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WorksheetsHalbert ATI Questions Test #3
Total questions: 74
Worksheet time: 2hrs 28mins
A nurse is caring for a client who is in labor. A vaginal examination reveals the following findings: 2 cm, 50%, +1, right occiput anterior (ROA). Based on this, which of the following fetal positions should the nurse document?
Transverse
Breech
Vertex
Mentum
A nurse is caring for a client 12 weeks gestation who has a BMI of 45. Which of the following pieces of information should the nurse provide for the client regarding the recommended weight gain during her pregnancy?
"You should plan to gain no more than 20lbs during your pregnancy."
"You should plan to gain between 25 & 35lbs during your pregnancy."
"You should not plan to gain any weight during your pregnancy because you are already well-nourished."
"Since you have higher energy needs than an average-sized pregnant client, you should plan to gain 45 to 50lbs."
A nurse is assessing a client who is 34 weeks gestation & has a cardiac disorder. The nurse should notify the provider about which of the following assessment findings?
The client reports a frequent cough
The client reports that none of her shoes fit anymore
The client reports a weight gain of 2lb in a 2-week period
The client reports leg cramps in the evening
A nurse is caring for a client 36 weeks gestation who has pre-eclampsia. Which of the following findings should the nurse identify as the priority?
1+ proteinuria
BP 140/98 mmHg
Nonreactive nonstress test
Fundal height 33 cm
A nurse is teaching a client who has active genital herpes simplex virus, type 2. Which of the following statements should the nurse include in the teaching?
"You will have a cesarean birth prior to the onset of labor."
"Your baby will receive erythromycin eye ointment after birth to treat the infection."
"You should take oral metronidazole for 7 days prior to 37 weeks gestation."
"You should schedule a caesarean birth after your water breaks."
A nurse is caring for a client who is at 38 weeks gestation & reports no fetal movement for the past 24 hr. Which of the following actions should the nurse take?
Auscultate for a fetal heart rate
Have the client drink orange juice
Reassure the client that a term fetus is less active
Palpate the uterus for fetal movement
A nurse is reviewing recent laboratory values during a prenatal visit for a client who is pregnant. The nurse notes a hemoglobin level of 10 g/dL. Which of the following actions should the nurse take?
Review the medical record for a history of gastric bypass surgery
Advise the client to start iron & vitamin C supplementation
Review the medication list to determine if the client is taking an anticonvulsant
Request an order for sickle cell anemia screening
A nurse is caring for a primigravid client who is at 8 weeks gestation with twins. The client states that even though she & her husband planned this pregnancy, she is experiencing ambivalent feelings about it. Which of the following responses should the nurse make?
"Have you told your husband about these feelings?"
"These feelings are quite normal at the beginning of pregnancy."
"Perhaps you should see a counselor to discuss these feelings."
"I am quite concerned about these feelings. Could you explain more?"
A nurse is teaching a prenatal class about nonpharmacological comfort measures during labor. Which of the following statements indicates that the instructions have been understood?
"I can have my partner apply counterpressure to my upper abdomen."
"My baby will be monitored with a doppler device during hydrotherapy."
"I can have the nurse apply acupressure to my lower abdomen."
"My TENS unit will not help with lower back pain during early labor."
A nurse is caring for a client who is in labor. The client asks the nurse, "Why are you pressing on my abdomen?" Which of the following responses should the nurse make?
"I can determine your baby's heart rate."
"I can confirm that you have sufficient fluid around your baby."
"I can confirm that your baby moves with stimulation."
"I can determine the position of your baby."
A nurse is providing teaching for a client about hormonal changes during pregnancy. The nurse identifies that which of the following hormones plays a key role in preventing miscarriage?
Oxytocin
Prolactin
Progesterone
Estrogen
A nurse is teaching a client about a nonstress test. Which of the following statements by the client indicates an understanding of the teaching?
"I know not to eat anything after midnight."
"I will have medication given to me to cause contractions."
"I should press the button on the handheld marker when my baby moves." (even though this is the old machines)
"I will have to stimulate my breast to cause contractions."
A nurse is assessing a postpartum client who has preeclampsia & notes a boggy uterus & excessive uterine bleeding. The nurse should plan to administer which of the following medications?
Terbutaline
Magnesium sulfate
Oxytocin
Methylergonovine
A nurse is assessing a client who is in the fourth stage of labor. Which of the following findings should the nurse expect?
Breast engorgement
Hypothermia
Urinary retention
Rupture of membranes
A nurse is assessing a client who reports that she might be pregnant. Which of the following findings should the nurse identify as a presumptive sign of pregnancy?
Nausea in the morning
Positive home pregnancy test
Increased sensitivity of the cervix noted upon examination
Gestational sac observed by transvaginal ultrasound
A nurse is assessing a client who is receiving magnesium sulfate as a treatment for pre-eclampsia. Which of the following clinical findings is the nurse's priority?
Respirations 16/min
Urinary output 40 mL in 2 hr
Reflexes +2
Fetal heart rate 158/min
A nurse is providing education for a pregnant client about symptoms that should be reported immediately to the provider. Which of the following client responses indicates an understanding of the teaching?
"I should call my provider if I develop melasma."
"If I notice that my eyes are puffy, I should call my provider."
"I should call my provider if I notice that my feet & ankles are swollen."
"If I notice periodic numbness & tingling in my fingers, I should call my provider."
A nurse is assessing a client who is at 20 weeks gestation & reports frequent episodes of indigestion & heartburn. Which of the following instructions should the nurse give to the client?
"Limit your intake of food to twice per day."
"Decrease your intake of spicy foods."
"Rest in a supine position for a few minutes after eating."
"Increase your intake of water & carbonated beverages."
A nurse is caring for a client who has a BMI of 22.6 & expresses concern about weight gain during pregnancy. Which of the following responses should the nurse make?
"You're eating for 2, so you should double your caloric intake."
"You'll lose weight easily after the birth of your baby."
"Plan to gain a total of 15 to 20lbs during pregnancy."
"Gaining weight will promote a healthy pregnancy."
A nurse is caring for a client who experienced a spontaneous rupture of membranes & has prolonged decelerations on the fetal monitor. Which of the following conditions should the nurse expect?
Uterine rupture
Placental abruption
Prolapsed umbilical cord
Amniotic fluid embolus
A nurse is caring for a client who asks, "How will I know if I'm having true or false labor contractions?" Which of the following responses should the nurse make?
"True contractions will begin irregularly & then become regular in timing."
"True contractions will go away with ambulation."
"False contractions increase in frequency & duration the closer you are to your due date."
"False contractions are first felt in the pelvic area & then in the lower back & abdomen."
A client who is pregnant tells the nurse that she is financially unable to buy the food & vitamins recommended during pregnancy. Which of the following actions should the nurse take?
Explain to the client that improper nutrition could lead to birth defects in her baby
Instruct the client to return to the clinic for weekly weigh-ins for the remainder of the pregnancy
Provide the client with sample menus to promote nutritious meal preparation
Refer the client to a community resource that could assist with providing nutrition
A nurse is caring for a client in labor & observes a pattern of early decelerations on the fetal monitor. Which of the following actions should the nurse take?
Notify the provider
Document the findings & continue to monitor
Administer oxygen via face mask
Assist with a sterile speculum examination
A nurse is caring for a client in the third trimester of pregnancy who reports difficulty sleeping. Which of the following instructions should the nurse provide?
Eat a high-fat snack before bed
Exercise in the evening before bed
Sleep in the supine position
Use additional pillows to support extremities & abdomen
A nurse is teaching a client who is 12 weeks gestation & has HIV. Which of the following statements should the nurse include in the teaching?
"Breastfeed your newborn to provide passive immunity."
"Abstain from sexual intercourse throughout the pregnancy."
"You will be in isolation after delivery."
"You should continue to take zidovudine throughout the pregnancy."
A nurse is reviewing the medical record of a client 39 weeks gestation who has polyhydramnios. Which of the following findings should the nurse expect?
Fundal height of 34 cm (13.4 in)
Total pregnancy weight gain of 3.6 kg (8 lb)
Gestational hypertension
Fetal gastrointestinal anomaly
A nurse in a clinic is caring for a client who is pregnant & reports a last menstrual period (LMP) that began on December 7. Which of the following dates would be the client's estimated date of birth (EDB)?
September 14
September 7
March 14
March 7
A nurse is caring for a client in active labor who has meconium staining of the amniotic fluid. The nurse notes a reassuring fetal heart rate (FHR) tracing from the external fetal monitor. Which of the following actions should the nurse perform?
Prepare the client for an ultrasound examination
Prepare the client for an emergency cesarean birth
Prepare equipment needed for newborn resuscitation
Perform endotracheal suctioning as soon as the fetal head is delivered
A nurse is assessing a client who is suspected of having hyperemesis gravidarum. Which of the following laboratory tests should the nurse check first?
Complete blood count
Liver enzymes
Bilirubin level
Urine ketones
A nurse is admitting a client who is in labor & experiencing moderate bright red vaginal bleeding. Which of the following actions should the nurse take?
Perform a vaginal examination to determine cervical dilation
Obtain blood samples for baseline laboratory values
Place a spiral electrode on the fetal presenting part
Prepare the client for a transvaginal ultrasound
A nurse is caring for a client who has eclampsia & just had tonic-clonic seizure. After turning the client's head to the side, which of the following actions should the nurse take next?
Administer magnesium sulfate 4 g IV bolus
Insert an indwelling urinary catheter
Give oxygen at 10 L/min via face mask
Keep the environment quiet & the lights dimmed
A nurse is teaching a client who is at 8 weeks gestation & has a uterine fibroid about potential effects of the fibroid during pregnancy. Which of the following pieces of information should the nurse include?
"The fibroid will shrink during the pregnancy."
"The fibroid can increase the risk of postpartum hemorrhage."
"You will receive an injection of medroxyprogesterone acetate to shrink the fibroid."
"You will have to undergo a cesarean birth because of the fibroid."
A nurse is caring for a client who is 39 weeks gestation & shows manifestations of labor. Which of the following findings will alert the nurse that the client is in true labor?
Contractions felt in the upper abdomen
A small amount of bloody discharge
Contractions occurring every 2 to 10 min
Changes in cervical dilation or effacement
A nurse is providing education to a client who is 34 weeks gestation about a non-stress test (NST). Which of the following pieces of information should the nurse include?
"It will take about 10 minutes to complete the test."
"You might have to drink orange juice during the test."
"During the test, you will be asked to massage your nipples."
"During the test, you will receive a medication to relax your uterus."
A charge nurse is teaching newly licensed nurses about teratogens that affect fetal development. The nurses should recognize that which of the following is an example of a teratogen?
Consuming caffeine during pregnancy
A family history of a genetic disorder
Gum disease in a pregnant client
Drinking alcohol during pregnancy
A nurse is teaching a client who is 10 weeks gestation about self-care management for common discomforts during pregnancy. Which of the following instructions should the nurse include?
Douche every other day to minimize leukorrhea
Consume frequent snacks to decrease episodes of nausea
Refrain from scheduling dental procedures until the third trimester
Decrease fluid intake to reduce urinary frequency
A nurse is caring for a client who is in labor & asks her partner to perform effleurage. The client has on a monitor belt for electronic fetal monitoring. Which of the following instructions should the nurse provide the client's partner?
"Lightly stroke the upper thighs."
"Steadily apply pressure to the sacrum."
"Gently massage the mid-abdominal area."
"Firmly squeeze both hips."
A nurse is reviewing laboratory results for a client who is 37 weeks gestation. The nurse notes that the client is rubella non-immune, is positive for group A beta-hemolytic streptococcus, & has a blood type of O negative. Which of the following actions should the nurse take?
Administer a dose of Rho(D) immune globulin
Request a prescription for an antibiotic until delivery
Instruct the client to obtain a rubella immunization after delivery
Inform the client that she will need to deliver via cesarean birth
A nurse is caring for a client at 34 weeks gestation who presents with vaginal bleeding. Which of the following assessments will indicate whether the bleeding is caused by placenta previa or an abruptio placenta?
Uterine tone
Fetal heart rate
Blood pressure
Amount of bleeding
A nurse is planning care for a client who has a prescription for oxytocin. Which of the following is a contraindication to the use of this medication?
Prolonged rupture of membranes at 38 weeks gestation
Intrauterine growth restriction
Post-term pregnancy
Active genital herpes
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 physiological adaptation to pregnancy?
Spotting with urination
Breast tenderness
Thick, white vaginal discharge
Facial swelling
A nurse is teaching a client during the client's first prenatal visit. Which of the following instructions should the nurse include?
"A fetal stethoscope can first detect your baby's heart rate at 22 weeks."
"After week 16, we can see if your baby is a boy or girl."
"A doppler device can detect your baby's heart rate at 12 weeks."
"You will first feel the baby move at about 8 weeks."
A nurse is teaching a prenatal class about pain management during labor. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
"I can apply a heating pad to my back to relieve back pain."
"I can have a low spinal block to help with labor pain."
"I can have butorphanol every 2 hours during labor."
"My time limit for staying in the hydrotherapy tub is 30 minutes."
A nurse is caring for a client at 37 weeks gestation who is undergoing a nonstress test. The fetal heart rate (FHR) is 130/min without accelerations for the past 10 min. Which of the following actions should the nurse take?
Use vibroacoustic stimulation on the client's abdomen for 3 sec
Report the nonreactive test result to the provider immediately
Request a prescription for an internal fetal scalp electrode
Auscultate the FHR with a doppler transducer
A nurse is providing teaching for a client who is pregnant & has type 1 diabetes mellitus. Which of the following statements should the nurse include in the teaching?
"You should expect to increase your insulin dosage during the first trimester of pregnancy."
"You should expect to decrease your insulin dosage during the second & third trimesters of pregnancy."
"You should expect to decrease your insulin dosage immediately after you deliver your baby."
"You will need to increase your insulin dosage if you are breastfeeding."
A nurse is caring for a client who is pregnant with a male child & expresses concern to the nurse about the possibility of the child having hemophilia. The client is a carrier of the gene mutation for this condition. Which of the following percentages represents the chance that the child will have this disorder?
25%
50%
75%
100%
A nurse is caring for a client who is scheduled to undergo an amniocentesis to assess fetal lung maturity. The client is G2P1 & at 36 weeks of gestation & she has an O-positive blood type. Which of the following interventions should the nurse perform?
Apply an external fetal monitor to the client
Instruct the client to drink fluids & not to void prior to the procedure
Administer Rho(D) immunoglobin after the procedure
Instruct the client to take a deep breath & hold it during the entry of the needle
A nurse is teaching a group of clients who are pregnant about vitamin K for newborns. Vitamin K helps prevent which of the following conditions in a newborn?
Altered carbohydrate metabolism
Hyperbilirubinemia
Intracranial hemorrhage
Hypoglycemia
A nurse is teaching a client who is in labor about the use of nitrous oxide analgesia for pain control. Which of the following statements by the client indicates an understanding of the teaching?
"Nitrous oxide could make my baby sleepy when he is born."
"I should inhale the nitrous oxide between contractions."
"I will feel the effects of the nitrous oxide almost immediately."
"Nitrous oxide can make me feel disoriented."
A nurse is assessing a client who missed 2 menstrual cycles & reports that she might be pregnant. Which of the following findings is a positive sign of pregnancy?
Quickening
Breast tenderness
Uterine enlargement
Auscultation of a fetal heart rate
A nurse is assessing a client who is at 12 weeks gestation & has a hydatidiform mole. Which of the following findings should the nurse expect?
Hypothermia
Dark brown vaginal discharge
Decreased urinary output
Fetal heart tones
A nurse in a prenatal clinic is caring for a client who is within the recommended guideline for weight. The client asks the nurse how much weight is safe for her to gain during her pregnancy. Which of the following responses should the nurse offer?
"Your provider can discuss an appropriate amount of weight gain with you."
"A weight gain of about 14 lb each trimester is suggested."
"If you eat nutritious foods when you feel hungry, the amount of weight gain is insignificant."
"A weight gain of about 25 to 35 lb is good."
A nurse in a prenatal care clinic answers a phone call from a client who is at 37 weeks gestation & reports, "I became very dizzy while lying in bed this morning, but the feeling went away when I turned onto my side." Which of the following actions should the nurse take?
Instruct the client about vena cava syndrome & measures to prevent it
Arrange for the client to come to the clinic for an assessment
Check the client's chart for gestational diabetes mellitus
Schedule a nonstress test for the clinic
A nurse is counseling a female client who expresses a desire to conceive in the near future. Which of the following dietary recommendations should the nurse make to prevent neural tube defects?
Take a multivitamin every day
Decrease consumption of mercury-containing fish
Increase consumption of dairy products
Begin taking a folic acid supplement
A nurse is teaching a client with pre-eclampsia who is scheduled to receive magnesium sulfate via continuous IV infusion about expected adverse effects. Which of the following adverse effects is expected?
Elevated blood pressure
Feeling of warmth
Hyperactivity
Generalized pruritus
A nurse is assessing a client at 27 weeks of gestation. The client has placenta previa & reports vaginal bleeding. Which of the following additional manifestations should the nurse expect?
The fundal height measures greater than gestational age
A rigid abdomen is noted on palpation
The client reports a pain level of 8 on a 0-to-10 pain scale
A urine drug screen is positive for cocaine
A client has hyperemesis gravidarum. What does the nurse expect?
Elevated serum potassium level
Rapid weight gain
Peripheral edema
Presence of ketones in the urine
A nurse is caring for a client who is in the first trimester of pregnancy & asks how to manage heartburn. Which of the following responses should the nurse make?
"Reduce the amount of food you eat during meals."
"Sip carbonated beverages between meals."
"Lie down & rest immediately after meals."
"Drink iced tea with meals."
A nurse is reviewing the medical record of a client at 33 weeks gestation who has placenta previa & bleeding. Which of the following prescriptions should the nurse clarify with the provider?
Perform a vaginal examination
Perform continuous external fetal monitoring
Insert a large-bore IV catheter
Obtain a blood sample for laboratory testing
A nurse is educating a client who is at 10 weeks gestation & reports frequent nausea & vomiting. Which of the following statements should the nurse include in the teaching?
"You should eat foods served at warm temperatures."
"You should brush your teeth right after you eat."
"You should try to eat sweet foods when you feel nauseated."
"You should eat dry foods that are high in carbohydrates when you wake up."
A nurse is planning care for a client who is at 35 weeks gestation. Which of the following laboratory tests should the nurse obtain?
Rubella titer
Blood type
Group B streptococcus B-hemolytic
1-hour glucose tolerance test
A nurse administers betamethasone to a client who is at 33 weeks gestation to stimulate fetal lung maturity. When planning care for the newborn, which of the following conditions should the nurse identify as an adverse effect of this medication?
Hyperthermia
Decreased blood glucose
Rapid pulse rate
Irritability
A nurse is caring for a client who is pregnant & has a rupture of membranes. The nurse notes the presence of meconium-stained fluid. Which of the following actions should the nurse take?
Prepare for emergency caesarean delivery
Discontinue oxytocin infusion
Position the parent to facilitate the McRoberts maneuver
Gather equipment for neonatal resuscitation
A nurse is providing teaching about exercise to a client who is pregnant. Which of the following pieces of information should the nurse include?
"You can continue participating in whatever sports or activities you did prior to becoming pregnant."
"Intermittent exercise is a great way to stay healthy during pregnancy."
"You should limit your exercise to walking if you did not exercise prior to becoming pregnant."
"Vigorous exercises should be limited & should not be performed in hot, humid weather."
A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant & asks the nurse how the provider will confirm her pregnancy. Which of the following laboratory tests will be used to confirm this client's pregnancy?
A blood test for the presence of estrogen
A blood test for the amount of circulating progesterone
A urine test for the presence of human chorionic somatomammotropin
A urine test for the presence of human chorionic gonadotropin
A nurse in a clinic is assessing a client who is 13 weeks gestation & has hyperemesis gravidarum. Which of the following findings should the nurse identify as the priority?
BP 90/52 mHg
Ketones 2+
Specific gravity 1.035
Sodium 130 mEq/L
A nurse is teaching a client who is pregnant about toxoplasmosis. Which of the following instructions should the nurse include?
"To prevent toxoplasmosis, you will need to receive a MMR vaccination during your pregnancy."
"You should avoid gardening during your pregnancy to decrease your risk of contracting toxoplasmosis."
"You will get a body rash if you are infected with toxoplasmosis."
"Toxoplasmosis is transmitted through a bite from an infected mosquito."
A nurse is teaching a client about using the Lamaze method to manage pain during labor. Which of the following pieces of information should the nurse include?
"Learning about childbirth will reduce any fear you might have, which will help you focus more on abdominal breathing during contractions."
"You will learn how to prevent pain during labor by focusing your mind to control your breathing."
"During labor, you will be encouraged to disassociate by using an internal focal point."
"During labor, you will use conscious relaxation & levels of progressive breathing."
A nurse is caring for a client who is 26 weeks gestation & reports constipation. Which of the following responses by the nurse is appropriate?
"You should drink 1 oz of mineral oil every morning."
"You should walk for at least 30 min everyday."
"You should eat at least 3 oz of red meat per day."
"You should stop taking your prenatal vitamin."
A nurse is caring for a client who has trichomoniasis & a prescription for metronidazole. Which of the following instructions should the nurse provide to the client about the treatment plan?
"Your partner needs to be cultured & be treated with metronidazole only if his cultures are positive."
"You & your partner need to take the medication & use a condom during intercourse until cultures are negative."
"If both you & your partner are treated simultaneously, you may continue to engage in sexual intercourse."
"Only you will need to take the metronidazole, but you should not have intercourse until your culture is negative."
A nurse is caring for a client who is experiencing preterm labor. Which of the following medications should the nurse anticipate administering to enhance fetal lung maturation?
Betamethasone
Nifedipine
Indomethacin
Verapamil
A nurse is caring for a client who is 16 weeks gestation & has severe iron-deficiency anemia. The provider prescribes an injection of iron dextran IM. Which of the following methods should the nurse use to administer the medication?
Use a 20-gauge needle & administer the medication using the z-track method
Use a 22-gauge needle & administer the medication deep into the thigh
Use a 25-gauge needle & administer the medication into the deltoid muscle
Use an 18-gauge needle & administer the medication into the rectus femoris muscle
A nurse is caring for a client who has oligohydramnios. Which of the following fetal anomalies should the nurse expect?
Atrial septal defect
Renal agenesis
Spina bifida
Hydrocephalus
A nurse is teaching a client who is 10 weeks gestation about an abdominal ultrasound in the first trimester. Which of the following pieces of information should the nurse include in the teaching?
"You will have a nonstress test prior to the ultrasound."
"You will need to have a full bladder during the ultrasound."
"The ultrasound will determine the length of your cervix."
"You will experience uterine cramping during the ultrasound."
