Maternal newborn ati proctored exam
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1. 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?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine: b. 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 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. urine test for pres-
ence 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: a. palpable fetal movement
4. A nurse is caring for a client who has oligohydraminios. What fetal anom-
alies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus: a. renal agenesis
5. 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?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea: a. uterine contractions
6. A nurse is assessing a client who is at 12 wks gestation and has hydatidi-
form mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
, Maternal newborn ati proctored exam
Study online at https://quizlet.com/_euwskz
c. fetal heart tones
d. decreased urinary output: b. dark brown vaginal discharge
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: a. 480 mL urine output in 24 hrs
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: d. you
should continue to take zidovudine throughout the pregnancy
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: 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: a. decrease the dose of oxytocin by half
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: c. prepare equipment needed for
newborn resuscitation
, Maternal newborn ati proctored exam
Study online at https://quizlet.com/_euwskz
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: b. perform a vaginal exam
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: d. use vibroacoustic
stim on the client's abd for 3 seconds
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: 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: b. fetal GI anomaly
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
d. hyperactivity: b. feeling of warmth
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?
, Maternal newborn ati proctored exam
Study online at https://quizlet.com/_euwskz
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: d. apply
pressure to the client's sacral area during contractions
18. A nurse is teaching a client who is at 12 wks gestation about manifesta-
tions of potential complications that she should report to her provider. What
info should the nurse include in the teaching?
a. intermittent nausea
b. white vaginal discharge
c. swelling of the face
d. urinary frequency: c. swelling of the face
19. 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?
a. you will need to have a full bladder during the ultrasound
b. you will have a non stress test prior to the ultrasound
c. the ultrasound will determine the length of your cervix
d. you will experience uterine cramping during the ultrasound: a. you will need
to have a full bladder during the ultrasound
20. A nurse is assessing a client who is 34 wks gestation and has mild
placental abruption. What finding should the nurse expect?
a. decreased urinary output
b. fetal distress
c. dark red vaginal bleeding
d. increased platelet count: c. dark red vaginal bleeding
21. 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?
a. oct 15
b. april 15
c. oct 1
d. april 1: b. april 15
22. 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?
a. umbilical cord compression
b. fetal head compression
Study online at https://quizlet.com/_euwskz
1. 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?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine: b. 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 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. urine test for pres-
ence 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: a. palpable fetal movement
4. A nurse is caring for a client who has oligohydraminios. What fetal anom-
alies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus: a. renal agenesis
5. 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?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea: a. uterine contractions
6. A nurse is assessing a client who is at 12 wks gestation and has hydatidi-
form mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
, Maternal newborn ati proctored exam
Study online at https://quizlet.com/_euwskz
c. fetal heart tones
d. decreased urinary output: b. dark brown vaginal discharge
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: a. 480 mL urine output in 24 hrs
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: d. you
should continue to take zidovudine throughout the pregnancy
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: 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: a. decrease the dose of oxytocin by half
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: c. prepare equipment needed for
newborn resuscitation
, Maternal newborn ati proctored exam
Study online at https://quizlet.com/_euwskz
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: b. perform a vaginal exam
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: d. use vibroacoustic
stim on the client's abd for 3 seconds
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: 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: b. fetal GI anomaly
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
d. hyperactivity: b. feeling of warmth
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?
, Maternal newborn ati proctored exam
Study online at https://quizlet.com/_euwskz
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: d. apply
pressure to the client's sacral area during contractions
18. A nurse is teaching a client who is at 12 wks gestation about manifesta-
tions of potential complications that she should report to her provider. What
info should the nurse include in the teaching?
a. intermittent nausea
b. white vaginal discharge
c. swelling of the face
d. urinary frequency: c. swelling of the face
19. 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?
a. you will need to have a full bladder during the ultrasound
b. you will have a non stress test prior to the ultrasound
c. the ultrasound will determine the length of your cervix
d. you will experience uterine cramping during the ultrasound: a. you will need
to have a full bladder during the ultrasound
20. A nurse is assessing a client who is 34 wks gestation and has mild
placental abruption. What finding should the nurse expect?
a. decreased urinary output
b. fetal distress
c. dark red vaginal bleeding
d. increased platelet count: c. dark red vaginal bleeding
21. 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?
a. oct 15
b. april 15
c. oct 1
d. april 1: b. april 15
22. 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?
a. umbilical cord compression
b. fetal head compression
