1. A nurse is caring for a client who b. betamethasone
is at 32 wks gestation and is ex-
periencing preterm labor. What
meds should the nurse plan to
administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
2. A nurse at a prenatal clinic is car- a. urine test for presence of HCG
ing for a client who suspects she
may be pregnant and asks the
nurse how the provider will con-
firm her pregnancy. The nurse
should inform the client that
what lab test will be used to con-
firm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of
HCS
c. blood test for presence of es-
trogen
d. blood test for the amount of
circulating progesterone
3. A nurse is caring for a client a. palpable fetal movement
who believes she may be preg-
nant. What finding should the
nurse identify as a positive sign
of pregnancy?
a. palpable fetal movement
, Maternal Newborn ATI Complete Exam.
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test
4. A nurse is caring for a client who a. renal agenesis
has oligohydraminios. What fe-
tal anomalies should the nurse
expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
5. A nurse is assessing a client who a. uterine contractions
is at 37 wks gestation and has a
suspected pelvic fracture due to The nurse should expect the client to be experiencing
blunt abd trauma. What findings uterine contractions due to abdominal trauma.
should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
6. A nurse is assessing a client who b. dark brown vaginal discharge
is at 12 wks gestation and has hy-
datidiform mole. What findings 7.
should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output
, Maternal Newborn ATI Complete Exam.
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 ott the uterine wall, vaginal
discharge is usually dark brown and can contain
grapelike clusters.
, Maternal Newborn ATI Complete Exam.
A nurse is assessing a client who a. 480 mL urine output in 24 hrs
is at 35 weeks of gestation and
has mild gestational HTN. What When using the urgent vs. nonurgent approach to client
finding should the nurse identify care, the nurse should determine that the priority finding
as the priority? is 480 mL of urine output in 24 hr because the minimum
a. 480 mL urine output in 24 hrs acceptable urine output in an adult client is 30 mL/hr. This
b. 1+ protein in the urine can indicate progression of preeclampsia to preeclampsia
c. +2 edema of the feet with severe features, which requires immediate interven-
d. BP 144/92 tion. Therefore, this is the priority finding.
8. A nurse is teaching a client who d. you should continue to take zidovudine throughout the
is at 12 wks gestation and has pregnancy
HIV. What statement should the
nurse include in the teaching? -can be transmitted through breastfeeding
a. you will be in isolation after -she can continue to have sex
delivery
The nurse should inform the client that taking prescription
b. abstain from sexual inter-
antiviral medication every day decreases the risk of trans-
course throughout pregnancy
mission of HIV to her newborn.
c. breastfeed your newborn to
provide passive immunity
d. you should continue to take
zidovudine throughout the preg-
nancy
9. A nurse is providing teaching to b. blurred or double vision
a client who is at 8 wks gestation
about manifestations to report
to the provider during pregnan-
cy. What info should the nurse
include in the teaching?
a. nausea upon awakening
b. blurred or double vision