ATI RN MATERNAL NEWBORN
NURSING //2025/2026
/EXAMINATION//GRADED A+
Chadwick's sign - Blueish-purple coloration of vagina and cervix
-A probable sign of pregnancy
Hegar's sign - Softening of lower uterus
-A probable sign of pregnancy
Ballottment - Light tap of the examiner's fingers on cervix causes the fetus to rise
in the amniotic fluid, then rebound to it's original position (rebound of unengaged
fetus); occurs at 16-18 wks
-A probable sign of pregnancy
Quickening - A woman's first awareness of fetal movement; flutter movements of
fetus, occurs around 16-20 wks
-*Presumptive sign* of pregnancy (observed by woman that makes her suspicious
of being preg.)
,What IV solution should the nurse plan to give prior to administering a pain
anesthetic solution to a patient in labor? - The nurse should plan to administer 500-
1,000 mL of LR's or 0.9% NS at 15 to 30 minutes prior to admin. of the first dose
of anesthetic solution to decrease the risk of maternal hypotension. The nurse
should NOT admin. Dextrose 5% (or any %) because it can cause maternal
hyperglycemia and neonatal hypoglycemia
A nurse is caring for a pt. who is at 15 wks gestation, is rh-negative, and just had
an Amniocentesis. Which of the following interventions is the nurse's priority
following the procedure?
A.) Check Pt.'s temp.
B.) Observe for UC's
C.) Admin. Rho-Immunoglobulin
D.) Monitor the FHR - Answer= D- greatest risk to pt. and fetus is fetal death.
Rationale=
C- the nurse should admin. Rho-immunoglobulin to prevent sensitization.
However, this is not the PRIORITY nursing intervention
A nurse is providing care for a pt. who is at 32 wks gestation & has Placenta
Previa. The nurse notes that the pt. is actively bleeding. Which of the following
medications should the nurse anticipate will be prescribed?
A. Betamethasone
B. Indomethacin
, C. Nifedipine
D. Methylergonovine - *A.) Betamethasone: Given to promote lung maturity if
delivery is anticipated*
B.) Indomethacin is given to pt. in preterm labor
C.) Nifedipine is given to pt.'s in preterm labor
D.) Methylergonovine is prescribed to pt. experiencing postpartum hemorrhage
A nurse at a clinic is caring for a pt. who is at 4 months of gestation. The pt. reports
continued N/V & scant, prune-colored discharge. She has no wt. loss and has a
fundal height greater than expected. Which of the following complications should
the nurse expect?
A. Hyperemesis Gravidarum
B. Threatened Abortion
C. Hydatiform mole
D. Preterm labor - Answer= C Hydatiform mole.
Pt.'s with Hydatiform mole exhibits increased fundal height is is inconsistent with
wk. of gestation, and excessive N/V due to ↑↑ hCG levels. Scant, dark discharge
occurs in the 2nd trimester.
A nurse is caring for a pt. who has a Dx of ruptured ectopic pregnancy. Which of
the following findings is seen with this condition?
A. No alteration in menses
B. Transvaginal US indicates a fetus in uterus
C. ↑↑ serum progesterone levels greater than expected range
NURSING //2025/2026
/EXAMINATION//GRADED A+
Chadwick's sign - Blueish-purple coloration of vagina and cervix
-A probable sign of pregnancy
Hegar's sign - Softening of lower uterus
-A probable sign of pregnancy
Ballottment - Light tap of the examiner's fingers on cervix causes the fetus to rise
in the amniotic fluid, then rebound to it's original position (rebound of unengaged
fetus); occurs at 16-18 wks
-A probable sign of pregnancy
Quickening - A woman's first awareness of fetal movement; flutter movements of
fetus, occurs around 16-20 wks
-*Presumptive sign* of pregnancy (observed by woman that makes her suspicious
of being preg.)
,What IV solution should the nurse plan to give prior to administering a pain
anesthetic solution to a patient in labor? - The nurse should plan to administer 500-
1,000 mL of LR's or 0.9% NS at 15 to 30 minutes prior to admin. of the first dose
of anesthetic solution to decrease the risk of maternal hypotension. The nurse
should NOT admin. Dextrose 5% (or any %) because it can cause maternal
hyperglycemia and neonatal hypoglycemia
A nurse is caring for a pt. who is at 15 wks gestation, is rh-negative, and just had
an Amniocentesis. Which of the following interventions is the nurse's priority
following the procedure?
A.) Check Pt.'s temp.
B.) Observe for UC's
C.) Admin. Rho-Immunoglobulin
D.) Monitor the FHR - Answer= D- greatest risk to pt. and fetus is fetal death.
Rationale=
C- the nurse should admin. Rho-immunoglobulin to prevent sensitization.
However, this is not the PRIORITY nursing intervention
A nurse is providing care for a pt. who is at 32 wks gestation & has Placenta
Previa. The nurse notes that the pt. is actively bleeding. Which of the following
medications should the nurse anticipate will be prescribed?
A. Betamethasone
B. Indomethacin
, C. Nifedipine
D. Methylergonovine - *A.) Betamethasone: Given to promote lung maturity if
delivery is anticipated*
B.) Indomethacin is given to pt. in preterm labor
C.) Nifedipine is given to pt.'s in preterm labor
D.) Methylergonovine is prescribed to pt. experiencing postpartum hemorrhage
A nurse at a clinic is caring for a pt. who is at 4 months of gestation. The pt. reports
continued N/V & scant, prune-colored discharge. She has no wt. loss and has a
fundal height greater than expected. Which of the following complications should
the nurse expect?
A. Hyperemesis Gravidarum
B. Threatened Abortion
C. Hydatiform mole
D. Preterm labor - Answer= C Hydatiform mole.
Pt.'s with Hydatiform mole exhibits increased fundal height is is inconsistent with
wk. of gestation, and excessive N/V due to ↑↑ hCG levels. Scant, dark discharge
occurs in the 2nd trimester.
A nurse is caring for a pt. who has a Dx of ruptured ectopic pregnancy. Which of
the following findings is seen with this condition?
A. No alteration in menses
B. Transvaginal US indicates a fetus in uterus
C. ↑↑ serum progesterone levels greater than expected range
