Maternal newborn ati | QUESTIONS AND ANSWERS |
2025/2026| LATEST UPDATE
Terms in this set (305)
A nurse is assessing a client d. urinary output 20 mL/hr
who is at 35 wks gestation and is
receiving magnesium sulfate via The nurse should report a urinary output of 20 mL/hr because this
continuous IV infusion for severe can indicate inadequate renal perfusion, increasing the risk of
pre-eclampsia. What finding magnesium sulfate toxicity. A decrease in urinary output can also
should the nurse report to the indicate a decrease in renal perfusion secondary to a worsening
provider? of the client's pre-eclampsia.
a. DTR 2+
b. resp 16
c. BP 150/96
d. urinary output 20 mL/hr
A nurse at a prenatal clinic is a. urine test for presence of HCG
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?
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
A nurse is caring for a client who a. palpable fetal movement
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
A nurse is caring for a client a. renal agenesis
who has oligohydraminios.
What fetal anomalies should
the nurse expect?
a. renal agenesis
,b. atrialseptal defect
c. spina bifida
d. hydrocephalus
A nurse is assessing a client a. uterine contractions
who is at 37 wks gestation and
has a suspected pelvic fracture The nurse should expect the client to be experiencing uterine
due to blunt abd trauma. What contractions due to abdominal trauma.
findings should the nurse
expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
A nurse is assessing a client who is b. dark brown vaginal discharge
at 12 wks gestation and has
hydatidiform mole. What findings A hydatidiform mole, or a molar pregnancy, is a benign
should the nurse expect? proliferative growth of the chorionic villi, which gives rise to
a. hypothermia multiple cysts. The products of conception transform into a large
b. dark brown vaginal discharge number of edematous, fluid-filled vesicles. As cells slough off the
c. fetal heart tones uterine wall, vaginal discharge is usually dark brown and can
d. decreased urinary output contain grapelike clusters.
A nurse is assessing a client a. 480 mL urine output in 24 hrs
who is at 35 weeks of gestation
and has mild gestational HTN. When using the urgent vs. nonurgent approach to client care,
What finding should the nurse the nurse should determine that the priority finding is 480 mL of
identify as the priority? urine output in 24 hr because the minimum acceptable urine
a. 480 mL urine output in 24 hrs output in an adult client is 30 mL/hr. This can indicate
b. 1+ protein in the urine progression of preeclampsia to preeclampsia with severe
c. +2 edema of the feet features, which requires immediate intervention. Therefore, this
d. BP 144/92 is the priority finding.
A nurse is teaching a client who is d. you should continue to take zidovudine throughout the pregnancy
at 12 wks gestation and has HIV.
What statement should the -can be transmitted through breastfeeding
nurse include in the teaching? -she can continue to have sex
a. you will be in isolation after
delivery The nurse should inform the client that taking prescription antiviral
b. abstain from sexual
medication every day decreases the risk of transmission of HIV
intercourse throughout
to her newborn.
pregnancy
c. breastfeed your newborn
to provide passive immunity
d. you should continue to take
zidovudine throughout the
pregnancy
A nurse is providing teaching to a b. blurred or double vision
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
, A nurse is caring for a client a. decrease the dose of oxytocin by half
who is in the latent phase of
labor and is receiving oxytocin The nurse should decrease the dose of oxytocin by half because
via continuous IV infusion. The the client is experiencing uterine tachysystole.
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
A nurse is caring for a client who is c. prepare equipment needed for newborn resuscitation
in active labor and has
meconium staining of the The nurse should ensure that all supplies and equipment needed
amniotic fluid. The nurse notes a for resuscitation of the newborn are readily available for every
reassuring FHR tracing from the delivery. Endotracheal suctioning is recommended in cases of
external fetal monitor. What meconium staining only if the newborn has poor respiratory
action should the nurse take? effort, decreased muscle tone, and bradycardia after delivery.
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
A nurse is reviewing the medical b. perform a vaginal exam
record of a client who is at 33
wks gestation and has placenta When a client has a placenta previa, the placenta implants in the
previa and bleeding. What scripts lower part of the uterus and obstructs the cervical os (the opening
should the nurse clarify with the to the vagina). The nurse should clarify this prescription because
provider? any manipulation can cause tearing of the placenta and increased
a. insert a large-bore IV catheter bleeding.
b. perform a vaginal exam
c. perform continuous
external fetal monitoring
d. obtain a blood sample for lab
testing
A nurse is caring for a client who d. use vibroacoustic stim on the client's abd for 3 seconds
is at 37 wks gestation and is
undergoing a nonstress test. The The nurse should use a vibroacoustic stimulator on the client's
2025/2026| LATEST UPDATE
Terms in this set (305)
A nurse is assessing a client d. urinary output 20 mL/hr
who is at 35 wks gestation and is
receiving magnesium sulfate via The nurse should report a urinary output of 20 mL/hr because this
continuous IV infusion for severe can indicate inadequate renal perfusion, increasing the risk of
pre-eclampsia. What finding magnesium sulfate toxicity. A decrease in urinary output can also
should the nurse report to the indicate a decrease in renal perfusion secondary to a worsening
provider? of the client's pre-eclampsia.
a. DTR 2+
b. resp 16
c. BP 150/96
d. urinary output 20 mL/hr
A nurse at a prenatal clinic is a. urine test for presence of HCG
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?
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
A nurse is caring for a client who a. palpable fetal movement
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
A nurse is caring for a client a. renal agenesis
who has oligohydraminios.
What fetal anomalies should
the nurse expect?
a. renal agenesis
,b. atrialseptal defect
c. spina bifida
d. hydrocephalus
A nurse is assessing a client a. uterine contractions
who is at 37 wks gestation and
has a suspected pelvic fracture The nurse should expect the client to be experiencing uterine
due to blunt abd trauma. What contractions due to abdominal trauma.
findings should the nurse
expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
A nurse is assessing a client who is b. dark brown vaginal discharge
at 12 wks gestation and has
hydatidiform mole. What findings A hydatidiform mole, or a molar pregnancy, is a benign
should the nurse expect? proliferative growth of the chorionic villi, which gives rise to
a. hypothermia multiple cysts. The products of conception transform into a large
b. dark brown vaginal discharge number of edematous, fluid-filled vesicles. As cells slough off the
c. fetal heart tones uterine wall, vaginal discharge is usually dark brown and can
d. decreased urinary output contain grapelike clusters.
A nurse is assessing a client a. 480 mL urine output in 24 hrs
who is at 35 weeks of gestation
and has mild gestational HTN. When using the urgent vs. nonurgent approach to client care,
What finding should the nurse the nurse should determine that the priority finding is 480 mL of
identify as the priority? urine output in 24 hr because the minimum acceptable urine
a. 480 mL urine output in 24 hrs output in an adult client is 30 mL/hr. This can indicate
b. 1+ protein in the urine progression of preeclampsia to preeclampsia with severe
c. +2 edema of the feet features, which requires immediate intervention. Therefore, this
d. BP 144/92 is the priority finding.
A nurse is teaching a client who is d. you should continue to take zidovudine throughout the pregnancy
at 12 wks gestation and has HIV.
What statement should the -can be transmitted through breastfeeding
nurse include in the teaching? -she can continue to have sex
a. you will be in isolation after
delivery The nurse should inform the client that taking prescription antiviral
b. abstain from sexual
medication every day decreases the risk of transmission of HIV
intercourse throughout
to her newborn.
pregnancy
c. breastfeed your newborn
to provide passive immunity
d. you should continue to take
zidovudine throughout the
pregnancy
A nurse is providing teaching to a b. blurred or double vision
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
, A nurse is caring for a client a. decrease the dose of oxytocin by half
who is in the latent phase of
labor and is receiving oxytocin The nurse should decrease the dose of oxytocin by half because
via continuous IV infusion. The the client is experiencing uterine tachysystole.
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
A nurse is caring for a client who is c. prepare equipment needed for newborn resuscitation
in active labor and has
meconium staining of the The nurse should ensure that all supplies and equipment needed
amniotic fluid. The nurse notes a for resuscitation of the newborn are readily available for every
reassuring FHR tracing from the delivery. Endotracheal suctioning is recommended in cases of
external fetal monitor. What meconium staining only if the newborn has poor respiratory
action should the nurse take? effort, decreased muscle tone, and bradycardia after delivery.
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
A nurse is reviewing the medical b. perform a vaginal exam
record of a client who is at 33
wks gestation and has placenta When a client has a placenta previa, the placenta implants in the
previa and bleeding. What scripts lower part of the uterus and obstructs the cervical os (the opening
should the nurse clarify with the to the vagina). The nurse should clarify this prescription because
provider? any manipulation can cause tearing of the placenta and increased
a. insert a large-bore IV catheter bleeding.
b. perform a vaginal exam
c. perform continuous
external fetal monitoring
d. obtain a blood sample for lab
testing
A nurse is caring for a client who d. use vibroacoustic stim on the client's abd for 3 seconds
is at 37 wks gestation and is
undergoing a nonstress test. The The nurse should use a vibroacoustic stimulator on the client's
