RN Maternal
newborn ati
proctored exam
2025
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?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 - ANSWER: a. 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?
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 -
ANSWER: 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 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?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping - ANSWER: b. 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?
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 - ANSWER: a. 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?
a. prepare the client 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 client for an ultrasound exam - ANSWER: 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 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?
a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing - ANSWER: b. 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?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds - ANSWER:
d. 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
newborn ati
proctored exam
2025
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?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 - ANSWER: a. 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?
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 -
ANSWER: 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 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?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping - ANSWER: b. 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?
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 - ANSWER: a. 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?
a. prepare the client 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 client for an ultrasound exam - ANSWER: 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 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?
a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing - ANSWER: b. 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?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds - ANSWER:
d. 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
