RN Maternal newborn ati proctored
exam
1. A nurse is caring for a client who is at 32 weeks gestation and is experiencing
preterm labor. What meds should the nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
Answer betamethasone
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 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
Answer a. urine test for presence of HCG
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
Answer a. palpable fetal movement
4. A nurse is caring for a client who has oligohydraminios. What fetal anomalies should
the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
Answer a. renal agenesis
5. A nurse is assessing a client who is at 37 weeks gestation and has a suspected
pelvic fracture due to blunt abd trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
,c. seizures
d. bradypnea
Answer a. uterine contractions
(The nurse should expect the client to be experiencing uterine contractions due to
abdominal trauma)
6. A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole.
What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output
Answer b. 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)
7. 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. non-urgent approach to client care, the nurse should
determine that the priority finding is 480 mL of urine output in 24 hrs because the
minimum acceptable urine output in an adult client is 30 mL/hr. This can indicate the
progression of preeclampsia to preeclampsia with severe features, which requires
immediate intervention. Therefore, this is the priority finding)
8. 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.
(HIV 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)
,9. 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
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 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)
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 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)
12. 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)
13. 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)
14. 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?
a. instruct the client to obtain a rubella immunization after delivery
b. request a script for an antibiotic until delivery
c. inform the client that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin
Answer a. instruct the client to obtain a rubella immunization after delivery
15. 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?
a. total pregnancy wt gain of 3.6 kg
b. fetal GI anomaly
c. gestational HTN
d. fundal height of 34 cm
Answer b. 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)
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
effects should the nurse include in the teaching?
a. elevated BP
b. feeling of warmth
c. generalized pruritis
exam
1. A nurse is caring for a client who is at 32 weeks gestation and is experiencing
preterm labor. What meds should the nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
Answer betamethasone
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 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
Answer a. urine test for presence of HCG
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
Answer a. palpable fetal movement
4. A nurse is caring for a client who has oligohydraminios. What fetal anomalies should
the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
Answer a. renal agenesis
5. A nurse is assessing a client who is at 37 weeks gestation and has a suspected
pelvic fracture due to blunt abd trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
,c. seizures
d. bradypnea
Answer a. uterine contractions
(The nurse should expect the client to be experiencing uterine contractions due to
abdominal trauma)
6. A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole.
What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output
Answer b. 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)
7. 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. non-urgent approach to client care, the nurse should
determine that the priority finding is 480 mL of urine output in 24 hrs because the
minimum acceptable urine output in an adult client is 30 mL/hr. This can indicate the
progression of preeclampsia to preeclampsia with severe features, which requires
immediate intervention. Therefore, this is the priority finding)
8. 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.
(HIV 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)
,9. 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
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 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)
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 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)
12. 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)
13. 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)
14. 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?
a. instruct the client to obtain a rubella immunization after delivery
b. request a script for an antibiotic until delivery
c. inform the client that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin
Answer a. instruct the client to obtain a rubella immunization after delivery
15. 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?
a. total pregnancy wt gain of 3.6 kg
b. fetal GI anomaly
c. gestational HTN
d. fundal height of 34 cm
Answer b. 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)
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
effects should the nurse include in the teaching?
a. elevated BP
b. feeling of warmth
c. generalized pruritis
