Maternal newborn ati proctored exam
A nurse is caring for a client who is at 32 wks gestation and is
experiencing
labor. What medspreterm
should the nurse plan to administer? correct
answers
betamethaso
ne
A nurse at a prenatal clinic is caring for a client who suspects she may be
pregnant
asks and how the provider will confirm her pregnancy. The nurse
the nurse
should
the inform
client that what lab test will be used to confirm her pregnancy?
correct
urine testanswers
for presence of
HCG
A nurse is caring for a client who believes she may be pregnant. What
finding
the nurseshould
identify as a positive sign of
pregnancy?
a. palpable fetal movement correct answers palpable fetal
movement
A nurse is caring for a client who has oligohydraminios. What fetal anomalies
shouldexpect?
nurse the correct answers renal
agenesis
A nurse is assessing a client who is at 37 wks gestation and has a
suspected
fracture pelvic
due to blunt abd trauma. What findings should the nurse
expect? uterine
answers correct
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
What findingsmole.
should the nurse expect? correct answers dark brown vaginal
discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative
growth of villi,
chorionic the which gives rise to multiple cysts. The products of
conception
into a large transform
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? correct
answers
urine 480 in
output mL24
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 of preeclampsia to preeclampsia with severe features,
progression
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? correct answers you should
continue to throughout
zidovudine take the
pregnancy
-can be transmitted through
breastfeeding
-she can continue to have
sex
The nurse should inform the client that taking prescription antiviral
medicationthe
decreases every
riskday
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? correct answers blurred or double
vision
A nurse is caring for a client who is in the latent phase of labor and is
receiving
via oxytocin
continuous IV infusion. The nurse notes that the client is having
contractions every
min which last 100-110 2 seconds that the fetal heart rate is reassuring.
What action
should the nurse take? correct answers decrease the dose of
oxytocin by half
The nurse should decrease the dose of oxytocin by half because
the client is uterine
experiencing
tachysystole.
A nurse is caring for a client who is in active labor and has meconium
staining of
amniotic the The nurse notes a reassuring FHR tracing from the external
fluid.
fetal monitor.
What action should the nurse take? correct answers prepare equipment
needed for
newborn
resuscitation
The nurse should ensure that all supplies and equipment needed for
resuscitation
newborn of the available for every delivery. Endotracheal
are readily
suctioning is in cases of meconium staining only if the newborn has poor
recommended
effort, decreased muscle tone, and bradycardia after
respiratory
delivery.
A nurse is reviewing the medical record of a client who is at 33 wks
gestationprevia
placenta and has and bleeding. What scripts should the nurse clarify with the
provider?
correct answers perform a vaginal
exam
When a client has a placenta previa, the placenta implants in the lower
part of and
uterus the obstructs the cervical os (the opening to the vagina). The
nurse should
clarify this prescription because any manipulation can cause tearing of the
placenta and
increased
bleeding.
A nurse is caring for a client who is at 37 wks gestation and is undergoing a
test. The FHR is 130 without accelerations for the past 10 min. What action
nonstress
shouldtake?
nurse the correct answers use vibroacoustic stim on the client's abd for
3 seconds
,The nurse should use a vibroacoustic stimulator on the client's abdomen to
elicit fetal
activity because the fetus is most likely sleeping. Fetal movement
should cause in the
accelerations
FHR.
A nurse is reviewing lab results for a client who is at 37 wks gestation. The
nursethe
that notes
client is rubella non-immune, positive for group A beta-hemolytic
strep,
a bloodandtype has
O neg. What action should the nurse take? correct answers
instruct
client to the
obtain a rubella immunization after
delivery
A nurse is reviewing the med record of a client who is at 39 wks
gestation and hasWhat finding should the nurse expect? correct
polyhydramnios.
answers fetal GI
anomal
y
Polyhydramnios is the presence of excessive amniotic fluid surrounding
the unborn
fetus. Gastrointestinal malformations and neurologic disorders are expected
findings
a for
fetus experiencing the effects of
polyhydramnios.
A nurse is caring for a client who is in the latent phase of labor and is
experiencing
back pain. What lowaction should the nurse take? correct answers apply
pressuresacral
client's to thearea during
contractions
A nurse is teaching a client who has pre-eclampsia and is to receive
magnesium
via continuous sulfate
IV infusion about expected adverse effects. What adverse
effects
the should
nurse include in the teaching? correct answers feeling of
warmth
The nurse should tell the client to expect the feeling of warmth all over her
bodymagnesium
the while sulfate is
infusing.
A nurse is teaching a client who is at 12 wks gestation about manifestations
of potential that she should report to her provider. What info should the
complications
nurse
in the include
teaching? correct answers swelling of
the face
A nurse is teaching a client who is at 10 wks gestation about an abd.
ultrasound
first in the
trimester. What info should the nurse include in the teaching? correct
answers
will needyou to have a full bladder during the
ultrasound
MY ANSWER
The nurse should tell the client that a full bladder helps to lift the gravid
uterusduring
pelvis out of the examination. Therefore, it is important to ensure that the
client
full has a to obtain the most accurate image of
bladder
the fetus.
A nurse is assessing a client who is 34 wks gestation and has mild placental
What finding should the nurse expect? correct answers dark red
abruption.
vaginal bleeding
The nurse should expect the client who has a mild placental abruption to
have red
dark minimal
vaginal
bleeding.
, A nurse is caring for a client whose last menstrual period began july 8.
Usingthe
rule, Nageles
nurse should identify the client's estimated DOB as what? correct
answers .
april
15
A nurse is caring for a client who is at 39 wks gestation and is in the
active The
labor. phase of observes late decels in the FHR. What finding should the
nurse
nurse
as the identify
cause of late decels? correct answers uteroplacental
insufficiency
A nurse is assessing a client who is at 35 wks gestation and is receiving
magnesium
sulfate via continuous IV infusion for severe pre-eclampsia. What finding
shouldreport
nurse the to the provider? correct answers urinary output
20 mL/hr
The nurse should report a urinary output of 20 mL/hr because this
can indicaterenal perfusion, increasing the risk of magnesium sulfate
inadequate
toxicity. A in urinary output can also indicate a decrease in renal perfusion
decrease
secondary
a worsening toof the client's pre-
eclampsia.
A nurse is teaching a client who is at 13 wks gestation about the
treatment of cervix with cervical cerclage. What statement by the client
incompetent
indicates an of teaching? correct answers I should go to the hospital if I
understanding
think
be in I may
labor
Cervical cerclage prevents premature opening of the cervix during
pregnancy.
client should The
immediately go to a facility for evaluation if she
experiences anyof labor while the cerclage is in place. If the client
manifestations
experiences
uterine preterm she might require tocolytic
contractions
therapy.
A nurse is admitting a client who is in labor and experiencing moderate
bright red
vaginal bleeding. What action should the nurse take? correct answers
obtain blood
samples for baseline lab
values
The nurse should obtain samples of the client's blood for baseline testing of
hemoglobin
and hematocrit
levels.
A nurse is caring for a client who is at 38 wks of gestation and
reports no fetal
movement for 24 hr. What action should the nurse take? correct answers
auscultate
a FHR for
Presence of a fetal heart rate is a reassuring manifestation of fetal well-
being.should
nurse The auscultate for the fetal heart rate using a Doppler device or
an external
fetal monitor. This is the priority nursing
action.
A nurse is caring for a client who is at 35 wks gestation and has severe pre-
eclampsia.
What assessment provides the most accurate info regarding the
client's fluidstatus.
electrolyte and correct answers
daily wt
A nurse is caring for a client who is at 32 wks gestation and is
experiencing
labor. What medspreterm
should the nurse plan to administer? correct
answers
betamethaso
ne
A nurse at a prenatal clinic is caring for a client who suspects she may be
pregnant
asks and how the provider will confirm her pregnancy. The nurse
the nurse
should
the inform
client that what lab test will be used to confirm her pregnancy?
correct
urine testanswers
for presence of
HCG
A nurse is caring for a client who believes she may be pregnant. What
finding
the nurseshould
identify as a positive sign of
pregnancy?
a. palpable fetal movement correct answers palpable fetal
movement
A nurse is caring for a client who has oligohydraminios. What fetal anomalies
shouldexpect?
nurse the correct answers renal
agenesis
A nurse is assessing a client who is at 37 wks gestation and has a
suspected
fracture pelvic
due to blunt abd trauma. What findings should the nurse
expect? uterine
answers correct
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
What findingsmole.
should the nurse expect? correct answers dark brown vaginal
discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative
growth of villi,
chorionic the which gives rise to multiple cysts. The products of
conception
into a large transform
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? correct
answers
urine 480 in
output mL24
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 of preeclampsia to preeclampsia with severe features,
progression
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? correct answers you should
continue to throughout
zidovudine take the
pregnancy
-can be transmitted through
breastfeeding
-she can continue to have
sex
The nurse should inform the client that taking prescription antiviral
medicationthe
decreases every
riskday
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? correct answers blurred or double
vision
A nurse is caring for a client who is in the latent phase of labor and is
receiving
via oxytocin
continuous IV infusion. The nurse notes that the client is having
contractions every
min which last 100-110 2 seconds that the fetal heart rate is reassuring.
What action
should the nurse take? correct answers decrease the dose of
oxytocin by half
The nurse should decrease the dose of oxytocin by half because
the client is uterine
experiencing
tachysystole.
A nurse is caring for a client who is in active labor and has meconium
staining of
amniotic the The nurse notes a reassuring FHR tracing from the external
fluid.
fetal monitor.
What action should the nurse take? correct answers prepare equipment
needed for
newborn
resuscitation
The nurse should ensure that all supplies and equipment needed for
resuscitation
newborn of the available for every delivery. Endotracheal
are readily
suctioning is in cases of meconium staining only if the newborn has poor
recommended
effort, decreased muscle tone, and bradycardia after
respiratory
delivery.
A nurse is reviewing the medical record of a client who is at 33 wks
gestationprevia
placenta and has and bleeding. What scripts should the nurse clarify with the
provider?
correct answers perform a vaginal
exam
When a client has a placenta previa, the placenta implants in the lower
part of and
uterus the obstructs the cervical os (the opening to the vagina). The
nurse should
clarify this prescription because any manipulation can cause tearing of the
placenta and
increased
bleeding.
A nurse is caring for a client who is at 37 wks gestation and is undergoing a
test. The FHR is 130 without accelerations for the past 10 min. What action
nonstress
shouldtake?
nurse the correct answers use vibroacoustic stim on the client's abd for
3 seconds
,The nurse should use a vibroacoustic stimulator on the client's abdomen to
elicit fetal
activity because the fetus is most likely sleeping. Fetal movement
should cause in the
accelerations
FHR.
A nurse is reviewing lab results for a client who is at 37 wks gestation. The
nursethe
that notes
client is rubella non-immune, positive for group A beta-hemolytic
strep,
a bloodandtype has
O neg. What action should the nurse take? correct answers
instruct
client to the
obtain a rubella immunization after
delivery
A nurse is reviewing the med record of a client who is at 39 wks
gestation and hasWhat finding should the nurse expect? correct
polyhydramnios.
answers fetal GI
anomal
y
Polyhydramnios is the presence of excessive amniotic fluid surrounding
the unborn
fetus. Gastrointestinal malformations and neurologic disorders are expected
findings
a for
fetus experiencing the effects of
polyhydramnios.
A nurse is caring for a client who is in the latent phase of labor and is
experiencing
back pain. What lowaction should the nurse take? correct answers apply
pressuresacral
client's to thearea during
contractions
A nurse is teaching a client who has pre-eclampsia and is to receive
magnesium
via continuous sulfate
IV infusion about expected adverse effects. What adverse
effects
the should
nurse include in the teaching? correct answers feeling of
warmth
The nurse should tell the client to expect the feeling of warmth all over her
bodymagnesium
the while sulfate is
infusing.
A nurse is teaching a client who is at 12 wks gestation about manifestations
of potential that she should report to her provider. What info should the
complications
nurse
in the include
teaching? correct answers swelling of
the face
A nurse is teaching a client who is at 10 wks gestation about an abd.
ultrasound
first in the
trimester. What info should the nurse include in the teaching? correct
answers
will needyou to have a full bladder during the
ultrasound
MY ANSWER
The nurse should tell the client that a full bladder helps to lift the gravid
uterusduring
pelvis out of the examination. Therefore, it is important to ensure that the
client
full has a to obtain the most accurate image of
bladder
the fetus.
A nurse is assessing a client who is 34 wks gestation and has mild placental
What finding should the nurse expect? correct answers dark red
abruption.
vaginal bleeding
The nurse should expect the client who has a mild placental abruption to
have red
dark minimal
vaginal
bleeding.
, A nurse is caring for a client whose last menstrual period began july 8.
Usingthe
rule, Nageles
nurse should identify the client's estimated DOB as what? correct
answers .
april
15
A nurse is caring for a client who is at 39 wks gestation and is in the
active The
labor. phase of observes late decels in the FHR. What finding should the
nurse
nurse
as the identify
cause of late decels? correct answers uteroplacental
insufficiency
A nurse is assessing a client who is at 35 wks gestation and is receiving
magnesium
sulfate via continuous IV infusion for severe pre-eclampsia. What finding
shouldreport
nurse the to the provider? correct answers urinary output
20 mL/hr
The nurse should report a urinary output of 20 mL/hr because this
can indicaterenal perfusion, increasing the risk of magnesium sulfate
inadequate
toxicity. A in urinary output can also indicate a decrease in renal perfusion
decrease
secondary
a worsening toof the client's pre-
eclampsia.
A nurse is teaching a client who is at 13 wks gestation about the
treatment of cervix with cervical cerclage. What statement by the client
incompetent
indicates an of teaching? correct answers I should go to the hospital if I
understanding
think
be in I may
labor
Cervical cerclage prevents premature opening of the cervix during
pregnancy.
client should The
immediately go to a facility for evaluation if she
experiences anyof labor while the cerclage is in place. If the client
manifestations
experiences
uterine preterm she might require tocolytic
contractions
therapy.
A nurse is admitting a client who is in labor and experiencing moderate
bright red
vaginal bleeding. What action should the nurse take? correct answers
obtain blood
samples for baseline lab
values
The nurse should obtain samples of the client's blood for baseline testing of
hemoglobin
and hematocrit
levels.
A nurse is caring for a client who is at 38 wks of gestation and
reports no fetal
movement for 24 hr. What action should the nurse take? correct answers
auscultate
a FHR for
Presence of a fetal heart rate is a reassuring manifestation of fetal well-
being.should
nurse The auscultate for the fetal heart rate using a Doppler device or
an external
fetal monitor. This is the priority nursing
action.
A nurse is caring for a client who is at 35 wks gestation and has severe pre-
eclampsia.
What assessment provides the most accurate info regarding the
client's fluidstatus.
electrolyte and correct answers
daily wt
