2024-
2025 NGN NURSING ATI Maternity Evolve Exam |A u u u u u u u
+ GRADED A+| Newest Edition
u u u u
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perfo
u u u u u u u u u u u u u u u u u
rm Leopoid maneuvers. Which of the following images indicates the first step of Leopoid m
u u u u u u u u u u u u u u
aneuvers? - ANSPicture of nurse palpating top of belly; where bottom is
u u u u u u u u u u u
A nurse administers betamethasone to a client who is at 33 weeks gestation to stimulate fe
u u u u u u u u u u u u u u u
tal lung maturity. Which planning care for the newborn, which of the following conditions sh
u u u u u u u u u u u u u u
ould the nurse identify as an adverse effect of this medication?
u u u u u u u u u u
Hyperthermia
Decreased blood glucose u u
Rapid pulse rate u u
Irritability - ANSDecreased blood glucose u u u u
Betamethasone causes hyperglycemia in the client, which predisposes the newborn to hy u u u u u u u u u u u
poglycemia in the first hours after delivery. It is important to assess the newborn's blood glu
u u u u u u u u u u u u u u u
cose level within the first hour following birth and frequently thereafter until blood glucose l
u u u u u u u u u u u u u u
evels are stable. u u
A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and ask
u u u u u u u u u u u u u u u u u u
s the nurse how the provider will confirm her pregnancy. The nurse should inform the client
u u u u u u u u u u u u u u u u
that what lab test will be used to confirm her pregnancy?
u u u u u u u u u u
a. urine test for presence of HCG
u u u u u u
b. urine test for the presence of HCS
u u u u u u u
c. blood test for presence of estrogen
u u u u u u
d. blood test for the amount of circulating progesterone -
u u u u u u u u u
uANSa. urine test for presence of HCG u u u u u u
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive.
u u u u u u u u u u u u u u u u u
Which of the following findings in the client's hx should the nurse recognize as a contraindic
u u u u u u u u u u u u u u u
ation to oral contraceptives? (SATA) - ANSCholecystitis is correct.
u u u u u u u u u
A history of gallbladder disease is a contraindication for the use of oral contraceptives.
u u u u u u u u u u u u u u
Hypertension is correct. u u u
Hypertension is a contraindication for the use of oral contraceptives. u u u u u u u u u u
Human papillomavirus is incorrect. u u u u
The presence of human papillomavirus is not a contraindication for the use of oral contrace
u u u u u u u u u u u u u u
ptives. u
Migraine headaches is correct. A history of migraine headaches is a contraindication for th
u u u u u u u u u u u u u
e use of oral contraceptives.
u u u u u
,2024-
2025 NGN NURSING ATI Maternity Evolve Exam |A u u u u u u u
+ GRADED A+| Newest Edition
u u u u
Anxiety disorder is incorrect. The presence of an anxiety disorder is not a contraindication f
u u u u u u u u u u u u u u
or the use of oral contraceptives.
u u u u u
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients sh
u u u u u u u u u u u u u u u u u
ould the nurse see first? -
u u u u u
ANSA client who is at 11 weeks of gestation and reports abdominal cramping
u u u u u u u u u u u u u
A nurse in a prenatal clinic is caring for a client who is within the recommended guidelines f
u u u u u u u u u u u u u u u u u
or weight. The client asks the nurse how much weight is safe for her to gain during her preg
u u u u u u u u u u u u u u u u u u
nancy. Which of the following responses should the nurse make?
u u u u u u u u u
"Your provider can discuss an appropriate amount of weight gain with you."
u u u u u u u u u u u
"A weight gain of about 14 pounds each trimester is suggested."
u u u u u u u u u u
"If you eat nutritious foods when you feel hungry, the amount of weight gain is insignificant.
u u u u u u u u u u u u u u u
"
"A weight gain of about 25 to 35 pounds is good." - ANSA weight gain of about 25-
u u u u u u u u u u u u u u u u u
35 pounds is good
u u u
A weight gain of 25 to 35 lb is associated with good fetal outcome. A gain of 4 lb in the first tr
u u u u u u u u u u u u u u u u u u u u u u
imester and 12 lb each for the second and third trimester is recommended.
u u u u u u u u u u u u
A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 w
u u u u u u u u u u u u u u u u u u u
eeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the fo
u u u u u u u u u u u u u u u u u
llowing responses should the nurse make? -
u u u u u u
uANSA. "You can miss your period for several other reasons. Describe your typical menstru
u u u u u u u u u u u u u
al cycle."
u
B. "If you have been sexually active and haven't used protection, it is likely that you are pre
u u u u u u u u u u u u u u u u u
gnant."
C. "Let's check to see if you have any other signs of pregnancy. Have you noticed any abdo
u u u u u u u u u u u u u u u u u
minal enlargement yet?" u u
D. "Because you have missed your period, you should try taking a home pregnancy test be
u u u u u u u u u u u u u u u
fore you start worrying."
u u u
Answer: "You can miss your period for several other reasons. Describe your typical menstr
u u u u u u u u u u u u u
ual cycle." u
A. "You can miss your period for several other reasons. Describe your typical menstrual cy
u u u u u u u u u u u u u u
cle."
Amenorrhea is a presumptive sign of pregnancy, not a positive sign. Therefore, the nurse s
u u u u u u u u u u u u u u
hould explore the client's menstrual cycle to determine other necessary interventions.
u u u u u u u u u u
B. "If you have been sexually active and haven't used protection, it is likely that you are pre
u u u u u u u u u u u u u u u u u
gnant."
,2024-
2025 NGN NURSING ATI Maternity Evolve Exam |A u u u u u u u
+ GRADED A+| Newest Edition
u u u u
The nurse's response is assuming and confirming that the client is pregnant based only on
u u u u u u u u u u u u u u u
the client's statement, which can increase the client's anxiety level.
u u u u u u u u u
C. "Let's check to see if you have any other signs of pregnancy. Have you noticed any abdo
u u u u u u u u u u u u u u u u u
minal enlargement yet?" u u
The nurse's response is making a false assumption that the client is pregnant based only o
u u u u u u u u u u u u u u u
n the client's statement. The nurse should gather more information from the client before m
u u u u u u u u u u u u u u
aking any false assumptions.u u u
D. "Because you have missed your period, you should try taking a home pregnancy test be
u u u u u u u u u u u u u u u
fore you start worrying."
u u u
The nurse's response dismisses the client's concerns and does not answer or address the
u u u u u u u u u u u u u u
client's question, which can increase the client's anxiety level.
u u u u u u u u
A nurse in a provider's office is reviewing the medical record of a client who is in the first tri
u u u u u u u u u u u u u u u u u u u
mester of pregnancy. Which of the following should the nurse identify as a risk factor for the
u u u u u u u u u u u u u u u u
development of preeclampsia - ANSPregestational Diabetes Mellitus
u u u u u u u
A nurse in a women's health clinic is providing teaching about nutritional intake to a client w
u u u u u u u u u u u u u u u u
ho is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intak
u u u u u u u u u u u u u u u u u
e of which of the following nutrients? - ANSA. Calcium
u u u u u u u u u
B. Vitamin E
u u
C. Iron u
D. Vitamin D
u u
Answer: Iron u
A. Calcium
u
The recommendation for calcium intake during pregnancy is the same as that for women w
u u u u u u u u u u u u u u
ho are not pregnant: 1,300 mg/day for women younger than 19 years old and 1,000 mg/da
u u u u u u u u u u u u u u u
y for women between the ages of 19 and 50 years old.
u u u u u u u u u u u
B. Vitamin E
u u
The recommendation for vitamin E intake during pregnancy is 15 mg/day, the same as that
u u u u u u u u u u u u u u
for women who are not pregnant.
u u u u u u
C. Iron u
The recommendation for iron intake during pregnancy is higher than that for women who ar
u u u u u u u u u u u u u u
e not pregnant. For women who are pregnant, it is 27 mg/day. For women who are not preg
u u u u u u u u u u u u u u u u u
nant, it is 15 mg/day for women younger than 19 years old and 18 mg/day for women betwe
u u u u u u u u u u u u u u u u u
en the ages of 19 and 50 years old.
u u u u u u u u
, 2024-
2025 NGN NURSING ATI Maternity Evolve Exam |A u u u u u u u
+ GRADED A+| Newest Edition
u u u u
D. Vitamin D u u
The recommendation for vitamin D intake during pregnancy is 600 IU/day, the same as tha
u u u u u u u u u u u u u u
t for women who are not pregnant.
u u u u u u
A nurse in an antepartum clinic answers a phone call from a client who is at 37 weeks of ge
u u u u u u u u u u u u u u u u u u u
station and reports, "I become very dizzy while lying in bed this morning, but the feeling we
u u u u u u u u u u u u u u u u
nt away when I turned on my side." Which of the following actions should the nurse take?
u u u u u u u u u u u u u u u u
Instruct the client about vena cava syndrome and measures to prevent it.
u u u u u u u u u u u
Arrange for the client to come to the clinic for an assessment.
u u u u u u u u u u u
Check the client's chart for gestational diabetes mellitus.
u u u u u u u
Schedule a nonstress test for the client. - u u u u u u u
uANSInstruct the client about vena cava syndrome and measures to prevent it u u u u u u u u u u u
This is the typical finding of vena cava syndrome, or hypotension that occurs in clients who
u u u u u u u u u u u u u u u u
are pregnant upon assuming a supine position. It is caused by compression of the inferior v
u u u u u u u u u u u u u u u
ena cava by the gravid uterus with a consequent reduction in venous return. A side lying po
u u u u u u u u u u u u u u u u
sition promotes uterine perfusion and fetoplacental oxygenation.
u u u u u u
A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which
u u u u u u u u u u u u u u u u u
of the following findings should the nurse report to the provider? -
u u u u u u u u u u u u
ANSReports of decreased fetal movement
u u u u u
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation.
u u u u u u u u u u u u u u u u u u
Upon reviewing the client's medical record, which of the following findings should the nurs
u u u u u u u u u u u u u u
e report to the provider? - ANSFundal Height Measurement
u u u u u u u u
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client
u u u u u u u u u u u u u u u
states that she is, "happy one minute and crying the next." The nurse should interperate th
u u u u u u u u u u u u u u u
e client's statement as an indication of which of the following? - ANSA. Emotional lability
u u u u u u u u u u u u u u
B. Focusing phase
u u
C. Cognitive restructuring
u u
D. Couvade syndrome
u u
Answer: Emotional lability u u
A. Emotional lability
u u
The nurse should recognize and interpret the client's statement as an indication of emotion
u u u u u u u u u u u u u
al lability. Many clients experience rapid and unpredictable changes in mood during pregn
u u u u u u u u u u u u
ancy. Intense hormonal changes may be responsible for mood changes that occur during
u u u u u u u u u u u u u
pregnancy. Tears and anger alternate with feelings of joy or cheerfulness for little or no rea
u u u u u u u u u u u u u u u
son.
2025 NGN NURSING ATI Maternity Evolve Exam |A u u u u u u u
+ GRADED A+| Newest Edition
u u u u
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perfo
u u u u u u u u u u u u u u u u u
rm Leopoid maneuvers. Which of the following images indicates the first step of Leopoid m
u u u u u u u u u u u u u u
aneuvers? - ANSPicture of nurse palpating top of belly; where bottom is
u u u u u u u u u u u
A nurse administers betamethasone to a client who is at 33 weeks gestation to stimulate fe
u u u u u u u u u u u u u u u
tal lung maturity. Which planning care for the newborn, which of the following conditions sh
u u u u u u u u u u u u u u
ould the nurse identify as an adverse effect of this medication?
u u u u u u u u u u
Hyperthermia
Decreased blood glucose u u
Rapid pulse rate u u
Irritability - ANSDecreased blood glucose u u u u
Betamethasone causes hyperglycemia in the client, which predisposes the newborn to hy u u u u u u u u u u u
poglycemia in the first hours after delivery. It is important to assess the newborn's blood glu
u u u u u u u u u u u u u u u
cose level within the first hour following birth and frequently thereafter until blood glucose l
u u u u u u u u u u u u u u
evels are stable. u u
A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and ask
u u u u u u u u u u u u u u u u u u
s the nurse how the provider will confirm her pregnancy. The nurse should inform the client
u u u u u u u u u u u u u u u u
that what lab test will be used to confirm her pregnancy?
u u u u u u u u u u
a. urine test for presence of HCG
u u u u u u
b. urine test for the presence of HCS
u u u u u u u
c. blood test for presence of estrogen
u u u u u u
d. blood test for the amount of circulating progesterone -
u u u u u u u u u
uANSa. urine test for presence of HCG u u u u u u
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive.
u u u u u u u u u u u u u u u u u
Which of the following findings in the client's hx should the nurse recognize as a contraindic
u u u u u u u u u u u u u u u
ation to oral contraceptives? (SATA) - ANSCholecystitis is correct.
u u u u u u u u u
A history of gallbladder disease is a contraindication for the use of oral contraceptives.
u u u u u u u u u u u u u u
Hypertension is correct. u u u
Hypertension is a contraindication for the use of oral contraceptives. u u u u u u u u u u
Human papillomavirus is incorrect. u u u u
The presence of human papillomavirus is not a contraindication for the use of oral contrace
u u u u u u u u u u u u u u
ptives. u
Migraine headaches is correct. A history of migraine headaches is a contraindication for th
u u u u u u u u u u u u u
e use of oral contraceptives.
u u u u u
,2024-
2025 NGN NURSING ATI Maternity Evolve Exam |A u u u u u u u
+ GRADED A+| Newest Edition
u u u u
Anxiety disorder is incorrect. The presence of an anxiety disorder is not a contraindication f
u u u u u u u u u u u u u u
or the use of oral contraceptives.
u u u u u
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients sh
u u u u u u u u u u u u u u u u u
ould the nurse see first? -
u u u u u
ANSA client who is at 11 weeks of gestation and reports abdominal cramping
u u u u u u u u u u u u u
A nurse in a prenatal clinic is caring for a client who is within the recommended guidelines f
u u u u u u u u u u u u u u u u u
or weight. The client asks the nurse how much weight is safe for her to gain during her preg
u u u u u u u u u u u u u u u u u u
nancy. Which of the following responses should the nurse make?
u u u u u u u u u
"Your provider can discuss an appropriate amount of weight gain with you."
u u u u u u u u u u u
"A weight gain of about 14 pounds each trimester is suggested."
u u u u u u u u u u
"If you eat nutritious foods when you feel hungry, the amount of weight gain is insignificant.
u u u u u u u u u u u u u u u
"
"A weight gain of about 25 to 35 pounds is good." - ANSA weight gain of about 25-
u u u u u u u u u u u u u u u u u
35 pounds is good
u u u
A weight gain of 25 to 35 lb is associated with good fetal outcome. A gain of 4 lb in the first tr
u u u u u u u u u u u u u u u u u u u u u u
imester and 12 lb each for the second and third trimester is recommended.
u u u u u u u u u u u u
A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 w
u u u u u u u u u u u u u u u u u u u
eeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the fo
u u u u u u u u u u u u u u u u u
llowing responses should the nurse make? -
u u u u u u
uANSA. "You can miss your period for several other reasons. Describe your typical menstru
u u u u u u u u u u u u u
al cycle."
u
B. "If you have been sexually active and haven't used protection, it is likely that you are pre
u u u u u u u u u u u u u u u u u
gnant."
C. "Let's check to see if you have any other signs of pregnancy. Have you noticed any abdo
u u u u u u u u u u u u u u u u u
minal enlargement yet?" u u
D. "Because you have missed your period, you should try taking a home pregnancy test be
u u u u u u u u u u u u u u u
fore you start worrying."
u u u
Answer: "You can miss your period for several other reasons. Describe your typical menstr
u u u u u u u u u u u u u
ual cycle." u
A. "You can miss your period for several other reasons. Describe your typical menstrual cy
u u u u u u u u u u u u u u
cle."
Amenorrhea is a presumptive sign of pregnancy, not a positive sign. Therefore, the nurse s
u u u u u u u u u u u u u u
hould explore the client's menstrual cycle to determine other necessary interventions.
u u u u u u u u u u
B. "If you have been sexually active and haven't used protection, it is likely that you are pre
u u u u u u u u u u u u u u u u u
gnant."
,2024-
2025 NGN NURSING ATI Maternity Evolve Exam |A u u u u u u u
+ GRADED A+| Newest Edition
u u u u
The nurse's response is assuming and confirming that the client is pregnant based only on
u u u u u u u u u u u u u u u
the client's statement, which can increase the client's anxiety level.
u u u u u u u u u
C. "Let's check to see if you have any other signs of pregnancy. Have you noticed any abdo
u u u u u u u u u u u u u u u u u
minal enlargement yet?" u u
The nurse's response is making a false assumption that the client is pregnant based only o
u u u u u u u u u u u u u u u
n the client's statement. The nurse should gather more information from the client before m
u u u u u u u u u u u u u u
aking any false assumptions.u u u
D. "Because you have missed your period, you should try taking a home pregnancy test be
u u u u u u u u u u u u u u u
fore you start worrying."
u u u
The nurse's response dismisses the client's concerns and does not answer or address the
u u u u u u u u u u u u u u
client's question, which can increase the client's anxiety level.
u u u u u u u u
A nurse in a provider's office is reviewing the medical record of a client who is in the first tri
u u u u u u u u u u u u u u u u u u u
mester of pregnancy. Which of the following should the nurse identify as a risk factor for the
u u u u u u u u u u u u u u u u
development of preeclampsia - ANSPregestational Diabetes Mellitus
u u u u u u u
A nurse in a women's health clinic is providing teaching about nutritional intake to a client w
u u u u u u u u u u u u u u u u
ho is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intak
u u u u u u u u u u u u u u u u u
e of which of the following nutrients? - ANSA. Calcium
u u u u u u u u u
B. Vitamin E
u u
C. Iron u
D. Vitamin D
u u
Answer: Iron u
A. Calcium
u
The recommendation for calcium intake during pregnancy is the same as that for women w
u u u u u u u u u u u u u u
ho are not pregnant: 1,300 mg/day for women younger than 19 years old and 1,000 mg/da
u u u u u u u u u u u u u u u
y for women between the ages of 19 and 50 years old.
u u u u u u u u u u u
B. Vitamin E
u u
The recommendation for vitamin E intake during pregnancy is 15 mg/day, the same as that
u u u u u u u u u u u u u u
for women who are not pregnant.
u u u u u u
C. Iron u
The recommendation for iron intake during pregnancy is higher than that for women who ar
u u u u u u u u u u u u u u
e not pregnant. For women who are pregnant, it is 27 mg/day. For women who are not preg
u u u u u u u u u u u u u u u u u
nant, it is 15 mg/day for women younger than 19 years old and 18 mg/day for women betwe
u u u u u u u u u u u u u u u u u
en the ages of 19 and 50 years old.
u u u u u u u u
, 2024-
2025 NGN NURSING ATI Maternity Evolve Exam |A u u u u u u u
+ GRADED A+| Newest Edition
u u u u
D. Vitamin D u u
The recommendation for vitamin D intake during pregnancy is 600 IU/day, the same as tha
u u u u u u u u u u u u u u
t for women who are not pregnant.
u u u u u u
A nurse in an antepartum clinic answers a phone call from a client who is at 37 weeks of ge
u u u u u u u u u u u u u u u u u u u
station and reports, "I become very dizzy while lying in bed this morning, but the feeling we
u u u u u u u u u u u u u u u u
nt away when I turned on my side." Which of the following actions should the nurse take?
u u u u u u u u u u u u u u u u
Instruct the client about vena cava syndrome and measures to prevent it.
u u u u u u u u u u u
Arrange for the client to come to the clinic for an assessment.
u u u u u u u u u u u
Check the client's chart for gestational diabetes mellitus.
u u u u u u u
Schedule a nonstress test for the client. - u u u u u u u
uANSInstruct the client about vena cava syndrome and measures to prevent it u u u u u u u u u u u
This is the typical finding of vena cava syndrome, or hypotension that occurs in clients who
u u u u u u u u u u u u u u u u
are pregnant upon assuming a supine position. It is caused by compression of the inferior v
u u u u u u u u u u u u u u u
ena cava by the gravid uterus with a consequent reduction in venous return. A side lying po
u u u u u u u u u u u u u u u u
sition promotes uterine perfusion and fetoplacental oxygenation.
u u u u u u
A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which
u u u u u u u u u u u u u u u u u
of the following findings should the nurse report to the provider? -
u u u u u u u u u u u u
ANSReports of decreased fetal movement
u u u u u
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation.
u u u u u u u u u u u u u u u u u u
Upon reviewing the client's medical record, which of the following findings should the nurs
u u u u u u u u u u u u u u
e report to the provider? - ANSFundal Height Measurement
u u u u u u u u
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client
u u u u u u u u u u u u u u u
states that she is, "happy one minute and crying the next." The nurse should interperate th
u u u u u u u u u u u u u u u
e client's statement as an indication of which of the following? - ANSA. Emotional lability
u u u u u u u u u u u u u u
B. Focusing phase
u u
C. Cognitive restructuring
u u
D. Couvade syndrome
u u
Answer: Emotional lability u u
A. Emotional lability
u u
The nurse should recognize and interpret the client's statement as an indication of emotion
u u u u u u u u u u u u u
al lability. Many clients experience rapid and unpredictable changes in mood during pregn
u u u u u u u u u u u u
ancy. Intense hormonal changes may be responsible for mood changes that occur during
u u u u u u u u u u u u u
pregnancy. Tears and anger alternate with feelings of joy or cheerfulness for little or no rea
u u u u u u u u u u u u u u u
son.
