ATI PN MATERNAL NEWBORN PROCTORED EXAM
NGN ATI PN MATERNAL NEWBORN PROCTORED
EXAM/ACTUAL EXAM WITH QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
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 –
ANSWER b. fetal GI anomaly
RATIONALE: Polyhydramnios is the presence of excessive am
niotic fluid surrounding the unborn fetus. Gastrointestinal
malformations and neurologic disorders are expected findings for
a fetus experiencing the effects of polyhydramnios.
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 -
ANSWER d. urinary output 20 mL/hr
RATIONALE: 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
d. I can resume having sex as soon as I feel up to it –
ANSWER a. I should go to the hospital if I think I may be in labor
RATIONALE: Cervical 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 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 –
ANSWER b. feeling of warmth
RATIONALE: 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 pain. What action should the nurse
take?
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 -
ANSWER d. apply pressure to the client's sacral area during
contractions
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 -
ANSWER a. you will need to have a full bladder during the
ultrasound
RATIONALE: 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 –
ANSWER c. dark red vaginal bleeding
RATIONALE: The nurse should expect the client who has a mild
placental abruption to have minimal dark red vaginal bleeding.
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 -
ANSWER a. obtain blood samples for baseline lab values
RATIONALE: 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 38 wks of gestation and
reports no fetal movement for 24 hr. What action should the nurse
take?
a. auscultate for a FHR
b. reassure the client that a term fetus is less active
c. have the client drink orange juice
d. palpate the uterus for fetal movement –
ANSWER
a. auscultate for a FHR
RATIONALE: Presence of a fetal heart rate is a reassuring
manifestation of fetal well-being. The nurse should auscultate for
the fetal heart rate using a Doppler device or an external fetal
monitor. This is the priority nursing action.
A nurse is caring for a client whose last menstrual period began
july 8. Using Nageles rule, the nurse should identify the client's
estimated DOB as what?
a. oct 15
b. april 15
c. oct 1
d. april 1 -
ANSWER 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
NGN ATI PN MATERNAL NEWBORN PROCTORED
EXAM/ACTUAL EXAM WITH QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
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 –
ANSWER b. fetal GI anomaly
RATIONALE: Polyhydramnios is the presence of excessive am
niotic fluid surrounding the unborn fetus. Gastrointestinal
malformations and neurologic disorders are expected findings for
a fetus experiencing the effects of polyhydramnios.
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 -
ANSWER d. urinary output 20 mL/hr
RATIONALE: 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
d. I can resume having sex as soon as I feel up to it –
ANSWER a. I should go to the hospital if I think I may be in labor
RATIONALE: Cervical 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 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 –
ANSWER b. feeling of warmth
RATIONALE: 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 pain. What action should the nurse
take?
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 -
ANSWER d. apply pressure to the client's sacral area during
contractions
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 -
ANSWER a. you will need to have a full bladder during the
ultrasound
RATIONALE: 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 –
ANSWER c. dark red vaginal bleeding
RATIONALE: The nurse should expect the client who has a mild
placental abruption to have minimal dark red vaginal bleeding.
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 -
ANSWER a. obtain blood samples for baseline lab values
RATIONALE: 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 38 wks of gestation and
reports no fetal movement for 24 hr. What action should the nurse
take?
a. auscultate for a FHR
b. reassure the client that a term fetus is less active
c. have the client drink orange juice
d. palpate the uterus for fetal movement –
ANSWER
a. auscultate for a FHR
RATIONALE: Presence of a fetal heart rate is a reassuring
manifestation of fetal well-being. The nurse should auscultate for
the fetal heart rate using a Doppler device or an external fetal
monitor. This is the priority nursing action.
A nurse is caring for a client whose last menstrual period began
july 8. Using Nageles rule, the nurse should identify the client's
estimated DOB as what?
a. oct 15
b. april 15
c. oct 1
d. april 1 -
ANSWER 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
