Maternal Newborn Ati Proctored
Exam Full Answers And Questions
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? -
✔✔✔ANSWER-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? -
✔✔✔ANSWER-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 - ✔✔✔ANSWER-palpable fetal movement
,A nurse is caring for a client who has oligohydraminios. What fetal anomalies
should the nurse expect? - ✔✔✔ANSWER-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? -
✔✔✔ANSWER-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? - ✔✔✔ANSWER-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? -
✔✔✔ANSWER-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? - ✔✔✔ANSWER-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? - ✔✔✔ANSWER-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? - ✔✔✔ANSWER-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? - ✔✔✔ANSWER-prepare
equipment needed for newborn resuscitation
The nurse should ensure that all supplies and equipment needed for resuscitation of
the newborn are readily available for every delivery. Endotracheal suctioning is
recommended in cases of meconium staining only if the newborn has poor
respiratory effort, decreased muscle tone, and bradycardia after delivery.
A nurse is reviewing the medical record of a client who is at 33 wks gestation and
has placenta previa and bleeding. What scripts should the nurse clarify with the
provider? - ✔✔✔ANSWER-perform a vaginal exam
When a client has a placenta previa, the placenta implants in the lower part of the
uterus and 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
nonstress test. The FHR is 130 without accelerations for the past 10 min. What
action should the nurse take? - ✔✔✔ANSWER-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 accelerations in the FHR.
Exam Full Answers And Questions
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? -
✔✔✔ANSWER-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? -
✔✔✔ANSWER-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 - ✔✔✔ANSWER-palpable fetal movement
,A nurse is caring for a client who has oligohydraminios. What fetal anomalies
should the nurse expect? - ✔✔✔ANSWER-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? -
✔✔✔ANSWER-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? - ✔✔✔ANSWER-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? -
✔✔✔ANSWER-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? - ✔✔✔ANSWER-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? - ✔✔✔ANSWER-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? - ✔✔✔ANSWER-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? - ✔✔✔ANSWER-prepare
equipment needed for newborn resuscitation
The nurse should ensure that all supplies and equipment needed for resuscitation of
the newborn are readily available for every delivery. Endotracheal suctioning is
recommended in cases of meconium staining only if the newborn has poor
respiratory effort, decreased muscle tone, and bradycardia after delivery.
A nurse is reviewing the medical record of a client who is at 33 wks gestation and
has placenta previa and bleeding. What scripts should the nurse clarify with the
provider? - ✔✔✔ANSWER-perform a vaginal exam
When a client has a placenta previa, the placenta implants in the lower part of the
uterus and 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
nonstress test. The FHR is 130 without accelerations for the past 10 min. What
action should the nurse take? - ✔✔✔ANSWER-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 accelerations in the FHR.
