? 1-Administer analgesics 2-Apply an ice pack to the perineum 3-Assist the client with breastfeeding 4-Help the client ambulate to the toilet Ans-Help the client ambulate to the toilet A nurse is assisting with the care of a client who is at 40 weeks of gestation and is in active labor. Which of the following findings should the nurse report to the charge nurse? 1-Maternal temperature of 99.5 2-Contractions every 3 mins 3-Presence of bloody show 4-Prolonged deceleration of FHR Ans-Prolonged deceleration of FHR A nurse is collecting data from a newborn who is 8 hrs old. Which of the following findings should the nurse report to the provider? 1-Vernix in the skin folds 2-Positive moro reflex 3-Apneic episode of 10 seconds 4-Apical heart rate of 90/min while crying Ans-Apical heart rate of 90/min while crying A nurse is reinforcing teaching about food sources that are high in folate with a group of women who are pregnant. Which of the following foods should the nurse recommend to this group as the best source of folate? 1-1 cup dried prunes 2- .5 cup boiled potatoes 3-.5 cup dried peas 4- 1 cup grates Ans-.5 cup dried peas A nurse is caring for a client who has received methylergonovine. Which of the following should the nurse identify and document as an adverse effect of the medication? 1-Hyperglycemia 2-Hypertension 3-Urinary retention 4-Hyporeflexia Ans-Hypertension A nurse is caring for a client who is planning to become pregnant. The client asks the nurse why folic acid supplements are necessary. The nurse should inform the client that the purpose of the folic acid supplement is to do which of the following? 1-Facilitate the storage of iron in the fetus's liver 2-Prevent certain kinds of birth defects 3-Inhibit premature labor 4-Aid in the absorption of other important nutrients Ans-Prevent certain kinds of birth defects A nurse is preparing to administer clindamycin 450 mg PO to a client who has endometritis. The amount available is 150 mg/capsule. How many capsules should the nurse adminster? Ans-3 A nurse is a prenatal clinic is caring who is at 16 weeks of gestation and has a positive hepatitis B test result. Which of the following actions should the nurse take? 1-Instruct the client to avoid crowds until a repeat hepatitis B test is negative 2-Tell the client that she will need to start the hepatitis B vaccine series after delivery 3-Explain to the client that she will receive the hepatitis B immune globulin immediately. 4-Inform the client that hepatitis B cannot be transmitted to the fetus. Ans-Explain to the client that she will receive the hepatitis B immune globulin immediately. A nurse is collecting data from a client who is 32 hours postpartum. Which of the following findings should the nurse expect? 1-Saturation of one perineal pad every 15 min 2-Fundus 2 cm above the umbilicus 3-Temperature of 102.2 4-Urine output of 3,000 mL in 24 hours Ans-Urine output of 3,000 mL in 24 hours A nurse is reinforcing teaching about car seat safety with a parent of a newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions? 1-"My baby should be in a rear-facing seat until he is 6 months old and 15 pounds." 2-"If my baby rides in a car with no back seat, the passenger air bag must be turned off." 3-"It is dangerous to secure the car seat using the vehicle's seat belts." 4-"I will place my baby's car seat at a 90 degree angle in the back seat." Ans-"If my baby rides in a car with no back seat, the passenger air bag must be turned off." A nurse is assisting with a neuromuscular assessment of a newborn by eliciting primitive reflexes. What are the characteristics of tonic neck reflex? Ans-One arm and same left are extended and the other side is bent A nurse is observing a client bathe her 1-day-old newborn. Which of the following action should the nurse identify as an indication that the client understands how to bathe her newborn? 1-The client shakes powder form the container onto the newborn's skin. 2-The client uses a cotton-tipped swab to clean the newborn's ears. 3-The client washes the newborn's hair before unwrapping her. 4-The client rinses the newborn under warm, running water. Ans-The client washes the newborn's hair before unwrapping her. A nurse on a postpartum is assisting in the care of a client who is experiencing hypovolemic shock. Which of the following actions should the nurse take? 1-Place the client in high-Fowler's position 2-Administer terbutaline subcutaneously 3-Apply oxygen 2 L/min via nasal cannula 4-Insert an indwelling urinary catheter Ans-Insert an indwelling urinary catheter A nurse is caring for a newborn who is receiving phototherapy. Which of the following actions should the nurse take? 1-Reposition the newborn every 4 hours 2-Feed the newborn 30 mL of glucose water four times per day 3-Apply a thin layer of lotion to the newborn's skin 4-Place an opaque over the newborn's eyes Ans-Place an opaque over the newborn's eyes A nurse is reviewing the medication administration record for a client who is receiving nifedipine for gestational hypertension. The nurse should identify that which of the following medications is contraindicated for use with nifedinine? 1-Magnesium sulfate 2-Acetaminophen 3-Promethazine 4-Oxytocin Ans-Magnesium sulfate A nurse is planning terbutaline to a client who is experiencing preterm labor. Which of the following routes of administration should the nurse plan to use? 1-Intramuscular 2-Intradermal 3-Subcutaneous 4-Topical Ans-Subcutaneous A nurse is reviewing the laboratory results of a client who is at 32 weeks of gestation. Which of the following laboratory findings should the nurse report to the provider? 1-BUN 14 mg/dL 2-Platelet count 200,000/mm3 3-Hemotacrit 30% 4-Creatinine 1.0 mg/dL Ans-Hemotacrit 30% A nurse is reinforcing teaching about butorphanol tartrate with a client who is in labor. Which of the following client statements indicated an understanding of the teaching? 1-"This medication might make me dizzy." 2-"This medication might cause me to breathe very fast." 3-"This medication will last for 10-12 hours." 4-"This medication will cause my stools to be loose and watery." Ans-"This medication might make me dizzy." A nurse is collecting data from a client who is at 33 weeks of gestation. Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? 1-Leg cramps 2-Tingling of fingers 3-Varicose veins 4-Epigastric pain Ans-Epigastric pain A nurse is contributing to the plan of care for a newborn who was circumcise