RN MATERNAL NEWBORN |ATI PROCTORED EXAM
TEST BANK 2024 WITH 500 QUESTIONS WITH
CORRECT VERIFIED ANSWERS |GRADED A+
A registered nursing practitioner is caring for a patient 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 - CORRECT ANS✔✔ b. betamethasone
A registered nursing practitioner at a prenatal clinic is caring for a patient who suspects she may be
pregnant and asks the nurse how the provider will confirm her pregnancy. The nurse should inform the
patient that what lab test will be used to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone - CORRECT ANS✔✔ a. urine test for presence of
HCG
A registered nursing practitioner is caring for a patient who believes she may be pregnant. What finding
should the nurse identify as a positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test - CORRECT ANS✔✔ a. palpable fetal movement
A registered nursing practitioner is caring for a patient who has oligohydraminios. What fetal anomalies
should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus - CORRECT ANS✔✔ a. renal agenesis
,A registered nursing practitioner is assessing a patient who is at 37 wks gestation and has a suspected
pelvic fracture due to blunt abd trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea - CORRECT ANS✔✔ a. uterine contractions
The nurse should expect the patient to be experiencing uterine contractions due to abdominal trauma.
A registered nursing practitioner is assessing a patient who is at 12 wks gestation and has hydatidiform
mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output - CORRECT ANS✔✔ b. 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 registered nursing practitioner is assessing a patient who is at 35 weeks of gestation and has mild
gestational HTN. What finding should the nurse identify as the priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 - CORRECT ANS✔✔ a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to patient 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 patient 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 registered nursing practitioner is teaching a patient who is at 12 wks gestation and has HIV. What
statement should the nurse include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy - CORRECT ANS✔✔ d. 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 patient that taking prescription antiviral medication every day decreases
the risk of transmission of HIV to her newborn.
A registered nursing practitioner is providing teaching to a patient who is at 8 wks gestation about
manifestations 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 sleeping - CORRECT ANS✔✔ b. blurred or double vision
A registered nursing practitioner is caring for a patient who is in the latent phase of labor and is
receiving oxytocin via continuous IV infusion. The nurse notes that the patient is having contractions
every 2 min which last 100-110 seconds that the fetal heart rate is reassuring. What action should the
nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq - CORRECT ANS✔✔ a. decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the patient is experiencing uterine
tachysystole.
A registered nursing practitioner is caring for a patient 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?
a. prepare the patient for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the patient for an ultrasound exam - CORRECT ANS✔✔ c. 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 registered nursing practitioner is reviewing the medical record of a patient who is at 33 wks gestation
and has placenta previa and bleeding. What scripts should the nurse clarify with the provider?
TEST BANK 2024 WITH 500 QUESTIONS WITH
CORRECT VERIFIED ANSWERS |GRADED A+
A registered nursing practitioner is caring for a patient 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 - CORRECT ANS✔✔ b. betamethasone
A registered nursing practitioner at a prenatal clinic is caring for a patient who suspects she may be
pregnant and asks the nurse how the provider will confirm her pregnancy. The nurse should inform the
patient that what lab test will be used to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone - CORRECT ANS✔✔ a. urine test for presence of
HCG
A registered nursing practitioner is caring for a patient who believes she may be pregnant. What finding
should the nurse identify as a positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test - CORRECT ANS✔✔ a. palpable fetal movement
A registered nursing practitioner is caring for a patient who has oligohydraminios. What fetal anomalies
should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus - CORRECT ANS✔✔ a. renal agenesis
,A registered nursing practitioner is assessing a patient who is at 37 wks gestation and has a suspected
pelvic fracture due to blunt abd trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea - CORRECT ANS✔✔ a. uterine contractions
The nurse should expect the patient to be experiencing uterine contractions due to abdominal trauma.
A registered nursing practitioner is assessing a patient who is at 12 wks gestation and has hydatidiform
mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output - CORRECT ANS✔✔ b. 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 registered nursing practitioner is assessing a patient who is at 35 weeks of gestation and has mild
gestational HTN. What finding should the nurse identify as the priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 - CORRECT ANS✔✔ a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to patient 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 patient 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 registered nursing practitioner is teaching a patient who is at 12 wks gestation and has HIV. What
statement should the nurse include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy - CORRECT ANS✔✔ d. 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 patient that taking prescription antiviral medication every day decreases
the risk of transmission of HIV to her newborn.
A registered nursing practitioner is providing teaching to a patient who is at 8 wks gestation about
manifestations 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 sleeping - CORRECT ANS✔✔ b. blurred or double vision
A registered nursing practitioner is caring for a patient who is in the latent phase of labor and is
receiving oxytocin via continuous IV infusion. The nurse notes that the patient is having contractions
every 2 min which last 100-110 seconds that the fetal heart rate is reassuring. What action should the
nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq - CORRECT ANS✔✔ a. decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the patient is experiencing uterine
tachysystole.
A registered nursing practitioner is caring for a patient 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?
a. prepare the patient for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the patient for an ultrasound exam - CORRECT ANS✔✔ c. 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 registered nursing practitioner is reviewing the medical record of a patient who is at 33 wks gestation
and has placenta previa and bleeding. What scripts should the nurse clarify with the provider?
