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ATI PN MATERNITY PROCTORED 2025 EXAM
(BRAND NEW!!) TEST BANK 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is reinforcing discharge teaching with a client who has premature rupture of membranes at 26 weeks of gestation. Which of the following instructions should the nurse include? A. Use a condom with sexual intercourse B. Avoid bubble bath solution when take a tub bath C. Wipe from the back to the front when performing perineal hygiene D. Keep a daily record of fetal kick counts - ....ANSWER...Keep a daily record of fetal kick counts A nurse is assisting with the care for a client who is in active labor, irritable, and reports the urge to have a bowel movement. The client vomits and states, "I've had enough. I can't do this anymore." Which of the following stages of labor is the client experiencing? A. Second stage B. Fourth Stage
C. Transition phase D. Latent Phase - ....ANSWER...Transition phase A nurse is assisting with the care for a client who is at 40 weeks of gestation and experiencing contractions every 3 to 5 min and becoming stronger. A vaginal exam by the registered nurse reveals that the client's cervix is 3 cm dilated, 80% effaced, and - 1 station. The client asks for pain medication. Which of the following actions should the nurse prepare to take? (Select all that apply) A. Encourage use of patterned breathing techniques B. Insert an indwelling urinary catheter C. Administer opioid analgesic medication D. Suggest application of cold E. Provide ice chips - ....ANSWER...1. Encourage use of patterned breathing techniques
- Administer opioid analgesic medication 3. Suggest application of cold A nurse is reinforcing teaching with a client who is in labor about an episiotomy. Which of the following information should the nurse include? A. An episiotomy is a perineal tear that is created while pushing during labor B. A fourth degree episiotomy extends into the rectal area C. An episiotomy is an incision that is made by the provider to facilitate delivery of the fetus
A nurse is discussing intermittent fetal heart monitoring with a newly licensed nurse. Which of the following statements should the nurse include? A. "Count the fetal heart rate for 15 seconds to determine the baseline." B. "Auscultate the fetal heart rate every 5 minutes during the active phase of the first stage of labor." C. "Count the fetal heart rate after a contraction to determine baseline changes." D. "Auscultate the fetal heart rate every 30 minutes during the second stage of labor." - ....ANSWER..."Count the fetal heart rate after a contraction to determine baseline changes." A nurse is reinforcing teaching with a client about the benefits of internal fetal heart monitoring. Which of the following statements should the nurse include? (select all that apply) A. "It is considered a noninvasive procedure." B. "It can detect abnormal fetal heart tones early." C. "It can determine the amount of amniotic fluid you have." D. "It allows for accurate readings with maternal movement." E. "It can measure uterine contraction intensity." - ....ANSWER...1. "It can detect abnormal fetal heart tones early."
- "It allows for accurate readings with maternal movement."
- "It can measure uterine contraction intensity." A nurse is assisting in the care of a client who is in active labor. The nurse notes tachycardia on the external fetal monitor tracing. Which of the following conditions should the nurse identify as a potential cause of the heart rate? A. Maternal fever B. Fetal heart failure C. Maternal hypoglycemia D. Fetal head compression - ....ANSWER...Maternal fever A nurse is assisting with caring for a client who is in labor and observes late decelerations on the electronic fetal monitor. Which of the following is the first action the nurse should identify that the registered nurse should take? A. Assist the client into the left-lateral position B. Apply a fetal scalp electrode C. Insert an IV catheter D. Perform a vaginal exam - ....ANSWER...Assist the client into the left-lateral position A nurse is assisting with performing Leopold maneuvers on a client who is in labor. Which of the following techniques should the nurse use to identify the fetal lie?
D. Abnormally excessive lochia rubra flow - ....ANSWER...A normal postural discharge of lochia A nurse is reinforcing postpartum discharge teaching to a client who had no immunity to varicella and was given the varicella vaccine. Which of the following statements by the client indicates understanding? A. "I will need to use contraception for 3 months before considering pregnancy." B. "I need a second vaccination at my postpartum visit." C. "I was given the vaccine because my baby is O- positibe D. "I will be tested in 3 months to see if I have developed immunity." - ....ANSWER..."I need a second vaccination at my postpartum visit." A nurse is reinforcing discharge instructions for a client. At 4 weeks postpartum, the client should contact the provider for which of the following client findings? A. Scant, nonodorous white vaginal discharge B. Uterine cramping during breastfeeding C. Sore nipple with cracks and fissures D. Decreased response with sexual activity - ....ANSWER...Sore nipple with cracks and fissures A nurse is preparing to reinforce education to a client who is 2 hr postpartum and has perineal laceration.
Which of the following information should the nurse include? (select all that apply) A. Use a perineal squeeze bottle to cleanse the perineum B. Sit on the perineum while resting in bed C. Apply a topical anesthetic cream or spray to the perineum D. Wipe the perineum thoroughly with a back and forth motion E. Apply cold or ice packs to the perineum - ....ANSWER...1. Use a perineal squeeze bottle to cleanse the perineum
- Apply a topical anesthetic cream or spray to the perineum
- Apply cold or ice packs to the perineum COMPLICATIONS OF THE POSTPARTUM PERIOD - ....ANSWER... A nurse is contributing to the plan of care for a client who is postpartum and has thrombophlebitis. Which of the following nursing interventions should the nurse recommend? A. Apply cold compresses to the affected extremity B. Massage the affected extremity C. Allow the client to ambulate D. Measure leg circumferences
....ANSWER...Measure leg circumferences
following conditions are associated with these manifestations? A. Postpartum fatigue B. Postpartum psychosis C. Letting-go phase D. Postpartum blues - ....ANSWER...Postpartum blues A nurse in a health clinic is reinforcing teaching about contraceptive use with a group of clients. Which of the following client statements demonstrates understanding? A. "A water-soluble lubricant should be used with condoms." B. "A diaphragm should be removed 2 hours after intercourse." C. "Oral contraceptives can worsen a case of acne." D. "A contraceptive patch is replaced once a month."
....ANSWER..."A water-soluble lubricant should be used with condoms." 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? A. Reduced menstrual flow B. Breast tenderness C. Shortness of breath
D. Increased appetite - ....ANSWER...Shortness of breath A nurse is reinforcing teaching with a client about potential adverse effects of implantable progestins. Which of the following adverse effects should the nurse include? (select all that apply) A. Tinnitus B. Irregular vaginal bleeding C. Weight gain D. Nausea E. Gingival hyperplasia - ....ANSWER. 1. Irregular vaginal bleeding
- Weight gain
- Nausea A nurse in an obstetrical clinic is reinforcing teaching with a client about using an IUD for contraception. Which of the following statements by the client indicates an understanding of the teaching? A. "An IUD should be replaced annually during a pelvic exam." B. "I cannot get an IUD until after I've had a child." C. "I should plan on regaining fertility 5 months after the IUD is removed." D. "I will check to be sure the strings of the IUD are still present after my periods." - ....ANSWER..."I will check to be sure the strings of the IUD are still present after my periods."
who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P A1 L1. How
should the nurse interpret this information? (select all that apply) A. Client has delivered one newborn at term B. Client has experienced no preterm labor C. Client has been through active labor D. Client has had two prior pregnancies E. Client has one living child - ....ANSWER 1. Client has delivered one newborn at term
- Client has experienced no preterm labor 3. Client has had two prior pregnancies
- Client has one living child 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. Montgomery's glands B. Goodell's sign C. Ballottement D. Chadwick's sign (a bluish discoloration of the cervix, vagina, and vulva) E. Quickening - ....ANSWER...1. Goodell's sign (cervical softening).
- Ballottement
- Chadwick's sign A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal
A nurse is providing information to a group of clients who are pregnant about measures to relieve backache during pregnancy. Which of the following measures should the nurse include? (select all that apply) A. Avoid any lifting B. Perform Kegel exercises twice a day C. Perform the pelvic rock exercise every day D. Use proper mechanics E. Avoid constrictive clothing - ....ANSWER 1. Perform the pelvic rock exercise every day
- Use proper mechanics A nurse is reinforcing teaching with a client who is pregnant about manifestations of complications to promptly report to the provider. Which of the following complications should the nurse reinforce to the client? A. Vaginal bleeding B. Swelling of the ankles C. Heartburn after eating D. Lightheadedness when lying on back - ....ANSWER...Vaginal bleeding A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which of the following information should the nurse include? A. Eat crackers or plain toast before getting out of bed
B. Awaken during the night to eat a snack C. Skip breakfast and eat lunch after nausea has subsided D. Eat a large evening meal - ....ANSWER...Eat crackers or plain toast before getting out of bed A nurse is providing reinforcement to a client who is at 6 weeks of gestation about common discomforts of pregnancy. Which of the following findings should the nurse include? (select all that apply) A. breast tenderness B. Urinary frequency C. Epistaxis D. Dysuria E. Epigastric pain - ....ANSWER...1. breast tenderness
- Urinary frequency
- Epistaxis A client who is at 8 weeks of gestation tells the nurse, "I am not sure I am happy about being pregnant." Which of the following responses should the nurse make? A. "I will inform the provider that you are having these feelings." B. "It is normal to have these feelings during the first few months of pregnancy." C. "You should be happy that you are going to bring new life into the world."
A nurse in a clinic is reinforcing teaching with a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency? A. Iron deficiency anemia B. Poor bone formation C. Macrosomic fetus D. Neural tube defects - ....ANSWER...Neural tube defects A nurse is reviewing a new prescription for iron supplements with a client who is at 8 weeks of gestation and has iron deficiency anemia. Which of the following beverages should the nurse reinforce the client to take the iron supplements with? A. Ice water B. Low-fat or whole milk C. Tea or coffee D. Orange juice - ....ANSWER...Orange juice A nurse is assisting the charge nurse with reviewing postpartum nutrition needs with a group of clients who have begun breastfeeding their newborns. Which of the following statements by a member of the group indicates an understanding of the teaching? A. "I am glad I can have my morning coffee."
B. "I should take folic acid to increase my milk supply." C. "I will continue adding 330 calories per day to my diet." D. "I will continue my calcium supplements because I don't like milk." - ....ANSWER..."I will continue my calcium supplements because I don't like milk." DETERMINATION OF FETAL WELL-BEING - ....ANSWER... A nurse is reviewing findings of client's biophysical profile (BPP). The nurse should expect which of the following variables to be included in this test? (select all that apply) A. Fetal weight B. Fetal breathing movement C. Fetal tone D. Fetal position E. Amniotic fluid volume - ....ANSWER 1. Fetal breathing movement 2. Fetal tone
- Amniotic fluid volume A nurse is assisting with the car of a client who is in preterm labor and is scheduled to undergo an amniocentesis. The nurse should review which of the following tests to check fetal lung maturity? A. Alpha-fetoprotein (AFP)
