ATI MATERNITY PROCTORED EXAM
1. A nurse in a health clinic is reviewing contraceptive use with a group of adolescent
clients. Which of the following statements by an adolescent reflects an
understanding of the teaching?
A."Awater-solublelubricantshouldbeusedwithcondoms."
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."
2. A nurse is instructing a client who is taking an oral contraceptive about danger signs
to report to her provider. The nurse determines the client understands the teaching
when the client states the need to report which of the following?
A. Reduced menstrual flow.
B. Breast tenderness.
C.Shortnessofbreath.
D. Headaches.
3. A nurse in an obstetrical clinic is teaching 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 expect intermittent abdominal pain while the IUD is in place."
D. "AchangeinthestringlengthofmyIUDisexpected."
4. A nurse is teaching a client about potential adverse effects of implantable progestins.
Which of the following adverse effects should the nurse include? (SATA)
A. Tinnitus.
B. Irregular vaginal bleeding.
C. Weight gain.
D. Breast changes.
E. Gingival hyperplasia.
5. A nurse in a clinic is teaching a client about her new prescription for
medroxyprogesterone. Which of the following information should the nurse include
in the teaching? (SATA)
A. "Weight loss can occur."
B. "You are protected against STIs."
C."Youshouldincreaseyourintakeofcalcium." D.
"You should avoid taking antibiotics."
E."Irregularvaginalspottingcanoccur."
6. A nurse in a clinic is caring for a group of female clients who are being evaluated for
infertility. Which of the following clients should the nurse anticipate the provider will refer to a genetic
counselor?
A. A client whose sister has alopecia.
B. Aclientwhosepartner hasvonWillebranddisease.
C. A client who has an allergy to sulfa.
D. A client who had rubella 3 months ago.
C. "Themanistheeasiest toassess,andtheproviderwillusuallybeginthere."
7. A nurse is caring for a couple who is being evaluated for infertility. Which of the following
statements by the nurse indicates understanding of the infertility assessment process?
A. "You will need to see a genetic counselor as part of the assessment."
B. "It is usually the woman who is having trouble, so the man doesn't have to be involved."
C."Themanistheeasiesttoassess,andtheproviderwillusuallybeginthere."
D. "Think about adopting first because there are many babies that need good homes."
A. Occupation.
B. Menstrual history.
C. Childhood infectious diseases.
8. A nurse in an infertility clinic is providing care to a couple who has been unable to conceive
for 18 months. Which of the following data should be included in the assessment? (SATA)
A. Occupation.
B. Menstrual history.
C. Childhood infectious diseases.
D.History of falls.
E. Recent blood transfusions.
9. A nurse is care for a client who has oligohydramnios. Which of the following fetal
anomalies should the nurse expect?
- Renal agenesis
10. A nurse in a prenatal clinic is performing telephone triage for several clients. Which of the
following client reports should the nurse identify as an expected physiologicaladaptation to
pregnancy?
- Breast tenderness
11. A nurse is discussing the expected changes related to pregnancy with a client who isat 8
weeks gestation. Which of the following findings should the client to report to the provider
during the first trimester?
- Persistent vomiting
12. A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation andreports
dizzieness when lying on her back. Into which of the following positions should the nurse
assist the client?
- Lateral
13. A nurse is caring for a newborn immediately following birth. Which of the followingactions
should the nurse take first?
- Dry the newborn
14. Nurse is caring for a client who had a cesarean birth 36 hours ago and is experiencingpain due
to gas. Which of the following strategies should the nurse recommend?
- Rock in a rocking chair
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