Week 1 ATI Teacher Review Ch. 1-8 Flashcards
(17 cards)
A client is seen at the clinic at 14 weeks of gestation for a follow-up appointment. At which level does the nurse expect to palpate the fundus?
a. Nonpalpable above the symphysis at 14 weeks of gestation
b. Slightly above the symphysis pubis
c. At the level of the umbilicus
d. Slightly above the umbilicus
b. Slightly above the symphysis pubis
A 31-year-old woman believes that she may be pregnant. She took an over-the-
counter (OTC) pregnancy test 1 week ago after missing her period; the test was
positive. During her assessment interview, the nurse asks about the woman’s
last menstrual period and whether she is taking any medications. The client
states that she takes medicine for epilepsy. She has been under considerable
stress lately at work and has not been sleeping well. Her physical examination
does not indicate that she is pregnant. She has an ultrasound scan, which
confirms that she is not pregnant. What is the most likely cause of the false-
positive pregnancy test result?
a. The pregnancy test was taken too early.
b. Anticonvulsant medications may cause the false-positive test result.
c. The woman has a fibroid tumor.
d. She has been under considerable stress and has a hormone imbalance.
b. Anticonvulsant medications may cause the false-positive test result.
A woman is in her 7th month of pregnancy. She reports episodes of nasal congestion and occasional epistaxis. Which statement best describes why this may be happening to this client?
a. This respiratory change is normal in pregnancy and caused by an elevated
level of estrogen.
b. This cardiovascular change is abnormal, and the nosebleeds are an
ominous sign.
c. The woman is a victim of domestic violence and is being hit in the face by
her partner.
d. The woman has been likely intranasally using cocaine for several months.
a. This respiratory change is normal in pregnancy and caused by an elevated
level of estrogen.
A woman arrives at the clinic for a pregnancy test. Her last menstrual
period (LMP) was February 14, 2023. What is the client’s expected date of birth (EDB)?
a. September 17, 2023
b. November 7, 2023
c. November 21, 2023
d. December 17, 2023
d. December 17, 2023
Which women should undergo prenatal testing for the human immunodeficiency virus (HIV)?
a. All women, regardless of risk factors
b. Women who have had more than one sexual partner
c. Women who have had a sexually transmitted infection (STI)
d. Woman who are monogamous with one partner
a. All women, regardless of risk factors
A first-time mother at 18 weeks of gestation is in for her regularly scheduled prenatal visit. The client tells the nurse that she is afraid that she is going into premature labor because she is beginning to have regular contractions. The nurse explains that these are Braxton Hicks contractions. What other information is important for the nurse to share?
a. Braxton Hicks contractions should be painless.
b. They may increase in frequency with walking.
c. These contractions might cause cervical dilation.
d. Braxton Hicks contractions will impede oxygen flow to the fetus.
a. Braxton Hicks contractions should be painless.
Which gastrointestinal alteration of
pregnancy is a normal finding?
a. Insufficient salivation (ptyalism) is caused by increases in estrogen.
b. Acid indigestion (pyrosis) begins early but declines throughout
pregnancy.
c. Hyperthyroidism often develops (temporarily) because hormone
production increases.
d. Nausea and vomiting rarely have harmful effects on the fetus and may be
beneficial.
d. Nausea and vomiting rarely have harmful effects on the fetus and may be
beneficial.
A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been experiencing occasional backaches of
mild-to-moderate intensity. Which intervention should the nurse recommend?
a. Kegel exercises
b. Pelvic tilt exercises
c. Softer mattress
d. Bed rest for 24 hours
b. Pelvic tilt exercises
A pregnant couple has formulated a birth plan and is reviewing it with the nurse at an expectant parent’s class. Which aspect of their birth plan should be considered potentially unrealistic and require further discussion with the nurse?
a. “My partner and I have agreed that my sister will be my coach because he
becomes anxious with regard to medical procedures and blood. He will be nearby
and check on me every so often to make sure everything is okay.”
b. “We plan to use the techniques taught in the Lamaze classes to reduce the pain
experienced during labor.”
c. “We want the labor and birth to take place in a birthing room. My partner will
come in the minute the baby is born.”
d. “Regardless of the circumstances, we do not want the fetal monitor used during
labor because it will interfere with movement and doing effleurage.”
d. “Regardless of the circumstances, we do not want the fetal monitor used during
labor because it will interfere with movement and doing effleurage.”
A woman who is 16 weeks pregnant has come in for a follow-up visit with her partner. To reassure the client regarding fetal well- being, which is the highest priority action for the nurse to perform?
a. Assess the fetal heart tones with a Doppler stethoscope.
b. Measure and document the girth of the woman’s abdomen.
c. Complete an ultrasound examination (sonogram) in a timely manner.
d. Offer the woman and her partner the opportunity to listen to the fetal
heart tones.
a. Assess the fetal heart tones with a Doppler stethoscope.
Which consideration is essential for the nurse to understand regarding follow-up prenatal care visits?
a. The interview portions become more intensive as the visits become more
frequent over the course of the pregnancy.
b. Monthly visits are scheduled for the first trimester, every 2 weeks for the
second trimester, and weekly for the third trimester.
c. During the abdominal examination, the nurse should be alert for supine
hypotension
d. For pregnant women, a systolic BP of 130 mm Hg and a diastolic BP of 80
mm Hg are sufficient to be considered hypertensive
c. During the abdominal examination, the nurse should be alert for supine
hypotension
A woman has come to the clinic for preconception counseling because she wants to start trying to get pregnant. Which guidance is most important for her to receive?
a. “Discontinue all contraception now.”
b. “Lose weight so that you can gain more during pregnancy.”
c. “You may take any medications you have been regularly taking.”
d. “Make sure you include adequate folic acid in your diet.”
d. “Make sure you include adequate folic acid in your diet.”
A 39-year-old primigravida woman believes that she is approximately 8 weeks pregnant, although she has had irregular menstrual periods all her life. She has a history of smoking approximately one pack of
cigarettes a day; however, she tells the nurse that she is trying to cut down. Her laboratory data are within normal limits. What diagnostic technique would be useful at this time?
a. Ultrasound examination
b. Maternal serum alpha-fetoprotein (MSAFP) screening
c. Amniocentesis
d. Nonstress test (NST)
a. Ultrasound examination
A 41-week pregnant multigravida arrives at the labor and delivery unit after testing indicated that her fetus could be experiencing some difficulties in utero. Which diagnostic tool yields more detailed information about the condition of the fetus?
a. Ultrasound for fetal anomalies
b. Biophysical profile (BPP)
c. MSAFP screening
d. Percutaneous umbilical blood sampling (PUBS)
b. Biophysical profile (BPP)
A 30-year-old gravida 3, para 2-0-0-2 is at 18 weeks of gestation. Which screening test should the nurse recommend be ordered for this client?
a. Biophysical profile (BPP)
b. Chorionic villi sampling
c. Maternal serum alpha-fetoprotein screening (MSAFP)
d. Screening for diabetes mellitus
c. Maternal serum alpha-fetoprotein screening (MSAFP)
