ATI Quiz
A nurse at a prenatal clinic is caring for a client who is in her 1st trimester of pregnancy. The client tells the nurse that she is upset because although she and her husband planned this pregnancy, she has been having many doubts and second thought about the upcoming changes in her life. Which of the following is an appropriate response by the nurse?
"Ambivalent feelings are quite common for women early in pregnancy."
A nurse is caring for a client who is at 37 wks gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason the nurse provide?
"This could result in profound bleeding."
A nurse in an antepartum unit is triaging clients. Which of the following clients should the nurse see first?
A client who is at 28 wks gestation and reports of painless vagina bleeding
A nurse in the antepartum unit is caring for a client who is at 36 wks gestation and has pregnancy-induced HTN. Suddenly, the client reports continuous reports continuous abd pain and vaginal bleeding. The nurse should suspect which of the following complications?
Abruptio placentae
A nurse is admitting a client who is at 37 wks gestation and has severe gestational HTN. Which of the following actions should the nurse expect to implement? (Select all that apply.)
Administer magnesium sulfate IV. Provide a dark, quiet environment. Ensure that calcium gluconate is readily available.
A nurse is caring for a client who was admitted to the maternity unit at 38 wks gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
An excessive amount of amniotic fluid is present.
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.
A nurse in the ED is caring for a client who comes to the emergency department reporting severe abd pain in the LLQ. The provider suspects a ruptured ectopic pregnancy. Which of the following signs to the nurse that the client has blood in the peritoneum?
Cullen's sign
A nurse is completing discharge teaching to a client in her 35th wk of pregnancy who has mild preeclampsia. Which of the following information about nutrition should be in the teaching?
Drink 48 to 64 oz of water daily
A nurse is teaching a client who is at 23 wks gestation and will return to the facility in 2 days for an amniocentesis. Which of the following instructions should the nurse give the client?
Empty her bladder immediately prior to the procedure.
A nurse in a prenatal clinic is caring for a client who is suspected of having hydatiform mole. Which of the following findings should the nurse expect to observe in this client?
Excessive uterine enlargement
A nurse is caring for a client who has a positive pregnancy test. The nurse is teaching the client about common discomforts in the 1st trimester of pregnancy as well as the warning signs of potential danger. The nurse should instruct the client to call the clinic is she experiences which of the following manifestations?
Facial edema
A nurse is caring for a client who is to undergo a biophysical profile. The client asks the nurse what is being evaluated during this test. Which of the following should the nurse include? (Select all that apply.)
Fetal breathing fetal motion Amniotic fluid volume
A nurse is assessing a client who is in the 3rd trimester of pregnancy. The nurse should recognize which of the following findings as an expected physiologic change during pregnancy?
Gradual lordosis
A nurse in a provider's office is caring for a client who is ay 34 wks gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?
HTN
A nurse in a clinic is assessing a client who is at 8 wks gestation and has hyperemesis gravidarum. Which of the followings should the nurse expect? (Select all that apply.)
Hx of migraine Nulliparous Twin gestations
A nurse in a hospital is caring for a client who is at 38 wks gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed in a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital signs are: bp 98/52 mmHg, HR 118/min, RR 24/min, and temp. 36.4 degrees C (97.6 degrees F). Which of the following is the priority nursing action?
Initiate IV access.
A nurse in a prenatal clinic is completing a skin assessment of a client who is in the 2nd trimester. Which of the following findings should the nurse expect? (Select all that apply.)
Linea nigra Chloasma Striae gravidarum
A nurse in a prenatal clinic is caring for a client who is at 38 was gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not accompanied by the contractions. The client is not in distress and she states that she can "feel the baby moving." An ultrasound is scheduled stat. The nurse should explain to the client that the purpose of the ultrasound is to determine which of the following?
Location of the placenta
A nurse in a clinic is caring for a client who is at 11 wks gestation and reports that she has had slight occasional vaginal bleeding over the past 2 wks. Following an examination by the provider, the client is told that the fetus has died and that the placenta, fetus, and tissues remain in the uterus. How should the nurse document these findings?
Missed miscarriage
A nurse is planning care for a client who is at 10 wks gestation and reports abd pain and moderate vaginal bleeding. The tentative diagnosis is inevitable abortion. Which of the following nursing interventions should be include in the plan of care?
Offer option to view products of conception.
A nurse is caring for a client who is at 36 wks gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis?
Painless red vaginal bleeding
A nurse is caring for an antepartum client who has iron-deficiency anemia. When teaching the client about nutrition, the nurse should emphasize the need for an increased intake of which of the following foods?
Red meat and organ meat
A nurse is completing the admission assessment of a client who is at 38 wks of gestation and has severe preeclampsia. Which of the following is an expected findings?
Report of HA
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 wks gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
Unilateral, cramp-like abd pain.
