RN Maternal newborn ati proctored exam
Study online at https://quizlet.com/_fhu0x9
1. A nurse is caring for a b. betamethasone
client who is at 32 wks ges-
tation and is experiencing
preterm labor. What meds
should the nurse plan to ad-
minister?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
2. A nurse at a prenatal clin- a. urine test for presence of HCG
ic is caring for a client who
suspects she may be preg-
nant 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 confirm her
pregnancy?
a. urine test for presence of
HCG
b. urine test for the pres-
ence of HCS
c. blood test for presence of
estrogen
d. blood test for the amount
of circulating progesterone
3. A nurse is caring for a a. palpable fetal movement
client who believes she may
, RN Maternal newborn ati proctored exam
Study online at https://quizlet.com/_fhu0x9
be pregnant. What finding
should the nurse identify as
a positive sign of pregnan-
cy?
a. palpable fetal move-
ment
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test
4. A nurse is caring for a client a. renal agenesis
who has oligohydramin-
ios. What fetal anomalies
should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
5. A nurse is assessing a client a. uterine contractions
who is at 37 wks gesta-
tion and has a suspected The nurse should expect the client to be experiencing uterine
pelvic fracture due to blunt contractions due to abdominal trauma.
abd trauma. What findings
should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
6. A nurse is assessing a client b. dark brown vaginal discharge
who is at 12 wks gestation
A hydatidiform mole, or a molar pregnancy, is a benign prolif-
, RN Maternal newborn ati proctored exam
Study online at https://quizlet.com/_fhu0x9
and has hydatidiform mole. erative growth of the chorionic villi, which gives rise to multiple
What findings should the cysts. The products of conception transform into a large number of
nurse expect? edematous, fluid-filled vesicles. As cells slough off the uterine wall,
a. hypothermia vaginal discharge is usually dark brown and can contain grapelike
b. dark brown vaginal dis- clusters.
charge
c. fetal heart tones
d. decreased urinary output
7. A nurse is assessing a client a. 480 mL urine output in 24 hrs
who is at 35 weeks of ges-
tation and has mild ges- When using the urgent vs. nonurgent approach to client care, the
tational HTN. What finding nurse should determine that the priority finding is 480 mL of urine
should the nurse identify as output in 24 hr because the minimum acceptable urine output
the priority? in an adult client is 30 mL/hr. This can indicate progression of
a. 480 mL urine output in 24 preeclampsia to preeclampsia with severe features, which requires
hrs immediate intervention. Therefore, this is the priority finding.
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92
8. A nurse is teaching a client d. you should continue to take zidovudine throughout the preg-
who is at 12 wks gestation nancy
and has HIV. What state-
ment should the nurse in- -can be transmitted through breastfeeding
clude in the teaching? -she can continue to have sex
a. you will be in isolation af-
The nurse should inform the client that taking prescription antiviral
ter delivery
medication every day decreases the risk of transmission of HIV to
b. abstain from sexual in-
her newborn.
tercourse throughout preg-
nancy
c. breastfeed your newborn
, RN Maternal newborn ati proctored exam
Study online at https://quizlet.com/_fhu0x9
to provide passive immuni-
ty
d. you should continue to
take zidovudine through-
out the pregnancy
9. A nurse is providing teach- b. blurred or double vision
ing to a client who is at 8
wks gestation about mani-
festations to report to the
provider during pregnancy.
What info should the nurse
include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal
discharge
d. leg cramps when sleep-
ing
10. A nurse is caring for a client a. decrease the dose of oxytocin by half
who is in the latent phase of
labor and is receiving oxy- The nurse should decrease the dose of oxytocin by half because
tocin via continuous IV infu- the client is experiencing uterine tachysystole.
sion. The nurse notes that
the client is having contrac-
tions every 2 min which last
100-110 seconds that the
fetal heart rate is reassur-
ing. What action should the
nurse take?
a. decrease the dose of oxy-
Study online at https://quizlet.com/_fhu0x9
1. A nurse is caring for a b. betamethasone
client who is at 32 wks ges-
tation and is experiencing
preterm labor. What meds
should the nurse plan to ad-
minister?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
2. A nurse at a prenatal clin- a. urine test for presence of HCG
ic is caring for a client who
suspects she may be preg-
nant 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 confirm her
pregnancy?
a. urine test for presence of
HCG
b. urine test for the pres-
ence of HCS
c. blood test for presence of
estrogen
d. blood test for the amount
of circulating progesterone
3. A nurse is caring for a a. palpable fetal movement
client who believes she may
, RN Maternal newborn ati proctored exam
Study online at https://quizlet.com/_fhu0x9
be pregnant. What finding
should the nurse identify as
a positive sign of pregnan-
cy?
a. palpable fetal move-
ment
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test
4. A nurse is caring for a client a. renal agenesis
who has oligohydramin-
ios. What fetal anomalies
should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
5. A nurse is assessing a client a. uterine contractions
who is at 37 wks gesta-
tion and has a suspected The nurse should expect the client to be experiencing uterine
pelvic fracture due to blunt contractions due to abdominal trauma.
abd trauma. What findings
should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
6. A nurse is assessing a client b. dark brown vaginal discharge
who is at 12 wks gestation
A hydatidiform mole, or a molar pregnancy, is a benign prolif-
, RN Maternal newborn ati proctored exam
Study online at https://quizlet.com/_fhu0x9
and has hydatidiform mole. erative growth of the chorionic villi, which gives rise to multiple
What findings should the cysts. The products of conception transform into a large number of
nurse expect? edematous, fluid-filled vesicles. As cells slough off the uterine wall,
a. hypothermia vaginal discharge is usually dark brown and can contain grapelike
b. dark brown vaginal dis- clusters.
charge
c. fetal heart tones
d. decreased urinary output
7. A nurse is assessing a client a. 480 mL urine output in 24 hrs
who is at 35 weeks of ges-
tation and has mild ges- When using the urgent vs. nonurgent approach to client care, the
tational HTN. What finding nurse should determine that the priority finding is 480 mL of urine
should the nurse identify as output in 24 hr because the minimum acceptable urine output
the priority? in an adult client is 30 mL/hr. This can indicate progression of
a. 480 mL urine output in 24 preeclampsia to preeclampsia with severe features, which requires
hrs immediate intervention. Therefore, this is the priority finding.
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92
8. A nurse is teaching a client d. you should continue to take zidovudine throughout the preg-
who is at 12 wks gestation nancy
and has HIV. What state-
ment should the nurse in- -can be transmitted through breastfeeding
clude in the teaching? -she can continue to have sex
a. you will be in isolation af-
The nurse should inform the client that taking prescription antiviral
ter delivery
medication every day decreases the risk of transmission of HIV to
b. abstain from sexual in-
her newborn.
tercourse throughout preg-
nancy
c. breastfeed your newborn
, RN Maternal newborn ati proctored exam
Study online at https://quizlet.com/_fhu0x9
to provide passive immuni-
ty
d. you should continue to
take zidovudine through-
out the pregnancy
9. A nurse is providing teach- b. blurred or double vision
ing to a client who is at 8
wks gestation about mani-
festations to report to the
provider during pregnancy.
What info should the nurse
include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal
discharge
d. leg cramps when sleep-
ing
10. A nurse is caring for a client a. decrease the dose of oxytocin by half
who is in the latent phase of
labor and is receiving oxy- The nurse should decrease the dose of oxytocin by half because
tocin via continuous IV infu- the client is experiencing uterine tachysystole.
sion. The nurse notes that
the client is having contrac-
tions every 2 min which last
100-110 seconds that the
fetal heart rate is reassur-
ing. What action should the
nurse take?
a. decrease the dose of oxy-
