ATI RN
LEADERSHI
P
PROCTORE
D EXAM
2019
VERSION 1
2
, 3{LATEST
2023 }
A nurse is caring for a client who is scheduled to undergo an amniocentesis to assess fetal
lung maturity. The client is G2P1 and at 36 weeks of gestation, and she has an O-positive
blood type. Which of the following interventions should the nurse perform?
A. Apply an external fetal monitor to the client
B. Instruct the client to drink fluids and not to void prior to the procedure
C. Administer Rho(D) immunoglobin after the procedure
D. Instruct the client to take a deep breath and hold it during the entry of the needle
Rationale: The nurse should assess fetal heart tones and uterine tone prior to and throughout
the procedure to establish a baseline and monitor for changes
A nurse is caring for a client who is at 35 weeks of gestation and is scheduled to undergo an
amniocentesis. Which of the following statements should the nurse make?
A. "You will have to drink 3 to 5 8-oz glasses of water to fill your bladder."
B. "This procedure will not rupture your membranes or cause premature labor."
C. "You might feel light pressure during the collection of a blood sample from the baby."
D. "You will feel some mild discomfort during the procedure."
Rationale: During an amniocentesis, the client might feel slight uterine cramping when the
needle comes into contact with the uterus. A local anesthetic is applied to the client's skin, so
the client should not feel pain when the needle pierces the skin.
A nurse is caring for a client who is in preterm labor and is scheduled to undergo an
amniocentesis. The nurse should evaluate which of the following tests to assess fetal lung
,maturity?
A) Alpha-fetoprotein (AFP)
B) Lecithin/Sphingomyelin (L/S) ratio
C) Kleihauer-Bertke test
D) Indirect coombs test
A nurse is teaching a client who is pregnant about amniocentesis procedure. Which of the
following statements should the nurse include in the teaching?
A) "You will lay on your right side during the procedure"
B) "You should not eat anything for 24 hours prior to the
procedure" C) "You should empty your bladder prior to the
procedure" D)"The test is done to determine gestational age "
A nurse in a prenatal clinic is instructing a client about amniocentesis, which is schedules at 15
weeks of gestation. Which of the following should be included in the teaching?
A. The test will be performed if your baby's heart beat is heard
B. This test will determine if your baby's lung are mature
C. This test requires the presence of amniotic fluid
D. After the test, you be given Rhogam since you are RH positive.
A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and
scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the
procedure. Which of the following is an appropriate response by the nurse?
A. "This will determine is there is more than one fetus.
B. "It is useful for estimating fetal age."
C. "It assists in identifying the location of the placenta and fetus."
D. "This is a screening tool for spina bifida."
A nurse is reinforcing teaching to a pregnant client who is to undergo an ultrasound
immediately prior to an amniocentesis. The nurse explains that the reason for the ultrasound
is to determine which of the following?
A. Gestational age of the fetus
B. Location of the fetus and placenta
C. Amount of amniotic fluid
D. Degree of fetal lung maturity
A nurse is assisting with an amniocentesis for a client who is Rh-negative. Which of the
following actions should the nurse take following the procedure?
, A. Send a sample of amniotic fluid to the laboratory to screen the client for chlamydia
B. Send a sample of amniotic fluid to the laboratory to test for an elevated Rh-negative titer
C. Administer immune globulin to the client to prevent fetal isoimmunization
D. Administer intravenous antibiotics to prevent an infection
Rationale: Because the client is Rh-negative, Rh immune globulin is administered after the
procedure to prevent fetal isoimmunization or help ensure maternal antibodies will not form
against any placental red blood cells that might have accidentally been released into the
maternal bloodstream during the procedure
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of
gestation and requests an amniocentesis to determine the gender of the fetus. Which of
the following responses should the nurse take?
a. "We can schedule the procedure for later today if you'd like."
b. "You cannot have an amniocentesis until you are at least 35 years of age."
c. "This procedure determines if your baby has genetic or congenital disorders."
d. "Your provider will schedule a chorionic villus sampling to determine the sex of your baby."
A nurse is caring for a client following an amniocentesis. The nurse should observe the
client for which of the following complications?
a. Proteinuria
b. Hyperemesis
c. Hypoxia
d. Hemorrhage
biophysical profile- May be considered as a physical examination of the fetus
through the ultrasound. The presence of normal Fetal BP indicate that the central
nervous system is functional.
A nurse is caring for a client and reviewing the findings of the client's biophysical profile.
Which of the following variables are included in this test? (multiple select)
a. fetal weight
b. fetal breathing
movement c. fetal tone
d. reactive FHR
e. amniotic fluid volume
LEADERSHI
P
PROCTORE
D EXAM
2019
VERSION 1
2
, 3{LATEST
2023 }
A nurse is caring for a client who is scheduled to undergo an amniocentesis to assess fetal
lung maturity. The client is G2P1 and at 36 weeks of gestation, and she has an O-positive
blood type. Which of the following interventions should the nurse perform?
A. Apply an external fetal monitor to the client
B. Instruct the client to drink fluids and not to void prior to the procedure
C. Administer Rho(D) immunoglobin after the procedure
D. Instruct the client to take a deep breath and hold it during the entry of the needle
Rationale: The nurse should assess fetal heart tones and uterine tone prior to and throughout
the procedure to establish a baseline and monitor for changes
A nurse is caring for a client who is at 35 weeks of gestation and is scheduled to undergo an
amniocentesis. Which of the following statements should the nurse make?
A. "You will have to drink 3 to 5 8-oz glasses of water to fill your bladder."
B. "This procedure will not rupture your membranes or cause premature labor."
C. "You might feel light pressure during the collection of a blood sample from the baby."
D. "You will feel some mild discomfort during the procedure."
Rationale: During an amniocentesis, the client might feel slight uterine cramping when the
needle comes into contact with the uterus. A local anesthetic is applied to the client's skin, so
the client should not feel pain when the needle pierces the skin.
A nurse is caring for a client who is in preterm labor and is scheduled to undergo an
amniocentesis. The nurse should evaluate which of the following tests to assess fetal lung
,maturity?
A) Alpha-fetoprotein (AFP)
B) Lecithin/Sphingomyelin (L/S) ratio
C) Kleihauer-Bertke test
D) Indirect coombs test
A nurse is teaching a client who is pregnant about amniocentesis procedure. Which of the
following statements should the nurse include in the teaching?
A) "You will lay on your right side during the procedure"
B) "You should not eat anything for 24 hours prior to the
procedure" C) "You should empty your bladder prior to the
procedure" D)"The test is done to determine gestational age "
A nurse in a prenatal clinic is instructing a client about amniocentesis, which is schedules at 15
weeks of gestation. Which of the following should be included in the teaching?
A. The test will be performed if your baby's heart beat is heard
B. This test will determine if your baby's lung are mature
C. This test requires the presence of amniotic fluid
D. After the test, you be given Rhogam since you are RH positive.
A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and
scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the
procedure. Which of the following is an appropriate response by the nurse?
A. "This will determine is there is more than one fetus.
B. "It is useful for estimating fetal age."
C. "It assists in identifying the location of the placenta and fetus."
D. "This is a screening tool for spina bifida."
A nurse is reinforcing teaching to a pregnant client who is to undergo an ultrasound
immediately prior to an amniocentesis. The nurse explains that the reason for the ultrasound
is to determine which of the following?
A. Gestational age of the fetus
B. Location of the fetus and placenta
C. Amount of amniotic fluid
D. Degree of fetal lung maturity
A nurse is assisting with an amniocentesis for a client who is Rh-negative. Which of the
following actions should the nurse take following the procedure?
, A. Send a sample of amniotic fluid to the laboratory to screen the client for chlamydia
B. Send a sample of amniotic fluid to the laboratory to test for an elevated Rh-negative titer
C. Administer immune globulin to the client to prevent fetal isoimmunization
D. Administer intravenous antibiotics to prevent an infection
Rationale: Because the client is Rh-negative, Rh immune globulin is administered after the
procedure to prevent fetal isoimmunization or help ensure maternal antibodies will not form
against any placental red blood cells that might have accidentally been released into the
maternal bloodstream during the procedure
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of
gestation and requests an amniocentesis to determine the gender of the fetus. Which of
the following responses should the nurse take?
a. "We can schedule the procedure for later today if you'd like."
b. "You cannot have an amniocentesis until you are at least 35 years of age."
c. "This procedure determines if your baby has genetic or congenital disorders."
d. "Your provider will schedule a chorionic villus sampling to determine the sex of your baby."
A nurse is caring for a client following an amniocentesis. The nurse should observe the
client for which of the following complications?
a. Proteinuria
b. Hyperemesis
c. Hypoxia
d. Hemorrhage
biophysical profile- May be considered as a physical examination of the fetus
through the ultrasound. The presence of normal Fetal BP indicate that the central
nervous system is functional.
A nurse is caring for a client and reviewing the findings of the client's biophysical profile.
Which of the following variables are included in this test? (multiple select)
a. fetal weight
b. fetal breathing
movement c. fetal tone
d. reactive FHR
e. amniotic fluid volume
