RN MATERNAL NEWBORN ATI PROCTORED EXAM LATEST!!!
QUESTIONS AND VERIFIED ANSWERS| 100% CORRECT
1. **A nurse is caring for a client who is at 32 weeks gestation and is experiencing preterm labor.
What medication should the nurse plan to administer?**
A. Misoprostol
B. **Betamethasone**
C. Poractant alfa
D. Methylergonovine
2. **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 which 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 the presence of estrogen
D. Blood test for the amount of circulating progesterone
3. **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**
B. Amenorrhea
C. Chadwick's sign
D. Positive pregnancy test
4. **A nurse is caring for a client who has oligohydramnios. What fetal anomaly should the nurse
expect?**
A. **Renal agenesis**
B. Atrial septal defect
C. Spina bifida
D. Hydrocephalus
5. **A nurse is assessing a client who is at 37 weeks gestation and has a suspected pelvic fracture due
to blunt abdominal trauma. What finding should the nurse expect?**
A. **Uterine contractions**
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B. Bradycardia
C. Seizures
D. Bradypnea
6. **A nurse is assessing a client who is at 12 weeks gestation and has hydatidiform mole. What
finding should the nurse expect?**
A. Hypothermia
B. **Dark brown vaginal discharge**
C. Fetal heart tones
D. Decreased urinary output
7. **A nurse is assessing a client who is at 35 weeks of gestation and has mild gestational
hypertension. What finding should the nurse identify as the priority?**
A. **480 mL urine output in 24 hours**
B. 1+ protein in the urine
C. +2 edema of the feet
D. BP 144/92
8. **A nurse is teaching a client who is at 12 weeks 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**
9. **A nurse is providing teaching to a client who is at 8 weeks gestation about manifestations to
report to the provider during pregnancy. What information 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
10. **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 minutes, which
last 100-110 seconds, and that the fetal heart rate is reassuring. What action should the nurse take?**
A. **Decrease the dose of oxytocin by half**
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B. Administer oxygen via nonrebreather mask
C. Decrease the infusion rate of the maintenance IV fluid
D. Administer terbutaline 0.25 mg subq
11. **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 endotracheal suctioning as soon as the fetal head is delivered
C. **Prepare equipment needed for newborn resuscitation**
D. Prepare the client for an ultrasound exam
12. **A nurse is reviewing the medical record of a client who is at 33 weeks gestation and has
placenta previa and bleeding. What prescription 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
13. **A nurse is caring for a client who is at 37 weeks gestation and is undergoing a nonstress test.
The FHR is 130 without accelerations for the past 10 minutes. What action should the nurse take?**
A. Request a prescription 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 stimulation on the client's abdomen for 3 seconds**
14. **A nurse is reviewing lab results for a client who is at 37 weeks gestation. The nurse notes that
the client is rubella non-immune, positive for group A beta-hemolytic strep, and has a blood type O
negative. What action should the nurse take?**
A. **Instruct the client to obtain a rubella immunization after delivery**
B. Request a prescription for an antibiotic until delivery
C. Inform the client that she will have to deliver via c-section
D. Administer a dose of Rho(D) immune globulin
15. **A nurse is reviewing the medical record of a client who is at 39 weeks gestation and has
polyhydramnios. What finding should the nurse expect?**
A. Total pregnancy weight gain of 3.6 kg
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B. **Fetal GI anomaly**
C. Gestational hypertension
D. Fundal height of 34 cm
16. **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 effect should the nurse include
in the teaching?**
A. Elevated blood pressure
B. **Feeling of warmth**
C. Generalized pruritus
D. Hyperactivity
17. **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?**
A. Position the client supine with legs elevated
B. Instruct the client to pant during contractions
C. Encourage the client to soak in a warm bath
D. **Apply pressure to the client's sacral area during contractions**
18. **A nurse is teaching a client who is at 12 weeks gestation about manifestations of potential
complications that she should report to her provider. What information should the nurse include in
the teaching?**
A. Intermittent nausea
B. White vaginal discharge
C. **Swelling of the face**
D. Urinary frequency
19. **A nurse is teaching a client who is at 10 weeks gestation about an abdominal ultrasound in the
first trimester. What information should the nurse include in the teaching?**
A. **You will need to have a full bladder during the ultrasound**
B. You will have a nonstress test prior to the ultrasound
C. The ultrasound will determine the length of your cervix
D. You will experience uterine cramping during the ultrasound