Maternal newborn ati proctored exam
with all questions answered A+
Graded
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? -
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? -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? -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? -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? -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? -answer>>>decrease the dose of oxytocin by half
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? -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? -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 -answer>>>palpable fetal movement
A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the
nurse expect? -answer>>>renal agenesis
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? -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? -
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? -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? -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? -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? -answer>>>apply pressure to the client's
sacral area during contractions
A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate
via continuous IV infusion about expected adverse effects. What adverse effects should
the nurse include in the teaching? -answer>>>feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her body while
the magnesium sulfate is infusing.
A nurse is teaching a client who is at 12 wks gestation about manifestations of potential
complications that she should report to her provider. What info should the nurse include
in the teaching? -answer>>>swelling of the face
A nurse is teaching a client who is at 10 wks gestation about an abd. ultrasound in the
first trimester. What info should the nurse include in the teaching? -answer>>>you will
need to have a full bladder during the ultrasound
MY ANSWER
The nurse should tell the client that a full bladder helps to lift the gravid uterus out of the
pelvis during the examination. Therefore, it is important to ensure that the client has a
full bladder to obtain the most accurate image of the fetus.
A nurse is assessing a client who is 34 wks gestation and has mild placental abruption.
What finding should the nurse expect? -answer>>>dark red vaginal bleeding
, The nurse should expect the client who has a mild placental abruption to have minimal
dark red vaginal bleeding.
A nurse is caring for a client whose last menstrual period began july 8. Using Nageles
rule, the nurse should identify the client's estimated DOB as what? -answer>>>. april 15
A nurse is caring for a client who is at 39 wks gestation and is in the active phase of
labor. The nurse observes late decels in the FHR. What finding should the nurse identify
as the cause of late decels? -answer>>>uteroplacental insufficiency
A nurse is assessing a client who is at 35 wks gestation and is receiving magnesium
sulfate via continuous IV infusion for severe pre-eclampsia. What finding should the
nurse report to the provider? -answer>>>urinary output 20 mL/hr
The nurse should report a urinary output of 20 mL/hr because this can indicate
inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A
decrease in urinary output can also indicate a decrease in renal perfusion secondary to
a worsening of the client's pre-eclampsia.
A nurse is teaching a client who is at 13 wks gestation about the treatment of
incompetent cervix with cervical cerclage. What statement by the client indicates an
understanding of teaching? -answer>>>I should go to the hospital if I think I may be in
labor
Cervical cerclage prevents premature opening of the cervix during pregnancy. The
client should immediately go to a facility for evaluation if she experiences any
manifestations of labor while the cerclage is in place. If the client experiences preterm
uterine contractions she might require tocolytic therapy.
A nurse is admitting a client who is in labor and experiencing moderate bright red
vaginal bleeding. What action should the nurse take? -answer>>>obtain blood samples
for baseline lab values
The nurse should obtain samples of the client's blood for baseline testing of hemoglobin
and hematocrit levels.
A nurse is caring for a client who is at 38 wks of gestation and reports no fetal
movement for 24 hr. What action should the nurse take? -answer>>>auscultate for a
FHR
Presence of a fetal heart rate is a reassuring manifestation of fetal well-being. The
nurse should auscultate for the fetal heart rate using a Doppler device or an external
fetal monitor. This is the priority nursing action.
with all questions answered A+
Graded
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? -
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? -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? -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? -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? -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? -answer>>>decrease the dose of oxytocin by half
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? -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? -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 -answer>>>palpable fetal movement
A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the
nurse expect? -answer>>>renal agenesis
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? -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? -
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? -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? -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? -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? -answer>>>apply pressure to the client's
sacral area during contractions
A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate
via continuous IV infusion about expected adverse effects. What adverse effects should
the nurse include in the teaching? -answer>>>feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her body while
the magnesium sulfate is infusing.
A nurse is teaching a client who is at 12 wks gestation about manifestations of potential
complications that she should report to her provider. What info should the nurse include
in the teaching? -answer>>>swelling of the face
A nurse is teaching a client who is at 10 wks gestation about an abd. ultrasound in the
first trimester. What info should the nurse include in the teaching? -answer>>>you will
need to have a full bladder during the ultrasound
MY ANSWER
The nurse should tell the client that a full bladder helps to lift the gravid uterus out of the
pelvis during the examination. Therefore, it is important to ensure that the client has a
full bladder to obtain the most accurate image of the fetus.
A nurse is assessing a client who is 34 wks gestation and has mild placental abruption.
What finding should the nurse expect? -answer>>>dark red vaginal bleeding
, The nurse should expect the client who has a mild placental abruption to have minimal
dark red vaginal bleeding.
A nurse is caring for a client whose last menstrual period began july 8. Using Nageles
rule, the nurse should identify the client's estimated DOB as what? -answer>>>. april 15
A nurse is caring for a client who is at 39 wks gestation and is in the active phase of
labor. The nurse observes late decels in the FHR. What finding should the nurse identify
as the cause of late decels? -answer>>>uteroplacental insufficiency
A nurse is assessing a client who is at 35 wks gestation and is receiving magnesium
sulfate via continuous IV infusion for severe pre-eclampsia. What finding should the
nurse report to the provider? -answer>>>urinary output 20 mL/hr
The nurse should report a urinary output of 20 mL/hr because this can indicate
inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A
decrease in urinary output can also indicate a decrease in renal perfusion secondary to
a worsening of the client's pre-eclampsia.
A nurse is teaching a client who is at 13 wks gestation about the treatment of
incompetent cervix with cervical cerclage. What statement by the client indicates an
understanding of teaching? -answer>>>I should go to the hospital if I think I may be in
labor
Cervical cerclage prevents premature opening of the cervix during pregnancy. The
client should immediately go to a facility for evaluation if she experiences any
manifestations of labor while the cerclage is in place. If the client experiences preterm
uterine contractions she might require tocolytic therapy.
A nurse is admitting a client who is in labor and experiencing moderate bright red
vaginal bleeding. What action should the nurse take? -answer>>>obtain blood samples
for baseline lab values
The nurse should obtain samples of the client's blood for baseline testing of hemoglobin
and hematocrit levels.
A nurse is caring for a client who is at 38 wks of gestation and reports no fetal
movement for 24 hr. What action should the nurse take? -answer>>>auscultate for a
FHR
Presence of a fetal heart rate is a reassuring manifestation of fetal well-being. The
nurse should auscultate for the fetal heart rate using a Doppler device or an external
fetal monitor. This is the priority nursing action.
