ATI Proctored Exam Maternal Newborn CMS
Study online at https://quizlet.com/_cmt8vb
1. A nurse is providing discharge teaching to a client following tubal ligation
(occlusion). Which of the following statement by the client indicates an
understanding of the teaching?
A. "premenstrual tension will no longer be present."
B. "Ovulation will remain the same."
C. "Hormone replacements will be needed following this procedure."
D. "My monthly menstrual period will be shorter.": B. "Ovulation will remain the
same."
Ovulation (egg release from the ovaries) will remain the same. Tubal ligation also
known as having your tubes tied or tubal sterilization is a type of permanent
birth control. During tubal ligation, the fallopian tubes are cut, tied or blocked to
permanently prevent pregnancy. Tubal ligation prevents an egg from traveling from
the ovaries through the fallopian tubes and blocks sperm from traveling up the
fallopian tubes to the egg. The procedure doesn't affect your menstrual cycle it just
prevents fertilization.
2. A nurse is assessing a newborn following forceps-assisted birth. Which of
the following clinical manifestations should the nurse identify as a compli-
cation of the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia: C. Facial Palsy
Difficult delivery, with or without the use of an instrument called forceps, may lead to
facial palsy. Facial paralysis 15 minutes after forceps birth or absence of movement
on affected side is especially noticeable when infant cries.
3. A nurse is providing teaching about terbutaline to a client who is ex-
periencing preterm labor. Which of the following statements by the client
indicates understanding of the teaching?
A. "This medication could cause me to experience heart palpitations."
B. "This medication could cause me to experience blurred vision."
C. "This medication could cause me to experience ringing in my ears."
D. "This medication could cause me to experience frequent urination.": A.
"This medication could cause me to experience heart palpitations."
, ATI Proctored Exam Maternal Newborn CMS
Study online at https://quizlet.com/_cmt8vb
Beta-adrenergic agents such as terbutaline (Brethine) are associated with various
side effects, including tachycardia, irregular pulse, myocardial ischemia, and pul-
monary edema. Therefore, these medications should not be used in women with
known or suspected heart disease
4. A nurse is caring for a client who is in labor and requests nonpharmaco-
logical pain management. Which of the following nursing actions promotes
client comfort?
A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hrs.: C. Applying fundal pressure
during contractions
Applying fundal pressure by pushing on the mother's abdomen in the direction
of the birth canal is often used to assist spontaneous vaginal birth, shorten the
length of the second stage and reduce the need for instrumental birth (forceps- or
vacuum-assisted) or caesarean section.
5. A nurse caring for a client who is at 20 weeks of gestation and has
trichomoniasis. Which of the following findings should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge: D. Malodorous Discharge
Although trichomoniasis may be asymptomatic, women commonly experience
characteristically yellowish-to-greenish, frothy, mucopurulent, copious, malodor-
ous discharge. Inflammation of the vulva, vagina, or both may be present; and the
woman may complain of irritation and pruritus. Dysuria and dyspareunia are often
present.
6. A nurse is caring for a client who is at 14 weeks of gestation. At which
of the following locations should the nurse place the doppler device when
assessing the fetal heart rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
, ATI Proctored Exam Maternal Newborn CMS
Study online at https://quizlet.com/_cmt8vb
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process: A. Midline 2 to 3 cm (0.8 to 1.2 in) above the
symphysis pubis
Toward the end of the first trimester, before the uterus is an abdominal organ,
the fetal heart tones (FHTs) can be heard with an ultrasound fetoscope or an
ultrasound stethoscope (Fig. 8-8). To hear the FHTs, place the instrument in the
midline just above the symphysis pubis and apply firm pressure. The woman and
her family should be offered the opportunity to listen to the FHTs. The health status
of the fetus is assessed at each visit for the remainder of the pregnancy.
7. A nurse is assessing a client who is at 27 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse report to the
provider?
A. Urine protein concentration 200 mg/24 hr.
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60,000/ mm3: D. Platelet Count 60,000/ mm3
Platelets < 100,000/mm3 (60,000/mm3) is below the expected reference range,
which can indicate DIC. The nurse should report this result to the provider. In a
24-hour specimen proteinuria is defined as a concentration at or > 300 mg/24
hours.
8. A nurse is teaching about clomiphene citrate to a client who is experienc-
ing infertility. Which of the following adverse effect should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills: C. Breast Tenderness
The adverse effects of clomiphene citrate are stomach upset, bloating, abdomi-
nal/pelvic fullness, flushing ("hot flashes"), breast tenderness, headache, or dizzi-
ness may occur. If any of these effects last or get worse, tell your doctor or
pharmacist promptly.
9. A nurse is assessing a newborn upon admission to the nursery. Which of
the following should the nurse expect?
Study online at https://quizlet.com/_cmt8vb
1. A nurse is providing discharge teaching to a client following tubal ligation
(occlusion). Which of the following statement by the client indicates an
understanding of the teaching?
A. "premenstrual tension will no longer be present."
B. "Ovulation will remain the same."
C. "Hormone replacements will be needed following this procedure."
D. "My monthly menstrual period will be shorter.": B. "Ovulation will remain the
same."
Ovulation (egg release from the ovaries) will remain the same. Tubal ligation also
known as having your tubes tied or tubal sterilization is a type of permanent
birth control. During tubal ligation, the fallopian tubes are cut, tied or blocked to
permanently prevent pregnancy. Tubal ligation prevents an egg from traveling from
the ovaries through the fallopian tubes and blocks sperm from traveling up the
fallopian tubes to the egg. The procedure doesn't affect your menstrual cycle it just
prevents fertilization.
2. A nurse is assessing a newborn following forceps-assisted birth. Which of
the following clinical manifestations should the nurse identify as a compli-
cation of the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia: C. Facial Palsy
Difficult delivery, with or without the use of an instrument called forceps, may lead to
facial palsy. Facial paralysis 15 minutes after forceps birth or absence of movement
on affected side is especially noticeable when infant cries.
3. A nurse is providing teaching about terbutaline to a client who is ex-
periencing preterm labor. Which of the following statements by the client
indicates understanding of the teaching?
A. "This medication could cause me to experience heart palpitations."
B. "This medication could cause me to experience blurred vision."
C. "This medication could cause me to experience ringing in my ears."
D. "This medication could cause me to experience frequent urination.": A.
"This medication could cause me to experience heart palpitations."
, ATI Proctored Exam Maternal Newborn CMS
Study online at https://quizlet.com/_cmt8vb
Beta-adrenergic agents such as terbutaline (Brethine) are associated with various
side effects, including tachycardia, irregular pulse, myocardial ischemia, and pul-
monary edema. Therefore, these medications should not be used in women with
known or suspected heart disease
4. A nurse is caring for a client who is in labor and requests nonpharmaco-
logical pain management. Which of the following nursing actions promotes
client comfort?
A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hrs.: C. Applying fundal pressure
during contractions
Applying fundal pressure by pushing on the mother's abdomen in the direction
of the birth canal is often used to assist spontaneous vaginal birth, shorten the
length of the second stage and reduce the need for instrumental birth (forceps- or
vacuum-assisted) or caesarean section.
5. A nurse caring for a client who is at 20 weeks of gestation and has
trichomoniasis. Which of the following findings should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge: D. Malodorous Discharge
Although trichomoniasis may be asymptomatic, women commonly experience
characteristically yellowish-to-greenish, frothy, mucopurulent, copious, malodor-
ous discharge. Inflammation of the vulva, vagina, or both may be present; and the
woman may complain of irritation and pruritus. Dysuria and dyspareunia are often
present.
6. A nurse is caring for a client who is at 14 weeks of gestation. At which
of the following locations should the nurse place the doppler device when
assessing the fetal heart rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
, ATI Proctored Exam Maternal Newborn CMS
Study online at https://quizlet.com/_cmt8vb
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process: A. Midline 2 to 3 cm (0.8 to 1.2 in) above the
symphysis pubis
Toward the end of the first trimester, before the uterus is an abdominal organ,
the fetal heart tones (FHTs) can be heard with an ultrasound fetoscope or an
ultrasound stethoscope (Fig. 8-8). To hear the FHTs, place the instrument in the
midline just above the symphysis pubis and apply firm pressure. The woman and
her family should be offered the opportunity to listen to the FHTs. The health status
of the fetus is assessed at each visit for the remainder of the pregnancy.
7. A nurse is assessing a client who is at 27 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse report to the
provider?
A. Urine protein concentration 200 mg/24 hr.
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60,000/ mm3: D. Platelet Count 60,000/ mm3
Platelets < 100,000/mm3 (60,000/mm3) is below the expected reference range,
which can indicate DIC. The nurse should report this result to the provider. In a
24-hour specimen proteinuria is defined as a concentration at or > 300 mg/24
hours.
8. A nurse is teaching about clomiphene citrate to a client who is experienc-
ing infertility. Which of the following adverse effect should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills: C. Breast Tenderness
The adverse effects of clomiphene citrate are stomach upset, bloating, abdomi-
nal/pelvic fullness, flushing ("hot flashes"), breast tenderness, headache, or dizzi-
ness may occur. If any of these effects last or get worse, tell your doctor or
pharmacist promptly.
9. A nurse is assessing a newborn upon admission to the nursery. Which of
the following should the nurse expect?
