MATERNAL NEWBORN ATI EXAM TESTBANK GUIDE /COMPREHENSIVE STUDY
GUIDE/ACTUAL EXAM QUESTIONS AND ANSWERS WITH RATIONALES/GRADE A+
ASSURED
Question 1
A nurse is providing teaching for a client who has a new prescription for combined oral
contraceptives. Which of the following findings should the nurse include as an adverse effect of
this medication?
A) Depression
B) Polyuria
C) Hypotension
D) Urticaria
Correct Answer: A) Depression
Rationale: Mood changes, including depression, are a potential adverse effect of the hormonal
fluctuations caused by combined oral contraceptives. The other options are not common side
effects.
Question 2
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol for cervical ripening. Which of the following instructions should the
nurse include in the teaching?
A) "I can administer oxytocin 4 hours after the last dose of this medication."
B) "You will need to have a full bladder before I insert the medication."
C) "You will need to remain in a side-lying position for 15 minutes after the medication is
inserted."
D) "An antacid will be given 20 minutes before the insertion of the medication."
Correct Answer: A) "I can administer oxytocin 4 hours after the last dose of this medication."
Rationale: To prevent uterine tachysystole and hyperstimulation, oxytocin administration
should be delayed for at least 4 hours after the final dose of misoprostol.
Question 3
A nurse is caring for a prenatal client who has been diagnosed with parvovirus B19 (fifth
, disease). Which of the following actions should the nurse take?
A) Administer antiviral medication.
B) Schedule a serial ultrasound examination.
C) Administer the Haemophilus influenzae type B vaccine.
D) Schedule an indirect Coombs' test.
Correct Answer: B) Schedule a serial ultrasound examination.
Rationale: Parvovirus B19 can cause severe fetal complications, including hydrops fetalis
(abnormal fluid accumulation), anemia, and miscarriage. Regular ultrasounds are necessary to
monitor fetal well-being.
Question 4
A nurse is caring for a client who is at 14 weeks of gestation and has a suspected placental
abruption. Which of the following laboratory tests should the nurse expect the provider to
prescribe to determine if fetal blood is in the maternal circulation?
A) Kleihauer-Betke test
B) Progesterone serum level
C) Lecithin/sphingomyelin (L/S) ratio
D) Maternal Alpha-fetoprotein (AFP)
Correct Answer: A) Kleihauer-Betke test
Rationale: The Kleihauer-Betke (KB) test is used to detect fetal red blood cells in the maternal
bloodstream, which can occur with placental abruption. This helps quantify the extent of
fetomaternal hemorrhage.
Question 5
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which
of the following complications should the nurse assess?
A) Abruptio placentae
B) Placenta previa
C) Preeclampsia
D) Maternal bradycardia
Correct Answer: A) Abruptio placentae
GUIDE/ACTUAL EXAM QUESTIONS AND ANSWERS WITH RATIONALES/GRADE A+
ASSURED
Question 1
A nurse is providing teaching for a client who has a new prescription for combined oral
contraceptives. Which of the following findings should the nurse include as an adverse effect of
this medication?
A) Depression
B) Polyuria
C) Hypotension
D) Urticaria
Correct Answer: A) Depression
Rationale: Mood changes, including depression, are a potential adverse effect of the hormonal
fluctuations caused by combined oral contraceptives. The other options are not common side
effects.
Question 2
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol for cervical ripening. Which of the following instructions should the
nurse include in the teaching?
A) "I can administer oxytocin 4 hours after the last dose of this medication."
B) "You will need to have a full bladder before I insert the medication."
C) "You will need to remain in a side-lying position for 15 minutes after the medication is
inserted."
D) "An antacid will be given 20 minutes before the insertion of the medication."
Correct Answer: A) "I can administer oxytocin 4 hours after the last dose of this medication."
Rationale: To prevent uterine tachysystole and hyperstimulation, oxytocin administration
should be delayed for at least 4 hours after the final dose of misoprostol.
Question 3
A nurse is caring for a prenatal client who has been diagnosed with parvovirus B19 (fifth
, disease). Which of the following actions should the nurse take?
A) Administer antiviral medication.
B) Schedule a serial ultrasound examination.
C) Administer the Haemophilus influenzae type B vaccine.
D) Schedule an indirect Coombs' test.
Correct Answer: B) Schedule a serial ultrasound examination.
Rationale: Parvovirus B19 can cause severe fetal complications, including hydrops fetalis
(abnormal fluid accumulation), anemia, and miscarriage. Regular ultrasounds are necessary to
monitor fetal well-being.
Question 4
A nurse is caring for a client who is at 14 weeks of gestation and has a suspected placental
abruption. Which of the following laboratory tests should the nurse expect the provider to
prescribe to determine if fetal blood is in the maternal circulation?
A) Kleihauer-Betke test
B) Progesterone serum level
C) Lecithin/sphingomyelin (L/S) ratio
D) Maternal Alpha-fetoprotein (AFP)
Correct Answer: A) Kleihauer-Betke test
Rationale: The Kleihauer-Betke (KB) test is used to detect fetal red blood cells in the maternal
bloodstream, which can occur with placental abruption. This helps quantify the extent of
fetomaternal hemorrhage.
Question 5
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which
of the following complications should the nurse assess?
A) Abruptio placentae
B) Placenta previa
C) Preeclampsia
D) Maternal bradycardia
Correct Answer: A) Abruptio placentae
