RN Maternal Newborn
ATI RN Maternal Newborn Proctored Exam Questions
And Answers Latest Uploaded Solution
A nurse is reviewing lab results for a client who is at 37 wks gestation. The nurse notes that the
client is rubella non-immune, positive for group A beta-hemolytic strep, and has a blood type O
neg. What action should the nurse take?
a. instruct the client to obtain a rubella immunization after delivery
b. request a script for an antibiotic until delivery
c. inform the client that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin - a. instruct the client to obtain a rubella
immunization after delivery
A nurse is reviewing the med record of a client who is at 39 wks gestation and has
polyhydramnios. What finding should the nurse expect?
a. total pregnancy wt gain of 3.6 kg
b. fetal GI anomaly
c. gestational HTN
d. fundal height of 34 cm - b. fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn fetus.
Gastrointestinal malformations and neurologic disorders are expected findings for a fetus
experiencing the effects of polyhydramnios.
A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate via
continuous IV infusion about expected adverse effects. What adverse effects should the nurse
include in the teaching?
a. elevated BP
b. feeling of warmth
c. generalized pruritis
d. hyperactivity - b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her body while the
magnesium sulfate is infusing.
A nurse is caring for a client who is in the latent phase of labor and is experiencing low back
1
pain. What action should the nurse take?
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,RN Maternal Newborn
a. position the client supine with legs elevated
b. instruct the client to pant during contractions
c. encourage the client to soak in a warm bath
d. apply pressure to the client's sacral area during contractions - d. apply pressure to the
client's sacral area during contractions
A nurse is teaching a client who is at 12 wks gestation about manifestations of potential
complications that she should report to her provider. What info should the nurse include in the
teaching?
a. intermittent nausea
b. white vaginal discharge
c. swelling of the face
d. urinary frequency - c. swelling of the face
A nurse is teaching a client who is at 10 wks gestation about an abd. ultrasound in the first
trimester. What info should the nurse include in the teaching?
a. you will need to have a full bladder during the ultrasound
b. you will have a non stress test prior to the ultrasound
c. the ultrasound will determine the length of your cervix
d. you will experience uterine cramping during the ultrasound - a. you will need 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 uterus out of the pelvis
during the examination. Therefore, it is important to ensure that the client has a full bladder to
obtain the most accurate image of the fetus.
A nurse is assessing a client who is 34 wks gestation and has mild placental abruption. What
finding should the nurse expect?
a. decreased urinary output
b. fetal distress
c. dark red vaginal bleeding
d. increased platelet count - c. dark red vaginal bleeding
The nurse should expect the client who has a mild placental abruption to have minimal dark red
vaginal bleeding.
2
A nurse is caring for a client whose last menstrual period began july 8. Using Nageles rule, the
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,RN Maternal Newborn
nurse should identify the client's estimated DOB as what?
a. oct 15
b. april 15
c. oct 1
d. april 1 - b. april 15
A nurse is caring for a client who is at 39 wks gestation and is in the active phase of labor. The
nurse observes late decels in the FHR. What finding should the nurse identify as the cause of
late decels?
a. umbilical cord compression
b. fetal head compression
c. uteroplacental insufficiency
d. fetal ventricular septal defect - c. 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 should the nurse report to the
provider?
a. DTR 2+
b. resp 16
c. BP 150/96
d. urinary output 20 mL/hr - d. urinary output 20 mL/hr
The nurse should report a urinary output of 20 mL/hr because this can indicate inadequate renal
perfusion, increasing the risk of magnesium sulfate toxicity. A decrease in urinary output can
also indicate a decrease in renal perfusion secondary to a worsening of the client's pre-
eclampsia.
A nurse is teaching a client who is at 13 wks gestation about the treatment of incompetent
cervix with cervical cerclage. What statement by the client indicates an understanding of
teaching?
a. I should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in place
c. I am sad that I won't be able to get pregnant again
3
d. I can resume having sex as soon as I feel up to it - a. I should go to the hospital if I think
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, RN Maternal Newborn
I may be in laborCervical cerclage prevents premature opening of the cervix during pregnancy.
The client should immediately go to a facility for evaluation if she experiences any
manifestations of labor while the cerclage is in place. If the client experiences preterm uterine
contractions she might require tocolytic therapy.
A nurse is admitting a client who is in labor and experiencing moderate bright red vaginal
bleeding. What action should the nurse take?
a. obtain blood samples for baseline lab values
b. place a spiral electrode on the fetal presenting part
c. prepare the client for a transvaginal ultrasound
d. perform a vaginal exam to determine cervical dilation - a. 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 32 wks gestation and is experiencing preterm labor. What
meds should the nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine - b. betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks
the nurse how the provider will confirm her pregnancy. The nurse should inform the client that
what lab test will be used to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone - a. urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant. What finding should the nurse
identify as a positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
4
c. chadwick's sign
©®
ATI RN Maternal Newborn Proctored Exam Questions
And Answers Latest Uploaded Solution
A nurse is reviewing lab results for a client who is at 37 wks gestation. The nurse notes that the
client is rubella non-immune, positive for group A beta-hemolytic strep, and has a blood type O
neg. What action should the nurse take?
a. instruct the client to obtain a rubella immunization after delivery
b. request a script for an antibiotic until delivery
c. inform the client that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin - a. instruct the client to obtain a rubella
immunization after delivery
A nurse is reviewing the med record of a client who is at 39 wks gestation and has
polyhydramnios. What finding should the nurse expect?
a. total pregnancy wt gain of 3.6 kg
b. fetal GI anomaly
c. gestational HTN
d. fundal height of 34 cm - b. fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn fetus.
Gastrointestinal malformations and neurologic disorders are expected findings for a fetus
experiencing the effects of polyhydramnios.
A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate via
continuous IV infusion about expected adverse effects. What adverse effects should the nurse
include in the teaching?
a. elevated BP
b. feeling of warmth
c. generalized pruritis
d. hyperactivity - b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her body while the
magnesium sulfate is infusing.
A nurse is caring for a client who is in the latent phase of labor and is experiencing low back
1
pain. What action should the nurse take?
©®
,RN Maternal Newborn
a. position the client supine with legs elevated
b. instruct the client to pant during contractions
c. encourage the client to soak in a warm bath
d. apply pressure to the client's sacral area during contractions - d. apply pressure to the
client's sacral area during contractions
A nurse is teaching a client who is at 12 wks gestation about manifestations of potential
complications that she should report to her provider. What info should the nurse include in the
teaching?
a. intermittent nausea
b. white vaginal discharge
c. swelling of the face
d. urinary frequency - c. swelling of the face
A nurse is teaching a client who is at 10 wks gestation about an abd. ultrasound in the first
trimester. What info should the nurse include in the teaching?
a. you will need to have a full bladder during the ultrasound
b. you will have a non stress test prior to the ultrasound
c. the ultrasound will determine the length of your cervix
d. you will experience uterine cramping during the ultrasound - a. you will need 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 uterus out of the pelvis
during the examination. Therefore, it is important to ensure that the client has a full bladder to
obtain the most accurate image of the fetus.
A nurse is assessing a client who is 34 wks gestation and has mild placental abruption. What
finding should the nurse expect?
a. decreased urinary output
b. fetal distress
c. dark red vaginal bleeding
d. increased platelet count - c. dark red vaginal bleeding
The nurse should expect the client who has a mild placental abruption to have minimal dark red
vaginal bleeding.
2
A nurse is caring for a client whose last menstrual period began july 8. Using Nageles rule, the
©®
,RN Maternal Newborn
nurse should identify the client's estimated DOB as what?
a. oct 15
b. april 15
c. oct 1
d. april 1 - b. april 15
A nurse is caring for a client who is at 39 wks gestation and is in the active phase of labor. The
nurse observes late decels in the FHR. What finding should the nurse identify as the cause of
late decels?
a. umbilical cord compression
b. fetal head compression
c. uteroplacental insufficiency
d. fetal ventricular septal defect - c. 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 should the nurse report to the
provider?
a. DTR 2+
b. resp 16
c. BP 150/96
d. urinary output 20 mL/hr - d. urinary output 20 mL/hr
The nurse should report a urinary output of 20 mL/hr because this can indicate inadequate renal
perfusion, increasing the risk of magnesium sulfate toxicity. A decrease in urinary output can
also indicate a decrease in renal perfusion secondary to a worsening of the client's pre-
eclampsia.
A nurse is teaching a client who is at 13 wks gestation about the treatment of incompetent
cervix with cervical cerclage. What statement by the client indicates an understanding of
teaching?
a. I should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in place
c. I am sad that I won't be able to get pregnant again
3
d. I can resume having sex as soon as I feel up to it - a. I should go to the hospital if I think
©®
, RN Maternal Newborn
I may be in laborCervical cerclage prevents premature opening of the cervix during pregnancy.
The client should immediately go to a facility for evaluation if she experiences any
manifestations of labor while the cerclage is in place. If the client experiences preterm uterine
contractions she might require tocolytic therapy.
A nurse is admitting a client who is in labor and experiencing moderate bright red vaginal
bleeding. What action should the nurse take?
a. obtain blood samples for baseline lab values
b. place a spiral electrode on the fetal presenting part
c. prepare the client for a transvaginal ultrasound
d. perform a vaginal exam to determine cervical dilation - a. 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 32 wks gestation and is experiencing preterm labor. What
meds should the nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine - b. betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks
the nurse how the provider will confirm her pregnancy. The nurse should inform the client that
what lab test will be used to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone - a. urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant. What finding should the nurse
identify as a positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
4
c. chadwick's sign
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