ATI RN Maternal newborn proctored exam
2022 2023
A34nurse34is34caring34for34a34client34who34is34at343234wks34gestation34and34is34experienci
ng34preterm34labor.34What34meds34should34the34nurse34plan34to34administer?
a. misoprostol
b. betamethasone
c. poractant34alfa
d. methylergonovine34-34b.34betamethasone
A34nurse34at34a34prenatal34clinic34is34caring34for34a34client34who34suspects34she34may34b
e34pregnant34and34asks34the34nurse34how34the34provider34will34confirm34her34pregnancy
.34The34nurse34should34inform34the34client34that34what34lab34test34will34be34used34to34co
nfirm34her34pregnancy?
a. urine34test34for34presence34of34HCG
b. urine34test34for34the34presence34of34HCS
c. blood34test34for34presence34of34estrogen
d. blood34test34for34the34amount34of34circulating34progesterone34-
34a.34urine34test34for34presence34of34HCG
A34nurse34is34caring34for34a34client34who34believes34she34may34be34pregnant.34What34fi
nding34should34the34nurse34identify34as34a34positive34sign34of34pregnancy?
a. palpable34fetal34movement
b. amenorrhea
c. chadwick's34sign
d. positive34pregnancy34test34-34a.34palpable34fetal34movement
A34nurse34is34caring34for34a34client34who34has34oligohydraminios.34What34fetal34anomalie
s34should34the34nurse34expect?
a. renal34agenesis
b. atrial34septal34defect
c. spina34bifida
d. hydrocephalus34-34a.34renal34agenesis
A34nurse34is34assessing34a34client34who34is34at343734wks34gestation34and34has34a34susp
ected34pelvic34fracture34due34to34blunt34abd34trauma.34What34findings34should34the34nur
se34expect?
a. uterine34contractions
b. bradycardia
c. seizures
d. bradypnea34-34a.34uterine34contractions
The34nurse34should34expect34the34client34to34be34experiencing34uterine34contractions34d
ue34to34abdominal34trauma.
,A34nurse34is34assessing34a34client34who34is34at341234wks34gestation34and34has34hydatidif
orm34mole.34What34findings34should34the34nurse34expect?
a. hypothermia
b. dark34brown34vaginal34discharge
c. fetal34heart34tones
d. decreased34urinary34output34-34b.34dark34brown34vaginal34discharge
A34hydatidiform34mole,34or34a34molar34pregnancy,34is34a34benign34proliferative34growth3
4of34the34chorionic34villi,34which34gives34rise34to34multiple34cysts.34The34products34of34co
nception34transform34into34a34large34number34of34edematous,34fluid-
filled34vesicles.34As34cells34slough34off34the34uterine34wall,34vaginal34discharge34is34usu
ally34dark34brown34and34can34contain34grapelike34clusters.
A34nurse34is34assessing34a34client34who34is34at343534weeks34of34gestation34and34has34mi
ld34gestational34HTN.34What34finding34should34the34nurse34identify34as34the34priority?
a. 48034mL34urine34output34in342434hrs
b. 1+34protein34in34the34urine
c.34+234edema34of34the34feet
d.34BP34144/9234-34a.3448034mL34urine34output34in342434hrs
When34using34the34urgent34vs.34nonurgent34approach34to34client34care,34the34nurse34sh
ould34determine34that34the34priority34finding34is3448034mL34of34urine34output34in342434hr3
4because34the34minimum34acceptable34urine34output34in34an34adult34client34is343034mL/
hr.34This34can34indicate34progression34of34preeclampsia34to34preeclampsia34with34sever
e34features,34which34requires34immediate34intervention.34Therefore,34this34is34the34priori
ty34finding.
A34nurse34is34teaching34a34client34who34is34at341234wks34gestation34and34has34HIV.34Wh
at34statement34should34the34nurse34include34in34the34teaching?
a. you34will34be34in34isolation34after34delivery
b. abstain34from34sexual34intercourse34throughout34pregnancy
c. breastfeed34your34newborn34to34provide34passive34immunity
d. you34should34continue34to34take34zidovudine34throughout34the34pregnancy34-
34d.34you34should34continue34to34take34zidovudine34throughout34the34pregnancy
-can34be34transmitted34through34breastfeeding
-she34can34continue34to34have34sex
The34nurse34should34inform34the34client34that34taking34prescription34antiviral34medication3
4every34day34decreases34the34risk34of34transmission34of34HIV34to34her34newborn.
A34nurse34is34providing34teaching34to34a34client34who34is34at34834wks34gestation34about34
manifestations34to34report34to34the34provider34during34pregnancy.34What34info34should34
the34nurse34include34in34the34teaching?
a. nausea34upon34awakening
b. blurred34or34double34vision
c. increase34in34white34vaginal34discharge
d. leg34cramps34when34sleeping34-34b.34blurred34or34double34vision
,A34nurse34is34caring34for34a34client34who34is34in34the34latent34phase34of34labor34and34is34r
eceiving34oxytocin34via34continuous34IV34infusion.34The34nurse34notes34that34the34client34
is34having34contractions34every34234min34which34last34100-
11034seconds34that34the34fetal34heart34rate34is34reassuring.34What34action34should34the3
4nurse34take?
a. decrease34the34dose34of34oxytocin34by34half
b. administer34oxygen34via34nonrebreather34mask
c. decrease34the34infusion34rate34of34the34maintenance34IV34fluid
d. administer34terbutaline340.25mg34subq34-
34a.34decrease34the34dose34of34oxytocin34by34half
The34nurse34should34decrease34the34dose34of34oxytocin34by34half34because34the34client3
4is34experiencing34uterine34tachysystole.
A34nurse34is34caring34for34a34client34who34is34in34active34labor34and34has34meconium34st
aining34of34the34amniotic34fluid.34The34nurse34notes34a34reassuring34FHR34tracing34from3
4the34external34fetal34monitor.34What34action34should34the34nurse34take?
a. prepare34the34client34for34emergency34c-section
b. perform34endotrach34suctioning34as34soon34as34the34fetal34head34is34delivered
c. prepare34equipment34needed34for34newborn34resuscitation
d. prepare34the34client34for34an34ultrasound34exam34-
34c.34prepare34equipment34needed34for34newborn34resuscitation
The34nurse34should34ensure34that34all34supplies34and34equipment34needed34for34resuscit
ation34of34the34newborn34are34readily34available34for34every34delivery.34Endotracheal34su
ctioning34is34recommended34in34cases34of34meconium34staining34only34if34the34newborn3
4has34poor34respiratory34effort,34decreased34muscle34tone,34and34bradycardia34after34del
ivery.
A34nurse34is34reviewing34the34medical34record34of34a34client34who34is34at343334wks34gest
ation34and34has34placenta34previa34and34bleeding.34What34scripts34should34the34nurse34
clarify34with34the34provider?
a. insert34a34large-bore34IV34catheter
b. perform34a34vaginal34exam
c. perform34continuous34external34fetal34monitoring
d. obtain34a34blood34sample34for34lab34testing34-34b.34perform34a34vaginal34exam
When34a34client34has34a34placenta34previa,34the34placenta34implants34in34the34lower34pa
rt34of34the34uterus34and34obstructs34the34cervical34os34(the34opening34to34the34vagina).34
The34nurse34should34clarify34this34prescription34because34any34manipulation34can34caus
e34tearing34of34the34placenta34and34increased34bleeding.
A34nurse34is34caring34for34a34client34who34is34at343734wks34gestation34and34is34undergo
ing34a34nonstress34test.34The34FHR34is3413034without34accelerations34for34the34past341
034min.34What34action34should34the34nurse34take?
a. request34a34script34for34an34internal34fetal34scalp34electrode
b. auscultate34the34FHR34with34a34doppler34transducer
c. report34the34nonreactive34test34result34to34the34provider34immediately
, d. use34vibroacoustic34stim34on34the34client's34abd34for34334seconds34-
34d.34use34vibroacoustic34stim34on34the34client's34abd34for34334seconds
The34nurse34should34use34a34vibroacoustic34stimulator34on34the34client's34abdomen34to34
elicit34fetal34activity34because34the34fetus34is34most34likely34sleeping.34Fetal34movement
34should34cause34accelerations34in34the34FHR.
A34nurse34is34reviewing34lab34results34for34a34client34who34is34at343734wks34gestation.34
The34nurse34notes34that34the34client34is34rubella34non-
immune,34positive34for34group34A34beta-
hemolytic34strep,34and34has34a34blood34type34O34neg.34What34action34should34the34nurs
e34take?
a. instruct34the34client34to34obtain34a34rubella34immunization34after34delivery
b. request34a34script34for34an34antibiotic34until34delivery
c. inform34the34client34that34she34will34have34to34deliver34via34c-section
d. administer34a34dose34of34Pho(D)34immune34globulin34-
34a.34instruct34the34client34to34obtain34a34rubella34immunization34after34delivery
A34nurse34is34reviewing34the34med34record34of34a34client34who34is34at343934wks34gestatio
n34and34has34polyhydramnios.34What34finding34should34the34nurse34expect?
a. total34pregnancy34wt34gain34of343.634kg
b. fetal34GI34anomaly
c. gestational34HTN
d. fundal34height34of343434cm34-34b.34fetal34GI34anomaly
Polyhydramnios34is34the34presence34of34excessive34amniotic34fluid34surrounding34the34u
nborn34fetus.34Gastrointestinal34malformations34and34neurologic34disorders34are34expect
ed34findings34for34a34fetus34experiencing34the34effects34of34polyhydramnios.
A34nurse34is34teaching34a34client34who34has34pre-
eclampsia34and34is34to34receive34magnesium34sulfate34via34continuous34IV34infusion34ab
out34expected34adverse34effects.34What34adverse34effects34should34the34nurse34include3
4in34the34teaching?
a. elevated34BP
b. feeling34of34warmth
c. generalized34pruritis
d. hyperactivity34-34b.34feeling34of34warmth
The34nurse34should34tell34the34client34to34expect34the34feeling34of34warmth34all34over34he
r34body34while34the34magnesium34sulfate34is34infusing.
A34nurse34is34caring34for34a34client34who34is34in34the34latent34phase34of34labor34and34is34
experiencing34low34back34pain.34What34action34should34the34nurse34take?
a. position34the34client34supine34with34legs34elevated
b. instruct34the34client34to34pant34during34contractions
c. encourage34the34client34to34soak34in34a34warm34bath
d. apply34pressure34to34the34client's34sacral34area34during34contractions34-
34d.34apply34pressure34to34the34client's34sacral34area34during34contractions
2022 2023
A34nurse34is34caring34for34a34client34who34is34at343234wks34gestation34and34is34experienci
ng34preterm34labor.34What34meds34should34the34nurse34plan34to34administer?
a. misoprostol
b. betamethasone
c. poractant34alfa
d. methylergonovine34-34b.34betamethasone
A34nurse34at34a34prenatal34clinic34is34caring34for34a34client34who34suspects34she34may34b
e34pregnant34and34asks34the34nurse34how34the34provider34will34confirm34her34pregnancy
.34The34nurse34should34inform34the34client34that34what34lab34test34will34be34used34to34co
nfirm34her34pregnancy?
a. urine34test34for34presence34of34HCG
b. urine34test34for34the34presence34of34HCS
c. blood34test34for34presence34of34estrogen
d. blood34test34for34the34amount34of34circulating34progesterone34-
34a.34urine34test34for34presence34of34HCG
A34nurse34is34caring34for34a34client34who34believes34she34may34be34pregnant.34What34fi
nding34should34the34nurse34identify34as34a34positive34sign34of34pregnancy?
a. palpable34fetal34movement
b. amenorrhea
c. chadwick's34sign
d. positive34pregnancy34test34-34a.34palpable34fetal34movement
A34nurse34is34caring34for34a34client34who34has34oligohydraminios.34What34fetal34anomalie
s34should34the34nurse34expect?
a. renal34agenesis
b. atrial34septal34defect
c. spina34bifida
d. hydrocephalus34-34a.34renal34agenesis
A34nurse34is34assessing34a34client34who34is34at343734wks34gestation34and34has34a34susp
ected34pelvic34fracture34due34to34blunt34abd34trauma.34What34findings34should34the34nur
se34expect?
a. uterine34contractions
b. bradycardia
c. seizures
d. bradypnea34-34a.34uterine34contractions
The34nurse34should34expect34the34client34to34be34experiencing34uterine34contractions34d
ue34to34abdominal34trauma.
,A34nurse34is34assessing34a34client34who34is34at341234wks34gestation34and34has34hydatidif
orm34mole.34What34findings34should34the34nurse34expect?
a. hypothermia
b. dark34brown34vaginal34discharge
c. fetal34heart34tones
d. decreased34urinary34output34-34b.34dark34brown34vaginal34discharge
A34hydatidiform34mole,34or34a34molar34pregnancy,34is34a34benign34proliferative34growth3
4of34the34chorionic34villi,34which34gives34rise34to34multiple34cysts.34The34products34of34co
nception34transform34into34a34large34number34of34edematous,34fluid-
filled34vesicles.34As34cells34slough34off34the34uterine34wall,34vaginal34discharge34is34usu
ally34dark34brown34and34can34contain34grapelike34clusters.
A34nurse34is34assessing34a34client34who34is34at343534weeks34of34gestation34and34has34mi
ld34gestational34HTN.34What34finding34should34the34nurse34identify34as34the34priority?
a. 48034mL34urine34output34in342434hrs
b. 1+34protein34in34the34urine
c.34+234edema34of34the34feet
d.34BP34144/9234-34a.3448034mL34urine34output34in342434hrs
When34using34the34urgent34vs.34nonurgent34approach34to34client34care,34the34nurse34sh
ould34determine34that34the34priority34finding34is3448034mL34of34urine34output34in342434hr3
4because34the34minimum34acceptable34urine34output34in34an34adult34client34is343034mL/
hr.34This34can34indicate34progression34of34preeclampsia34to34preeclampsia34with34sever
e34features,34which34requires34immediate34intervention.34Therefore,34this34is34the34priori
ty34finding.
A34nurse34is34teaching34a34client34who34is34at341234wks34gestation34and34has34HIV.34Wh
at34statement34should34the34nurse34include34in34the34teaching?
a. you34will34be34in34isolation34after34delivery
b. abstain34from34sexual34intercourse34throughout34pregnancy
c. breastfeed34your34newborn34to34provide34passive34immunity
d. you34should34continue34to34take34zidovudine34throughout34the34pregnancy34-
34d.34you34should34continue34to34take34zidovudine34throughout34the34pregnancy
-can34be34transmitted34through34breastfeeding
-she34can34continue34to34have34sex
The34nurse34should34inform34the34client34that34taking34prescription34antiviral34medication3
4every34day34decreases34the34risk34of34transmission34of34HIV34to34her34newborn.
A34nurse34is34providing34teaching34to34a34client34who34is34at34834wks34gestation34about34
manifestations34to34report34to34the34provider34during34pregnancy.34What34info34should34
the34nurse34include34in34the34teaching?
a. nausea34upon34awakening
b. blurred34or34double34vision
c. increase34in34white34vaginal34discharge
d. leg34cramps34when34sleeping34-34b.34blurred34or34double34vision
,A34nurse34is34caring34for34a34client34who34is34in34the34latent34phase34of34labor34and34is34r
eceiving34oxytocin34via34continuous34IV34infusion.34The34nurse34notes34that34the34client34
is34having34contractions34every34234min34which34last34100-
11034seconds34that34the34fetal34heart34rate34is34reassuring.34What34action34should34the3
4nurse34take?
a. decrease34the34dose34of34oxytocin34by34half
b. administer34oxygen34via34nonrebreather34mask
c. decrease34the34infusion34rate34of34the34maintenance34IV34fluid
d. administer34terbutaline340.25mg34subq34-
34a.34decrease34the34dose34of34oxytocin34by34half
The34nurse34should34decrease34the34dose34of34oxytocin34by34half34because34the34client3
4is34experiencing34uterine34tachysystole.
A34nurse34is34caring34for34a34client34who34is34in34active34labor34and34has34meconium34st
aining34of34the34amniotic34fluid.34The34nurse34notes34a34reassuring34FHR34tracing34from3
4the34external34fetal34monitor.34What34action34should34the34nurse34take?
a. prepare34the34client34for34emergency34c-section
b. perform34endotrach34suctioning34as34soon34as34the34fetal34head34is34delivered
c. prepare34equipment34needed34for34newborn34resuscitation
d. prepare34the34client34for34an34ultrasound34exam34-
34c.34prepare34equipment34needed34for34newborn34resuscitation
The34nurse34should34ensure34that34all34supplies34and34equipment34needed34for34resuscit
ation34of34the34newborn34are34readily34available34for34every34delivery.34Endotracheal34su
ctioning34is34recommended34in34cases34of34meconium34staining34only34if34the34newborn3
4has34poor34respiratory34effort,34decreased34muscle34tone,34and34bradycardia34after34del
ivery.
A34nurse34is34reviewing34the34medical34record34of34a34client34who34is34at343334wks34gest
ation34and34has34placenta34previa34and34bleeding.34What34scripts34should34the34nurse34
clarify34with34the34provider?
a. insert34a34large-bore34IV34catheter
b. perform34a34vaginal34exam
c. perform34continuous34external34fetal34monitoring
d. obtain34a34blood34sample34for34lab34testing34-34b.34perform34a34vaginal34exam
When34a34client34has34a34placenta34previa,34the34placenta34implants34in34the34lower34pa
rt34of34the34uterus34and34obstructs34the34cervical34os34(the34opening34to34the34vagina).34
The34nurse34should34clarify34this34prescription34because34any34manipulation34can34caus
e34tearing34of34the34placenta34and34increased34bleeding.
A34nurse34is34caring34for34a34client34who34is34at343734wks34gestation34and34is34undergo
ing34a34nonstress34test.34The34FHR34is3413034without34accelerations34for34the34past341
034min.34What34action34should34the34nurse34take?
a. request34a34script34for34an34internal34fetal34scalp34electrode
b. auscultate34the34FHR34with34a34doppler34transducer
c. report34the34nonreactive34test34result34to34the34provider34immediately
, d. use34vibroacoustic34stim34on34the34client's34abd34for34334seconds34-
34d.34use34vibroacoustic34stim34on34the34client's34abd34for34334seconds
The34nurse34should34use34a34vibroacoustic34stimulator34on34the34client's34abdomen34to34
elicit34fetal34activity34because34the34fetus34is34most34likely34sleeping.34Fetal34movement
34should34cause34accelerations34in34the34FHR.
A34nurse34is34reviewing34lab34results34for34a34client34who34is34at343734wks34gestation.34
The34nurse34notes34that34the34client34is34rubella34non-
immune,34positive34for34group34A34beta-
hemolytic34strep,34and34has34a34blood34type34O34neg.34What34action34should34the34nurs
e34take?
a. instruct34the34client34to34obtain34a34rubella34immunization34after34delivery
b. request34a34script34for34an34antibiotic34until34delivery
c. inform34the34client34that34she34will34have34to34deliver34via34c-section
d. administer34a34dose34of34Pho(D)34immune34globulin34-
34a.34instruct34the34client34to34obtain34a34rubella34immunization34after34delivery
A34nurse34is34reviewing34the34med34record34of34a34client34who34is34at343934wks34gestatio
n34and34has34polyhydramnios.34What34finding34should34the34nurse34expect?
a. total34pregnancy34wt34gain34of343.634kg
b. fetal34GI34anomaly
c. gestational34HTN
d. fundal34height34of343434cm34-34b.34fetal34GI34anomaly
Polyhydramnios34is34the34presence34of34excessive34amniotic34fluid34surrounding34the34u
nborn34fetus.34Gastrointestinal34malformations34and34neurologic34disorders34are34expect
ed34findings34for34a34fetus34experiencing34the34effects34of34polyhydramnios.
A34nurse34is34teaching34a34client34who34has34pre-
eclampsia34and34is34to34receive34magnesium34sulfate34via34continuous34IV34infusion34ab
out34expected34adverse34effects.34What34adverse34effects34should34the34nurse34include3
4in34the34teaching?
a. elevated34BP
b. feeling34of34warmth
c. generalized34pruritis
d. hyperactivity34-34b.34feeling34of34warmth
The34nurse34should34tell34the34client34to34expect34the34feeling34of34warmth34all34over34he
r34body34while34the34magnesium34sulfate34is34infusing.
A34nurse34is34caring34for34a34client34who34is34in34the34latent34phase34of34labor34and34is34
experiencing34low34back34pain.34What34action34should34the34nurse34take?
a. position34the34client34supine34with34legs34elevated
b. instruct34the34client34to34pant34during34contractions
c. encourage34the34client34to34soak34in34a34warm34bath
d. apply34pressure34to34the34client's34sacral34area34during34contractions34-
34d.34apply34pressure34to34the34client's34sacral34area34during34contractions
