ATI Maternal Newborn Proctored Exam
Questions And Correct Answers (Verified
Answers) Update
A nurse is discussing epidural anesthesia with a client who is
receiving oxytocin for induction of labor. Which of the following
statements should the nurse make?
"An epidural given too early during labor can cause maternal
hypertension."
"An epidural given too early during labor will not be effective in
active labor."
"An epidural given too early can cause fetal depression."
"An epidural given too early can prolong labor." - ANSWER-An
epidural given too early can prolong labor
Clients who receive anesthesia before the active phase of labor
usually find the progression of their labor to slow. The medication
depresses the central nervous system. Therefore, it will take
longer for the cervix to dilate and efface.
,A nurse is caring for a client who is pregnant and reports nausea
and vomiting. Which of the following instructions should the nurse
provide the client?
"You should eat some crackers before rising from bed in the
morning."
"You should eat foods served at warm temperatures."
"You should sip whole milk with breakfast."
"You should brush your teeth immediately after meals." -
ANSWER-You should eat some crackers before rising from bed in
the morning Morning sickness is caused by the buildup of human
chorionic gonadotropin (hCG) in the mother's system. Dry foods
eaten before rising in the morning tend to reduce the risk of
nausea in clients who are
pregnant.
A nurse is planning care for a client who is pregnant and is Rh-
negative. In which of the following situations should the nurse
administer Rh(D) Immune Globulin?
While the client is in labor
Following an episode of influenza during pregnancy
Prior to a blood transfusion
At 28 weeks of gestation - ANSWER-At 28 weeks of gestion
,A nurse is preparing to administer naloxone to a newborn. Which
of the following conditions can require administration of this
medication?
IV narcotics administered to the mother during labor
Maternal drug use
Hyaline membrane disease
Meconium aspiration - ANSWER-IV narcotics administered to the
mother during labor
The nurse should administer naloxone to reverse respiratory
depression due to acute narcotic toxicity, which can result from IV
narcotics administration during labor.
The nurse should administer Rh(D) Immune Globulin to a client
who is pregnant and has Rh-negative blood at 28 weeks of
gestation. Rh(D) Immune Globulin consists of passive antibodies
against the Rh factor, which will destroy any fetal RBCs in the
maternal circulation and block maternal antibody production.
, A nurse is caring for a newborn whose mother received
magnesium sulfate to treat preterm labor. Which of the following
clinical manifestations in the newborn indicates toxicity due to the
magnesium sulfate therapy?
Respiratory depression
Hypothermia
Hypoglycemia
Jaundice - ANSWER-Respiratory depression
Magnesium sulfate can cause respiratory and neuromuscular
depression in the newborn. The nurse should monitor the
newborn for clinical manifestations of respiratory depression.
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?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine - ANSWER-b. 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
Questions And Correct Answers (Verified
Answers) Update
A nurse is discussing epidural anesthesia with a client who is
receiving oxytocin for induction of labor. Which of the following
statements should the nurse make?
"An epidural given too early during labor can cause maternal
hypertension."
"An epidural given too early during labor will not be effective in
active labor."
"An epidural given too early can cause fetal depression."
"An epidural given too early can prolong labor." - ANSWER-An
epidural given too early can prolong labor
Clients who receive anesthesia before the active phase of labor
usually find the progression of their labor to slow. The medication
depresses the central nervous system. Therefore, it will take
longer for the cervix to dilate and efface.
,A nurse is caring for a client who is pregnant and reports nausea
and vomiting. Which of the following instructions should the nurse
provide the client?
"You should eat some crackers before rising from bed in the
morning."
"You should eat foods served at warm temperatures."
"You should sip whole milk with breakfast."
"You should brush your teeth immediately after meals." -
ANSWER-You should eat some crackers before rising from bed in
the morning Morning sickness is caused by the buildup of human
chorionic gonadotropin (hCG) in the mother's system. Dry foods
eaten before rising in the morning tend to reduce the risk of
nausea in clients who are
pregnant.
A nurse is planning care for a client who is pregnant and is Rh-
negative. In which of the following situations should the nurse
administer Rh(D) Immune Globulin?
While the client is in labor
Following an episode of influenza during pregnancy
Prior to a blood transfusion
At 28 weeks of gestation - ANSWER-At 28 weeks of gestion
,A nurse is preparing to administer naloxone to a newborn. Which
of the following conditions can require administration of this
medication?
IV narcotics administered to the mother during labor
Maternal drug use
Hyaline membrane disease
Meconium aspiration - ANSWER-IV narcotics administered to the
mother during labor
The nurse should administer naloxone to reverse respiratory
depression due to acute narcotic toxicity, which can result from IV
narcotics administration during labor.
The nurse should administer Rh(D) Immune Globulin to a client
who is pregnant and has Rh-negative blood at 28 weeks of
gestation. Rh(D) Immune Globulin consists of passive antibodies
against the Rh factor, which will destroy any fetal RBCs in the
maternal circulation and block maternal antibody production.
, A nurse is caring for a newborn whose mother received
magnesium sulfate to treat preterm labor. Which of the following
clinical manifestations in the newborn indicates toxicity due to the
magnesium sulfate therapy?
Respiratory depression
Hypothermia
Hypoglycemia
Jaundice - ANSWER-Respiratory depression
Magnesium sulfate can cause respiratory and neuromuscular
depression in the newborn. The nurse should monitor the
newborn for clinical manifestations of respiratory depression.
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?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine - ANSWER-b. 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
