MATERNAL NEWBORN ATI PROCTORED
EXAM QUESTIONS AND CORRECT ANSWERS
A+
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? - Correct Answer-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 her pregnancy.
The nurse should inform the client that what lab test will be used to
confirm her pregnancy? -Correct Answer-urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant. What
finding should the nurse identify as a positive sign of pregnancy?
a. palpable fetal movement -Correct Answer-palpable fetal movement
A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect? -Correct Answer-renal agenesis
A nurse is assessing a client who is at 37 wks gestation and has a
suspected pelvic fracture due to blunt abd trauma. What findings should
the nurse expect? -Correct Answer-uterine contractions
The nurse should expect the client to be experiencing uterine
contractions due to abdominal trauma.
,A nurse is assessing a client who is at 12 wks gestation and has
hydatidiform mole. What findings should the nurse expect? -Correct Answer-
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 nurse is assessing a client who is at 35 weeks of gestation and has mild
gestational HTN. What finding should the nurse identify as the priority? -
Correct Answer-480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client 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 client 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 nurse is teaching a client who is at 12 wks gestation and has HIV. What
statement should the nurse include in the teaching? -Correct Answer-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 client that taking prescription antiviral
medication every day decreases the risk of transmission of HIV to her
newborn.
,A nurse is providing teaching to a client who is at 8 wks gestation about
manifestations to report to the provider during pregnancy. What info
should the nurse include in the teaching? -Correct Answer-blurred or double
vision
A nurse is caring for a client who is in the latent phase of labor and is
receiving oxytocin via continuous IV infusion. The nurse notes that the
client is having contractions every 2 min which last 100-110 seconds that
the fetal heart rate is reassuring. What action should the nurse take? -
Correct Answer-decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the client
is experiencing uterine tachysystole.
A nurse is caring for a client 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? -
Correct Answer-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 nurse is reviewing the medical record of a client who is at 33 wks
gestation and has placenta previa and bleeding. What scripts should the
nurse clarify with the provider? -Correct Answer-perform a vaginal exam
, When a client has a placenta previa, the placenta implants in the lower
part of the uterus and obstructs the cervical os (the opening to the
vagina). The nurse should clarify this prescription because any
manipulation can cause tearing of the placenta and increased bleeding.
A nurse is caring for a client who is at 37 wks gestation and is undergoing
a nonstress test. The FHR is 130 without accelerations for the past 10
min. What action should the nurse take? -Correct Answer-use vibroacoustic
stim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen
to elicit fetal activity because the fetus is most likely sleeping. Fetal
movement should cause accelerations in the FHR.
A nurse is reviewing lab results for a client who is at 37 wks gestation.
The nurse notes that the client is rubella non-immune, positive for group A
beta-hemolytic strep, and has a blood type O neg. What action should the
nurse take? -Correct Answer-instruct the client to obtain a rubella
immunization after delivery
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? -Correct
Answer-fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding
the unborn fetus. Gastrointestinal malformations and neurologic disorders
are expected findings for a fetus experiencing the effects of
polyhydramnios.
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? -Correct
Answer-apply pressure to the client's sacral area during contractions
EXAM QUESTIONS AND CORRECT ANSWERS
A+
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? - Correct Answer-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 her pregnancy.
The nurse should inform the client that what lab test will be used to
confirm her pregnancy? -Correct Answer-urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant. What
finding should the nurse identify as a positive sign of pregnancy?
a. palpable fetal movement -Correct Answer-palpable fetal movement
A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect? -Correct Answer-renal agenesis
A nurse is assessing a client who is at 37 wks gestation and has a
suspected pelvic fracture due to blunt abd trauma. What findings should
the nurse expect? -Correct Answer-uterine contractions
The nurse should expect the client to be experiencing uterine
contractions due to abdominal trauma.
,A nurse is assessing a client who is at 12 wks gestation and has
hydatidiform mole. What findings should the nurse expect? -Correct Answer-
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 nurse is assessing a client who is at 35 weeks of gestation and has mild
gestational HTN. What finding should the nurse identify as the priority? -
Correct Answer-480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client 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 client 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 nurse is teaching a client who is at 12 wks gestation and has HIV. What
statement should the nurse include in the teaching? -Correct Answer-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 client that taking prescription antiviral
medication every day decreases the risk of transmission of HIV to her
newborn.
,A nurse is providing teaching to a client who is at 8 wks gestation about
manifestations to report to the provider during pregnancy. What info
should the nurse include in the teaching? -Correct Answer-blurred or double
vision
A nurse is caring for a client who is in the latent phase of labor and is
receiving oxytocin via continuous IV infusion. The nurse notes that the
client is having contractions every 2 min which last 100-110 seconds that
the fetal heart rate is reassuring. What action should the nurse take? -
Correct Answer-decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the client
is experiencing uterine tachysystole.
A nurse is caring for a client 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? -
Correct Answer-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 nurse is reviewing the medical record of a client who is at 33 wks
gestation and has placenta previa and bleeding. What scripts should the
nurse clarify with the provider? -Correct Answer-perform a vaginal exam
, When a client has a placenta previa, the placenta implants in the lower
part of the uterus and obstructs the cervical os (the opening to the
vagina). The nurse should clarify this prescription because any
manipulation can cause tearing of the placenta and increased bleeding.
A nurse is caring for a client who is at 37 wks gestation and is undergoing
a nonstress test. The FHR is 130 without accelerations for the past 10
min. What action should the nurse take? -Correct Answer-use vibroacoustic
stim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen
to elicit fetal activity because the fetus is most likely sleeping. Fetal
movement should cause accelerations in the FHR.
A nurse is reviewing lab results for a client who is at 37 wks gestation.
The nurse notes that the client is rubella non-immune, positive for group A
beta-hemolytic strep, and has a blood type O neg. What action should the
nurse take? -Correct Answer-instruct the client to obtain a rubella
immunization after delivery
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? -Correct
Answer-fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding
the unborn fetus. Gastrointestinal malformations and neurologic disorders
are expected findings for a fetus experiencing the effects of
polyhydramnios.
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? -Correct
Answer-apply pressure to the client's sacral area during contractions
