ATI MATERNAL NEWBORN PROCTORED FINAL EXAM GUIDE 2022-
2023
1.A nurse is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being most reliable?
An intrauterine device (IUD)
2.A nurse in a family planning clinic is caring for a 17- year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination.Which of the following responses should the nurse make?
"What part of the exam makes you most nervous?"
3.A nurse is instructing a woman who is contemplating pregnancy about nutritional
needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?
Consume foods fortified with folic acid.
4.A nurse is instructing a female client about how to check basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times?
Every morning before arising
5.A nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection, and will need intravenous antibiotic therapy. The client tells the nurse, "My parents think I am a virgin. I don't think I can tell them I have this kind of an infection." Which of the following responses should the nurse make?
"You seem scared to talk to your parents."
6.A nurse is instructing a client who is taking an oral contraceptive about manifestations to report to the provider. Which of the following manifestations should the nurse include? Shortness of breath
7.A nurse is providing preconception counseling for a client who is planning a pregnancy. Which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus?
Folic acid
8.A nurse is reviewing the health history of a client who has a new prescription for
a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?
Anticonvulsants
9.A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use. Which of the following responses should the nurse make?
"Before I can help you, I need to know more about your sexual activity." 10.A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?
"The baby's heartbeat is audible by a Doppler stethoscope at 12 weeks of pregnancy."
11.A nurse in a prenatal clinic is caring for a client who believes that she might be pregnant because she feels the baby moving. Which of the following statements should the nurse make? "This is a presumptive sign of pregnancy."
12.A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse?
"Implantation occurs between 2 and 3 weeks after conception"
13.A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet? Peanut butter
14.A nurse is instructing a male client about a semen analysis to be done for
suspected infertility. Which of the following should be included in the teaching?
Abstain from ejaculation for at least 2 to 5 days prior to the test.
15.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? (select all that apply)
a. Goodell's sign
c. Ballottement
d. Chadwick's sign
16.A nurse is reviewing contraception options for four clients. The nurse should identify which of the following clients has a contraindication for receiving oral contraceptives?
A 38-year-old client who reports smoking one pack of cigarettes every day
***17. A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes.
1.Amenorrhea (presumptive sign)
2.Abdominal enlargement (pr 3.fetal movement (probable sign)
2023
1.A nurse is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being most reliable?
An intrauterine device (IUD)
2.A nurse in a family planning clinic is caring for a 17- year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination.Which of the following responses should the nurse make?
"What part of the exam makes you most nervous?"
3.A nurse is instructing a woman who is contemplating pregnancy about nutritional
needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?
Consume foods fortified with folic acid.
4.A nurse is instructing a female client about how to check basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times?
Every morning before arising
5.A nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection, and will need intravenous antibiotic therapy. The client tells the nurse, "My parents think I am a virgin. I don't think I can tell them I have this kind of an infection." Which of the following responses should the nurse make?
"You seem scared to talk to your parents."
6.A nurse is instructing a client who is taking an oral contraceptive about manifestations to report to the provider. Which of the following manifestations should the nurse include? Shortness of breath
7.A nurse is providing preconception counseling for a client who is planning a pregnancy. Which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus?
Folic acid
8.A nurse is reviewing the health history of a client who has a new prescription for
a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?
Anticonvulsants
9.A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use. Which of the following responses should the nurse make?
"Before I can help you, I need to know more about your sexual activity." 10.A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?
"The baby's heartbeat is audible by a Doppler stethoscope at 12 weeks of pregnancy."
11.A nurse in a prenatal clinic is caring for a client who believes that she might be pregnant because she feels the baby moving. Which of the following statements should the nurse make? "This is a presumptive sign of pregnancy."
12.A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse?
"Implantation occurs between 2 and 3 weeks after conception"
13.A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet? Peanut butter
14.A nurse is instructing a male client about a semen analysis to be done for
suspected infertility. Which of the following should be included in the teaching?
Abstain from ejaculation for at least 2 to 5 days prior to the test.
15.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? (select all that apply)
a. Goodell's sign
c. Ballottement
d. Chadwick's sign
16.A nurse is reviewing contraception options for four clients. The nurse should identify which of the following clients has a contraindication for receiving oral contraceptives?
A 38-year-old client who reports smoking one pack of cigarettes every day
***17. A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes.
1.Amenorrhea (presumptive sign)
2.Abdominal enlargement (pr 3.fetal movement (probable sign)
