Page 1 of 162
RN MATERNAL NEWBORN ATI PROCTORED
EXAM | FREQUENTLY TESTED QUESTIONS
WITH CORRECT ANSWERS | BRAND NEW!
A nurse is providing discharge teaching to a client following the
removal of a hydatidiform mole. Which of the following
statements should the nurse include in the teaching?
"Do not become pregnant for at least 1 year."
"Seek genetic counseling for yourself and your partner prior to
getting pregnant again."
"You should have an hCG level drawn in 6 weeks."
"Have your blood pressure checked weekly for the next month." -
✔✔✔ correct answer > Do not become pregnant for at least 1 year
Hydatidiform moles are uncontrolled growths in the uterus
arising from placental or fetal tissue in early pregnancy. There is
an increased incidence of choriocarcinoma associated with
molar pregnancies. Pregnancy must be avoided for 1 year so the
client can be closely monitored for manifestations of this
condition.
,Page 2 of 162
A nurse is planning care for a client who is at 35 weeks of
gestation. Which of the following laboratory tests should the
nurse obtain?
Rubella titer
Blood type
Group B streptococcus ß-hemolytic
1-hour glucose tolerance test - ✔✔✔ correct answer > Group B
streptococcus B-hemolytic
The nurse should obtain a vaginal/anal group B streptococcus ß-
hemolytic (GBS) culture at 35 to 37 weeks of gestation to screen
for infection. Prophylactic antibiotics should be given during
labor to the client who is positive for GBS.
A nurse is caring for a client who is at 34 weeks of gestation and
has a prescription for terbutaline for preterm labor. Which of the
following statements by the client is the priority?
"My ankles are swollen at the end of the day."
"I can feel the baby kicking my ribs, and it is very uncomfortable."
"I'm growing more and more worried every day."
"My heart feels as if it is racing." - ✔✔✔ correct answer > My heart
feels as if it is racing
,Page 3 of 162
The primary action of terbutaline is to cause bronchodilation and
relax smooth muscles. However, an adverse effect is tachycardia.
If the pulse is greater than 130/min, the terbutaline needs to be
held until the provider is notified.
A nurse is planning care for a newborn who requires
phototherapy for hyperbilirubinemia. Which of the following
actions should the nurse include in the plan of care?
Swaddle the newborn in a receiving blanket during the
treatment.
Maintain NPO status until the newborn's bilirubin is within the
expected reference range.
Ensure the newborn's eyes are closed before applying the eye
shield.
Apply lotion to the newborn's skin twice per day. - ✔✔✔ correct
answer > Ensure the newborns eyes are closed before applying the
eye shield
Overexposure to the lights during treatment can cause damage
to the newborn's corneas. Therefore, the nurse should gently
close the newborn's eyes prior to applying the eye shield.
A nurse administers betamethasone to a client who is at 33
weeks gestation to stimulate fetal lung maturity. Which planning
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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 - ✔✔✔ correct answer > Decreased blood glucose
Betamethasone causes hyperglycemia in the client, which
predisposes the newborn to hypoglycemia in the first hours after
delivery. It is important to assess the newborn's blood glucose
level within the first hour following birth and frequently
thereafter until blood glucose levels are stable.
A nurse is caring for a client who is at 16 weeks of gestation and
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, and administer the medication using the
Z-track method.
Use a 22-gauge needle, and administer the medication deep into
the thigh.
Use a 25-gauge needle, and administer the medication into the
deltoid muscle.
RN MATERNAL NEWBORN ATI PROCTORED
EXAM | FREQUENTLY TESTED QUESTIONS
WITH CORRECT ANSWERS | BRAND NEW!
A nurse is providing discharge teaching to a client following the
removal of a hydatidiform mole. Which of the following
statements should the nurse include in the teaching?
"Do not become pregnant for at least 1 year."
"Seek genetic counseling for yourself and your partner prior to
getting pregnant again."
"You should have an hCG level drawn in 6 weeks."
"Have your blood pressure checked weekly for the next month." -
✔✔✔ correct answer > Do not become pregnant for at least 1 year
Hydatidiform moles are uncontrolled growths in the uterus
arising from placental or fetal tissue in early pregnancy. There is
an increased incidence of choriocarcinoma associated with
molar pregnancies. Pregnancy must be avoided for 1 year so the
client can be closely monitored for manifestations of this
condition.
,Page 2 of 162
A nurse is planning care for a client who is at 35 weeks of
gestation. Which of the following laboratory tests should the
nurse obtain?
Rubella titer
Blood type
Group B streptococcus ß-hemolytic
1-hour glucose tolerance test - ✔✔✔ correct answer > Group B
streptococcus B-hemolytic
The nurse should obtain a vaginal/anal group B streptococcus ß-
hemolytic (GBS) culture at 35 to 37 weeks of gestation to screen
for infection. Prophylactic antibiotics should be given during
labor to the client who is positive for GBS.
A nurse is caring for a client who is at 34 weeks of gestation and
has a prescription for terbutaline for preterm labor. Which of the
following statements by the client is the priority?
"My ankles are swollen at the end of the day."
"I can feel the baby kicking my ribs, and it is very uncomfortable."
"I'm growing more and more worried every day."
"My heart feels as if it is racing." - ✔✔✔ correct answer > My heart
feels as if it is racing
,Page 3 of 162
The primary action of terbutaline is to cause bronchodilation and
relax smooth muscles. However, an adverse effect is tachycardia.
If the pulse is greater than 130/min, the terbutaline needs to be
held until the provider is notified.
A nurse is planning care for a newborn who requires
phototherapy for hyperbilirubinemia. Which of the following
actions should the nurse include in the plan of care?
Swaddle the newborn in a receiving blanket during the
treatment.
Maintain NPO status until the newborn's bilirubin is within the
expected reference range.
Ensure the newborn's eyes are closed before applying the eye
shield.
Apply lotion to the newborn's skin twice per day. - ✔✔✔ correct
answer > Ensure the newborns eyes are closed before applying the
eye shield
Overexposure to the lights during treatment can cause damage
to the newborn's corneas. Therefore, the nurse should gently
close the newborn's eyes prior to applying the eye shield.
A nurse administers betamethasone to a client who is at 33
weeks gestation to stimulate fetal lung maturity. Which planning
, Page 4 of 162
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 - ✔✔✔ correct answer > Decreased blood glucose
Betamethasone causes hyperglycemia in the client, which
predisposes the newborn to hypoglycemia in the first hours after
delivery. It is important to assess the newborn's blood glucose
level within the first hour following birth and frequently
thereafter until blood glucose levels are stable.
A nurse is caring for a client who is at 16 weeks of gestation and
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, and administer the medication using the
Z-track method.
Use a 22-gauge needle, and administer the medication deep into
the thigh.
Use a 25-gauge needle, and administer the medication into the
deltoid muscle.
