ATI RN MATERNAL NEWBORN PROCTORED EXAM TEST BANK/ 304
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QUESTIONS AND CORRECT VERIFIED ANSWERS/LATEST UPDATE
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2025 br
1. A nurse is caring for a client who is at 32 wks gestation and is experiencing
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preterm labor. What meds should the nurse plan to administer? a. misoprostol
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b. betamethasone
c. poractant alfa b r
d. methylergonovine:
b. betamethasone
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2. A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and
br br br br br br br br br br br br br br br br br
asks the nurse how the provider will confirm her pregnancy. The nurse should inform the
br br br br br br br br br br br br br br br
client that what lab test will be used to confirm her pregnancy?
br br br br br br br br br br br br
a. urine test for presence of HCG br br b r br br
b. urine test for the presence of HCS br br br br br br
c. blood test for presence of estrogen br br br br br
d. blood test for the amount of circulating progesterone:
br br br br br br br
e. urine test forpresence of HCG br br rb br br
3. A nurse is caring for a client who believes she may be pregnant. What finding should the
br br br br br br br br br br br br br br br br
nurse identify as a positive sign of pregnancy? a. palpable fetal movement
br br br br br br br br br br br br
b. amenorrhea
c. chadwick's sign br
d. positive pregnancy test: br br br
a. palpable fetal movement
br br br
4. A nurse is caring for a client who has oligohydraminios. What fetal
br br br br br br br br br br br
anomalies should the nurse expect? a. renal agenesis
rb br br br br br br br
b. atrialseptaldefect br br
c. spina bifida b r
d. hydrocephalus: br
a. renal agenesis br
5. A nurse is assessing a client who is at 37 wks gestation and has a suspectedpelvic
b r b r b r b r b r b r b r b r b r b r b r b r b r b r b r rb
fracture due to blunt abd trauma. What findings should the nurse expect?
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,a. uterine contractions b r
b. bradycardia
c. seizures
d. bradypnea: br
a. uterine contractions
br br
The nurse should expect the client to be experiencing uterine contractions due to
b r b r b r b r b r b r b r b r b r b r b r b r
abdominal trauma.
rb br
6. A nurse is assessing a client who is at 12 wks gestation and has hydatidiformmole. What
br br br br br br br br br br br br br br rb br
findings should the nurse expect?
br br br br br
a. hypothermia
b. dark brown vaginal discharge br br br
c. fetalhearttones br br
d. decreased urinary output: br br
b. dark brown vaginal discharge
br br br br br
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic
br br br br br br br br br br br br br br
villi, which gives rise to multiple cysts. The products of conceptiontransform into a large
br br br br br br br br br br br rb br br br
number of edematous, fluid-filled vesicles. As cells sloughoff the uterine wall, vaginal
br br br br br br br br rb br br br br
discharge is usually dark brown and can contain grapelike clusters.
br br br br br br br br br br
7. A nurse is assessing a client who is at 35 weeks of gestation and has mildgestational
br br br br br br br br br br br br br br br rb
brHTN. What finding should the nurse identify as the priority?
br br br br br br br br br
a. 480mLurineoutput in24hrs br br br br br br
b. 1+ protein in the urine br br br br
c. +2 edema of the feet
br br br br br
d. BP 144/92: br b r b r
a. 480 mL urine output in 24 hrs
b r b r b r b r b r b r b r
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
br br br br br br br br br br br br br b r br
priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine
b r b r b r br b r br b r b r br b r b r b r br br b r b r
output in an adult client is 30 mL/hr. This can indicateprogression of preeclampsia to
b r b r b r b r b r b r b r b r b r b r b r rb br br br
preeclampsia with severe features, which requires immediate intervention. Therefore, this is the
br br br br br br br br br br br br
priority finding.
br br
8. A nurse is teaching a client who is at 12 wks gestation and has HIV. What statement
br br br br br br br br br br br br br br br br
should the nurse include in the teaching? a. you will be in isolationafter delivery
br br br br br br br br br br br br br rb br
b. abstain from sexual intercourse throughout pregnancy b r b r b r b r b r
c. breastfeed your newborn to provide passive immunity br br br br br br
,d. you should continue to take zidovudine throughout the pregnancy:
br br br br br br br br br
d. youshould continue to take zidovudine throughout the pregnancy
br rb br b r b r b r b r b r b r
-can be transmitted through breastfeeding
b r b r b r b r
-she can continue to have sex
b r b r b r b r b r
The nurse should inform the client that taking prescription antiviral medicationevery
br br br br br br br br br br rb
day decreases the risk of transmission of HIV to her newborn.
br br br b r br b r br b r br b r b r
9. A nurse is providing teaching to a client who is at 8 wks gestation about
br br br br br br br br br br br br br br
manifestations to report to the provider during pregnancy. What info shouldthe nurse
br br br br br br br br br br br rb br
include in the teaching? a. nausea upon awakening
br br br br br br br br
b. blurred or double vision br br br
c. increase in white vaginal discharge br br br br
d. leg cramps when sleeping: b r b r b r b r
b. blurred or double vision
b r b r b r b r
10. A nurse is caring for a client who is in the latent phase of labor and is receiving
br br br br br br br br br br br br br br br br br
oxytocin via continuous IV infusion. The nurse notes that the client ishaving contractions
br br br br br br br br br br br br rb br
every 2 min which last 100-110 seconds that the fetal heart rate is reassuring. What action
br br br br br br br br br br br br br br br br
should the nurse take? a. decrease the dose of oxytocin by half
br br br br br br br br br br br br
b. administer oxygen via nonrebreather mask b r b r b r b r
c. decrease the infusion rate of the maintenance IV fluid br br br br br br br br
d. administer terbutaline 0.25mg subq: br br br br
a. decrease the dose of oxytocin by half br br br br br br
The nurse should decrease the dose of oxytocin by half because the client
b r b r b r b r b r b r b r b r b r b r b r b r
bisexperiencing uterine tachysystole.
r rb br br
11. A nurse is caring for a client who is in active labor and has meconium staining of the
br br br br br br br br br br br br br br br br br
amniotic fluid. The nurse notes a reassuring FHR tracing fromthe external fetal monitor.
br br br br br br br br br br rb br br br
What action should the nurse take? a. prepare theclient for emergency c-section
br br br br br br br br br rb br br br
b. perform endotrach suctioning as soon as the fetal head is delivered br br br br br br br br br br
c. prepare equipment needed for newborn resuscitation b r b r b r b r b r
d. prepare the client for an ultrasound exam: br br br br br br
c. prepare equipment needed fornewborn resuscitation
br br br br br rb br
The nurse should ensure that all supplies and equipment needed for resuscitation of
br br br br br br br br br br br br
, br the newborn are readily available for every delivery. Endotracheal suctioning is
br br br br br br br br br br
br recommended in cases of meconium staining only if the newborn has poor br br br br br br br br b r b r b r
b r respiratory effort, decreased muscle tone, and bradycardiaafter delivery. b r b r b r b r b r b r rb br
12. A nurse is reviewing the medical record of a client who is at 33 wks gestation and has
br br br br br br br br br br br br br br br rb br
placenta previa and bleeding. What scripts should the nurse clarify withthe provider?
br br br br br br br br br br br rb br
a. inserta large-boreIVcatheter br br br br
b. perform a vaginal exam br br br
c. perform continuous external fetal monitoring b r b r b r b r
d. obtain a blood sample for lab testing: br br br br b r br b r
b. perform a vaginal exam br br br br
When a client has a placenta previa, the placenta implants in the lower part of the uterus and
br br br br br br br br br br br br br br br br br
obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription
br br br br br br br br br br br br br br br
because any manipulation can cause tearing of the placenta and increased bleeding.
br br br br br br br br br br br br
13. A nurse is caring for a client who is at 37 wks gestation and is undergoing anonstress
br br br br br br br br br br br br br br br br rb
test. The FHR is 130 without accelerations for the past 10 min.
br br br br br br br br br br br br
What action should the nurse take?br br br br br
a. requesta scriptfor aninternal fetalscalp electrode br br br br br br br br
b. auscultate the FHR with a doppler transducer br br br br br br
c. report the nonreactive test result to the provider immediately b r b r b r b r b r b r b r b r
d. use vibroacoustic stim on the client's abd for 3 seconds:
br br br br br br br br br br
d. use vibroacousticstim on the client's abd for 3 seconds
br br rb br br br br br br br
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal
br br br br br br b r br br br br b r br
activity because the fetus is most likely sleeping. Fetal movement should cause
br br br br br br br br br br br br
accelerations in the FHR.
br br br br
14. A nurse is reviewing lab results for a client who is at 37 wks gestation. Thenurse notes
br br br br br br br br br br br br br br br rb br
that the client is rubella non-immune, positive for group A beta- hemolytic strep, and has
br br br br br br br br br br br br br br br
a blood type O neg. What action should the nurse take?
br br br br br br br br br br br
a. instruct the client to obtain a rubella immunization after delivery br br br br br br br br br
b. request a script for an antibiotic until delivery br br br br br br br
c. inform the client that she will have to deliver via c-section br br br br br br br br br br
br br br br br br br br
QUESTIONS AND CORRECT VERIFIED ANSWERS/LATEST UPDATE
br br br br br br
2025 br
1. A nurse is caring for a client who is at 32 wks gestation and is experiencing
b r b r b r b r b r b r b r b r b r b r b r b r b r b r b r
preterm labor. What meds should the nurse plan to administer? a. misoprostol
rb br br br br br br br br br br br
b. betamethasone
c. poractant alfa b r
d. methylergonovine:
b. betamethasone
br br
2. A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and
br br br br br br br br br br br br br br br br br
asks the nurse how the provider will confirm her pregnancy. The nurse should inform the
br br br br br br br br br br br br br br br
client that what lab test will be used to confirm her pregnancy?
br br br br br br br br br br br br
a. urine test for presence of HCG br br b r br br
b. urine test for the presence of HCS br br br br br br
c. blood test for presence of estrogen br br br br br
d. blood test for the amount of circulating progesterone:
br br br br br br br
e. urine test forpresence of HCG br br rb br br
3. A nurse is caring for a client who believes she may be pregnant. What finding should the
br br br br br br br br br br br br br br br br
nurse identify as a positive sign of pregnancy? a. palpable fetal movement
br br br br br br br br br br br br
b. amenorrhea
c. chadwick's sign br
d. positive pregnancy test: br br br
a. palpable fetal movement
br br br
4. A nurse is caring for a client who has oligohydraminios. What fetal
br br br br br br br br br br br
anomalies should the nurse expect? a. renal agenesis
rb br br br br br br br
b. atrialseptaldefect br br
c. spina bifida b r
d. hydrocephalus: br
a. renal agenesis br
5. A nurse is assessing a client who is at 37 wks gestation and has a suspectedpelvic
b r b r b r b r b r b r b r b r b r b r b r b r b r b r b r rb
fracture due to blunt abd trauma. What findings should the nurse expect?
br br br br br br br br br br br br
,a. uterine contractions b r
b. bradycardia
c. seizures
d. bradypnea: br
a. uterine contractions
br br
The nurse should expect the client to be experiencing uterine contractions due to
b r b r b r b r b r b r b r b r b r b r b r b r
abdominal trauma.
rb br
6. A nurse is assessing a client who is at 12 wks gestation and has hydatidiformmole. What
br br br br br br br br br br br br br br rb br
findings should the nurse expect?
br br br br br
a. hypothermia
b. dark brown vaginal discharge br br br
c. fetalhearttones br br
d. decreased urinary output: br br
b. dark brown vaginal discharge
br br br br br
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic
br br br br br br br br br br br br br br
villi, which gives rise to multiple cysts. The products of conceptiontransform into a large
br br br br br br br br br br br rb br br br
number of edematous, fluid-filled vesicles. As cells sloughoff the uterine wall, vaginal
br br br br br br br br rb br br br br
discharge is usually dark brown and can contain grapelike clusters.
br br br br br br br br br br
7. A nurse is assessing a client who is at 35 weeks of gestation and has mildgestational
br br br br br br br br br br br br br br br rb
brHTN. What finding should the nurse identify as the priority?
br br br br br br br br br
a. 480mLurineoutput in24hrs br br br br br br
b. 1+ protein in the urine br br br br
c. +2 edema of the feet
br br br br br
d. BP 144/92: br b r b r
a. 480 mL urine output in 24 hrs
b r b r b r b r b r b r b r
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
br br br br br br br br br br br br br b r br
priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine
b r b r b r br b r br b r b r br b r b r b r br br b r b r
output in an adult client is 30 mL/hr. This can indicateprogression of preeclampsia to
b r b r b r b r b r b r b r b r b r b r b r rb br br br
preeclampsia with severe features, which requires immediate intervention. Therefore, this is the
br br br br br br br br br br br br
priority finding.
br br
8. A nurse is teaching a client who is at 12 wks gestation and has HIV. What statement
br br br br br br br br br br br br br br br br
should the nurse include in the teaching? a. you will be in isolationafter delivery
br br br br br br br br br br br br br rb br
b. abstain from sexual intercourse throughout pregnancy b r b r b r b r b r
c. breastfeed your newborn to provide passive immunity br br br br br br
,d. you should continue to take zidovudine throughout the pregnancy:
br br br br br br br br br
d. youshould continue to take zidovudine throughout the pregnancy
br rb br b r b r b r b r b r b r
-can be transmitted through breastfeeding
b r b r b r b r
-she can continue to have sex
b r b r b r b r b r
The nurse should inform the client that taking prescription antiviral medicationevery
br br br br br br br br br br rb
day decreases the risk of transmission of HIV to her newborn.
br br br b r br b r br b r br b r b r
9. A nurse is providing teaching to a client who is at 8 wks gestation about
br br br br br br br br br br br br br br
manifestations to report to the provider during pregnancy. What info shouldthe nurse
br br br br br br br br br br br rb br
include in the teaching? a. nausea upon awakening
br br br br br br br br
b. blurred or double vision br br br
c. increase in white vaginal discharge br br br br
d. leg cramps when sleeping: b r b r b r b r
b. blurred or double vision
b r b r b r b r
10. A nurse is caring for a client who is in the latent phase of labor and is receiving
br br br br br br br br br br br br br br br br br
oxytocin via continuous IV infusion. The nurse notes that the client ishaving contractions
br br br br br br br br br br br br rb br
every 2 min which last 100-110 seconds that the fetal heart rate is reassuring. What action
br br br br br br br br br br br br br br br br
should the nurse take? a. decrease the dose of oxytocin by half
br br br br br br br br br br br br
b. administer oxygen via nonrebreather mask b r b r b r b r
c. decrease the infusion rate of the maintenance IV fluid br br br br br br br br
d. administer terbutaline 0.25mg subq: br br br br
a. decrease the dose of oxytocin by half br br br br br br
The nurse should decrease the dose of oxytocin by half because the client
b r b r b r b r b r b r b r b r b r b r b r b r
bisexperiencing uterine tachysystole.
r rb br br
11. A nurse is caring for a client who is in active labor and has meconium staining of the
br br br br br br br br br br br br br br br br br
amniotic fluid. The nurse notes a reassuring FHR tracing fromthe external fetal monitor.
br br br br br br br br br br rb br br br
What action should the nurse take? a. prepare theclient for emergency c-section
br br br br br br br br br rb br br br
b. perform endotrach suctioning as soon as the fetal head is delivered br br br br br br br br br br
c. prepare equipment needed for newborn resuscitation b r b r b r b r b r
d. prepare the client for an ultrasound exam: br br br br br br
c. prepare equipment needed fornewborn resuscitation
br br br br br rb br
The nurse should ensure that all supplies and equipment needed for resuscitation of
br br br br br br br br br br br br
, br the newborn are readily available for every delivery. Endotracheal suctioning is
br br br br br br br br br br
br recommended in cases of meconium staining only if the newborn has poor br br br br br br br br b r b r b r
b r respiratory effort, decreased muscle tone, and bradycardiaafter delivery. b r b r b r b r b r b r rb br
12. A nurse is reviewing the medical record of a client who is at 33 wks gestation and has
br br br br br br br br br br br br br br br rb br
placenta previa and bleeding. What scripts should the nurse clarify withthe provider?
br br br br br br br br br br br rb br
a. inserta large-boreIVcatheter br br br br
b. perform a vaginal exam br br br
c. perform continuous external fetal monitoring b r b r b r b r
d. obtain a blood sample for lab testing: br br br br b r br b r
b. perform a vaginal exam br br br br
When a client has a placenta previa, the placenta implants in the lower part of the uterus and
br br br br br br br br br br br br br br br br br
obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription
br br br br br br br br br br br br br br br
because any manipulation can cause tearing of the placenta and increased bleeding.
br br br br br br br br br br br br
13. A nurse is caring for a client who is at 37 wks gestation and is undergoing anonstress
br br br br br br br br br br br br br br br br rb
test. The FHR is 130 without accelerations for the past 10 min.
br br br br br br br br br br br br
What action should the nurse take?br br br br br
a. requesta scriptfor aninternal fetalscalp electrode br br br br br br br br
b. auscultate the FHR with a doppler transducer br br br br br br
c. report the nonreactive test result to the provider immediately b r b r b r b r b r b r b r b r
d. use vibroacoustic stim on the client's abd for 3 seconds:
br br br br br br br br br br
d. use vibroacousticstim on the client's abd for 3 seconds
br br rb br br br br br br br
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal
br br br br br br b r br br br br b r br
activity because the fetus is most likely sleeping. Fetal movement should cause
br br br br br br br br br br br br
accelerations in the FHR.
br br br br
14. A nurse is reviewing lab results for a client who is at 37 wks gestation. Thenurse notes
br br br br br br br br br br br br br br br rb br
that the client is rubella non-immune, positive for group A beta- hemolytic strep, and has
br br br br br br br br br br br br br br br
a blood type O neg. What action should the nurse take?
br br br br br br br br br br br
a. instruct the client to obtain a rubella immunization after delivery br br br br br br br br br
b. request a script for an antibiotic until delivery br br br br br br br
c. inform the client that she will have to deliver via c-section br br br br br br br br br br
