ATI MATERNAL NEWBORN NUR 412 PROCTORED TESTBANK
2022/2023 EXAM REVIEW Questions & Answers Study Guide A+
Grade | 100% SOLVED
A nurse is caring for a client who has oligohydramnios. What fetal
anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus Correct Answer: a. renal agenesis
A nurse is assessing a client who is at 37 wks gestation and has a
suspected pelvic fracture due to blunt abd trauma. What findings should
the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea Correct Answer: a. uterine contractions
The nurse should expect the client to be experiencing uterine
contractions due to abdominal trauma.
,A nurse is assessing a client who is at 12 wks gestation and has
hydatidiform mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output Correct Answer: b. dark brown vaginal
discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative
growth of the chorionic villi, which gives rise to multiple cysts. The
products of conception transform into a large number of edematous,
fluid-filled vesicles. As cells slough off the uterine wall, vaginal
discharge is usually dark brown and can contain grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gestation and has
mild gestational HTN. What finding should the nurse identify as the
priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 Correct Answer: a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority finding is 480 mL of urine output in
24 hr because the minimum acceptable urine output in an adult client is
,30 mL/hr. This can indicate progression of preeclampsia to preeclampsia
with severe features, which requires immediate intervention. Therefore,
this is the priority finding.
A nurse is teaching a client who is at 12 wks gestation and has HIV.
What statement should the nurse include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy
Correct Answer: d. you should continue to take zidovudine throughout
the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral
medication every day decreases the risk of transmission of HIV to her
newborn.
A nurse is providing teaching to a client who is at 8 wks gestation about
manifestations to report to the provider during pregnancy. What info
should the nurse include in the teaching?
a. nausea upon awakening
, b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping Correct Answer: b. blurred or double
vision
A nurse is caring for a client who is in the latent phase of labor and is
receiving oxytocin via continuous IV infusion. The nurse notes that the
client is having contractions every 2 min which last 100-110 seconds
that the fetal heart rate is reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq Correct Answer: a. decrease the
dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the
client is experiencing uterine tachysystole.
A nurse is caring for a client who is in active labor and has meconium
staining of the amniotic fluid. The nurse notes a reassuring FHR tracing
from the external fetal monitor. What action should the nurse take?
a. prepare the client for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscitation
2022/2023 EXAM REVIEW Questions & Answers Study Guide A+
Grade | 100% SOLVED
A nurse is caring for a client who has oligohydramnios. What fetal
anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus Correct Answer: a. renal agenesis
A nurse is assessing a client who is at 37 wks gestation and has a
suspected pelvic fracture due to blunt abd trauma. What findings should
the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea Correct Answer: a. uterine contractions
The nurse should expect the client to be experiencing uterine
contractions due to abdominal trauma.
,A nurse is assessing a client who is at 12 wks gestation and has
hydatidiform mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output Correct Answer: b. dark brown vaginal
discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative
growth of the chorionic villi, which gives rise to multiple cysts. The
products of conception transform into a large number of edematous,
fluid-filled vesicles. As cells slough off the uterine wall, vaginal
discharge is usually dark brown and can contain grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gestation and has
mild gestational HTN. What finding should the nurse identify as the
priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 Correct Answer: a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority finding is 480 mL of urine output in
24 hr because the minimum acceptable urine output in an adult client is
,30 mL/hr. This can indicate progression of preeclampsia to preeclampsia
with severe features, which requires immediate intervention. Therefore,
this is the priority finding.
A nurse is teaching a client who is at 12 wks gestation and has HIV.
What statement should the nurse include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy
Correct Answer: d. you should continue to take zidovudine throughout
the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral
medication every day decreases the risk of transmission of HIV to her
newborn.
A nurse is providing teaching to a client who is at 8 wks gestation about
manifestations to report to the provider during pregnancy. What info
should the nurse include in the teaching?
a. nausea upon awakening
, b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping Correct Answer: b. blurred or double
vision
A nurse is caring for a client who is in the latent phase of labor and is
receiving oxytocin via continuous IV infusion. The nurse notes that the
client is having contractions every 2 min which last 100-110 seconds
that the fetal heart rate is reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq Correct Answer: a. decrease the
dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the
client is experiencing uterine tachysystole.
A nurse is caring for a client who is in active labor and has meconium
staining of the amniotic fluid. The nurse notes a reassuring FHR tracing
from the external fetal monitor. What action should the nurse take?
a. prepare the client for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscitation
