ATI RN Maternal Newborn Online Practice 2024-2025 A with
NGN|Already graded A+
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV
fluid replacement. Which of the following findings should the nurse report to the
provider?
A. BUN 25 mg/dL
B. Serum creatinine 0.8 mg/dL
C. Urine output of 280 mL within 8 hr
D. Urine negative for ketones - ansA. BUN 25 mg/dL
The nurse should report an elevated BUN to the provider since it can indicate
dehydration.
A nurse is caring for a client who is 3 days postpartum.
Complete the diagram by dragging from the choices below to specify what condition
the client is most likely experiencing, 2 actions the nurse should take to address
that condition, and 2 parameters the nurse should monitor to assess the client's
progress.
Medical History
Gravida 1, Para 138 weeks of gestation
Forceps-assisted birth following failed vacuum-assisted attempt.
3rd degree laceration with a repair
Amniotic membranes ruptured - ansAction to Take
A. Plan to administer IV antibiotics.
C. Obtain a culture of vaginal fluid using a sterile swab.
Potential Condition
A. Endometrisis
Parameter to Monitor
D. Lochia amount and odor
E. Temperature
The nurse should plan to obtain a culture of vaginal fluid and to administer IV
antibiotics because the client is most likely experiencing endometritis as evidenced
by increased pelvic pain, pressure and tenderness, fever, and foul-smelling vaginal
discharge. The client had an increased risk of developing endometritis due to the
history of anemia, gestational diabetes, operative vaginal birth, and prolonged
rupture of membranes. The nurse should plan to monitor the client's temperature and
the amount and odor of the lochia. Clients who have endometritis have an increased
,ATI RN Maternal Newborn Online Practice 2024-2025 A with
NGN|Already graded A+
risk of hemorrhage. A decrease of foul-smelling lochia and fever indicate progression
toward resolution of the infection.
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in
preterm labor. The provider prescribed betamethasone 12 mg IM. Which of the
following outcomes should the nurse expect?
A. Decreased uterine contractions
B. An increase in the client's hemoglobin levels
C. A reduction in respiratory distress in the newborn
D. Increased production of antibodies in the newborn - ansC. A reduction in
respiratory distress in the newborn
Betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and
prevent respiratory distress.
A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has
just had an amniocentesis. Which of the following interventions is the nurse's priority
following the procedure?
A. Check the client's temperature.
B. Observe for uterine contractions.
C. Administer Rho(D) immune globulin.
D. Monitor the FHR. - ansD. Monitor the FHR.
The greatest risk to this client and her fetus is fetal death. Therefore, the priority
nursing intervention is to monitor the FHR following an amniocentesis.
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. Which of the following laboratory tests should the nurse expect
the provider to prescribe?
A. Kleihauer-Betke test
B. Progesterone serum level
C. Lecithin/sphingomyelin (L/S) ratio
D. Maternal Alpha-fetoprotein (AFP) - ansA. Kleihauer-Betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client
who has suspected placental abruption to determine if fetal blood is in maternal
circulation. This test is useful to determine if Rho-(D) immune globulin therapy
should be administered to a client who is Rh-negative.
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The
nurse enters the room and observes the client having a seizure. After turning the
,ATI RN Maternal Newborn Online Practice 2024-2025 A with
NGN|Already graded A+
client's head to one side, which of the following actions should the nurse take
immediately after the seizure?
A. Monitor the FHR.
B. Assess uterine activity.
C. Administer oxygen via a nonrebreather mask.
D. Start a bolus of IV fluids. - ansC. Administer oxygen via a nonrebreather mask.
When using the airway, breathing, and circulation approach to client care, the nurse
should place the priority on administering oxygen to the client via a nonrebreather
mask at 10 L/min to ensure adequate oxygenation to the fetus.
A nurse is caring for a client who is at 30 weeks of gestation and has a prescription
for magnesium sulfate IV to treat preterm labor. The nurse should notify the provider
of which of the following adverse effects?
A. Client reports nausea
B. Urinary output of 40 mL/hr
C. Respiratory rate 10/min
D. Client reports feeling flushed - ansC. Respiratory rate 10/min
The nurse should report a respiratory rate of less than 12/min to the provider,
because this is a manifestation of magnesium toxicity. The nurse should ensure that
the antidote, calcium gluconate, is readily available.
A nurse is caring for a client who is at 36 weeks of gestation and has a positive
contraction stress test. The nurse should plan to prepare the client for which of the
following diagnostic tests?
A. Biophysical profile
B. Amniocentesis
C. Cordocentesis
D. Kleihauer-Betke test - ansA. Biophysical profile
A positive contraction stress test indicates that further evaluation of the fetus is
necessary. A biophysical profile will provide further evaluation with a real-time
ultrasound.
A nurse is caring for a client who is at 36 weeks of gestation and has a prescription
for an amniocentesis. For which of the following reasons should the nurse prepare
the client for an ultrasound?
A. To estimate the fetal weight
B. To locate a pocket of fluid
, ATI RN Maternal Newborn Online Practice 2024-2025 A with
NGN|Already graded A+
C. To determine multiparity
D. To prescreen for fetal anomalies - ansB. To locate a pocket of fluid
An ultrasound is done to locate a pocket of amniotic fluid and the placenta prior to
an amniocentesis. This decreases the risk of injury to the fetus.
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following
actions should the nurse take prior to applying an external transducer for fetal
monitoring?
A. Determine progression of dilatation and effacement.
B. Perform Leopold maneuvers.
C. Complete a sterile speculum exam.
D. Prepare a Nitrazine paper test. - ansB. Perform Leopold maneuvers.
The nurse should perform Leopold maneuvers to assess the position of the fetus to
best determine the optimal placement for the external fetal monitoring transducer.
A nurse is caring for a client who is experiencing preeclampsia and has a new
prescription for IV magnesium sulfate. Which of the following medications should the
nurse anticipate administering if the client develops magnesium toxicity?
A. Calcium gluconate
B. Hydralazine
C. Medroxyprogesterone acetate
D. Methylergonovine - ansA. Calcium gluconate
The nurse should anticipate administering calcium gluconate if the client develops
magnesium toxicity. Calcium gluconate is the antidote.
A nurse is caring for a client who is pregnant in an antepartum clinic.
Which of the following findings should the nurse report to the provider?
Select the 3 findings that should be reported.
Vital Signs
0900:
Temperature 36.6° C (97.9° F), Heart rate 88/min, Respiratory rate 18/min, Blood
pressure 130/70 mm Hg, Oxygen saturation 97% on room air
1000:
Heart rate 76/min, Respiratory rate 20/min, Blood pressure 138/68 mm Hg, Oxygen
saturation 98% on room air
NGN|Already graded A+
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV
fluid replacement. Which of the following findings should the nurse report to the
provider?
A. BUN 25 mg/dL
B. Serum creatinine 0.8 mg/dL
C. Urine output of 280 mL within 8 hr
D. Urine negative for ketones - ansA. BUN 25 mg/dL
The nurse should report an elevated BUN to the provider since it can indicate
dehydration.
A nurse is caring for a client who is 3 days postpartum.
Complete the diagram by dragging from the choices below to specify what condition
the client is most likely experiencing, 2 actions the nurse should take to address
that condition, and 2 parameters the nurse should monitor to assess the client's
progress.
Medical History
Gravida 1, Para 138 weeks of gestation
Forceps-assisted birth following failed vacuum-assisted attempt.
3rd degree laceration with a repair
Amniotic membranes ruptured - ansAction to Take
A. Plan to administer IV antibiotics.
C. Obtain a culture of vaginal fluid using a sterile swab.
Potential Condition
A. Endometrisis
Parameter to Monitor
D. Lochia amount and odor
E. Temperature
The nurse should plan to obtain a culture of vaginal fluid and to administer IV
antibiotics because the client is most likely experiencing endometritis as evidenced
by increased pelvic pain, pressure and tenderness, fever, and foul-smelling vaginal
discharge. The client had an increased risk of developing endometritis due to the
history of anemia, gestational diabetes, operative vaginal birth, and prolonged
rupture of membranes. The nurse should plan to monitor the client's temperature and
the amount and odor of the lochia. Clients who have endometritis have an increased
,ATI RN Maternal Newborn Online Practice 2024-2025 A with
NGN|Already graded A+
risk of hemorrhage. A decrease of foul-smelling lochia and fever indicate progression
toward resolution of the infection.
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in
preterm labor. The provider prescribed betamethasone 12 mg IM. Which of the
following outcomes should the nurse expect?
A. Decreased uterine contractions
B. An increase in the client's hemoglobin levels
C. A reduction in respiratory distress in the newborn
D. Increased production of antibodies in the newborn - ansC. A reduction in
respiratory distress in the newborn
Betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and
prevent respiratory distress.
A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has
just had an amniocentesis. Which of the following interventions is the nurse's priority
following the procedure?
A. Check the client's temperature.
B. Observe for uterine contractions.
C. Administer Rho(D) immune globulin.
D. Monitor the FHR. - ansD. Monitor the FHR.
The greatest risk to this client and her fetus is fetal death. Therefore, the priority
nursing intervention is to monitor the FHR following an amniocentesis.
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. Which of the following laboratory tests should the nurse expect
the provider to prescribe?
A. Kleihauer-Betke test
B. Progesterone serum level
C. Lecithin/sphingomyelin (L/S) ratio
D. Maternal Alpha-fetoprotein (AFP) - ansA. Kleihauer-Betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client
who has suspected placental abruption to determine if fetal blood is in maternal
circulation. This test is useful to determine if Rho-(D) immune globulin therapy
should be administered to a client who is Rh-negative.
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The
nurse enters the room and observes the client having a seizure. After turning the
,ATI RN Maternal Newborn Online Practice 2024-2025 A with
NGN|Already graded A+
client's head to one side, which of the following actions should the nurse take
immediately after the seizure?
A. Monitor the FHR.
B. Assess uterine activity.
C. Administer oxygen via a nonrebreather mask.
D. Start a bolus of IV fluids. - ansC. Administer oxygen via a nonrebreather mask.
When using the airway, breathing, and circulation approach to client care, the nurse
should place the priority on administering oxygen to the client via a nonrebreather
mask at 10 L/min to ensure adequate oxygenation to the fetus.
A nurse is caring for a client who is at 30 weeks of gestation and has a prescription
for magnesium sulfate IV to treat preterm labor. The nurse should notify the provider
of which of the following adverse effects?
A. Client reports nausea
B. Urinary output of 40 mL/hr
C. Respiratory rate 10/min
D. Client reports feeling flushed - ansC. Respiratory rate 10/min
The nurse should report a respiratory rate of less than 12/min to the provider,
because this is a manifestation of magnesium toxicity. The nurse should ensure that
the antidote, calcium gluconate, is readily available.
A nurse is caring for a client who is at 36 weeks of gestation and has a positive
contraction stress test. The nurse should plan to prepare the client for which of the
following diagnostic tests?
A. Biophysical profile
B. Amniocentesis
C. Cordocentesis
D. Kleihauer-Betke test - ansA. Biophysical profile
A positive contraction stress test indicates that further evaluation of the fetus is
necessary. A biophysical profile will provide further evaluation with a real-time
ultrasound.
A nurse is caring for a client who is at 36 weeks of gestation and has a prescription
for an amniocentesis. For which of the following reasons should the nurse prepare
the client for an ultrasound?
A. To estimate the fetal weight
B. To locate a pocket of fluid
, ATI RN Maternal Newborn Online Practice 2024-2025 A with
NGN|Already graded A+
C. To determine multiparity
D. To prescreen for fetal anomalies - ansB. To locate a pocket of fluid
An ultrasound is done to locate a pocket of amniotic fluid and the placenta prior to
an amniocentesis. This decreases the risk of injury to the fetus.
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following
actions should the nurse take prior to applying an external transducer for fetal
monitoring?
A. Determine progression of dilatation and effacement.
B. Perform Leopold maneuvers.
C. Complete a sterile speculum exam.
D. Prepare a Nitrazine paper test. - ansB. Perform Leopold maneuvers.
The nurse should perform Leopold maneuvers to assess the position of the fetus to
best determine the optimal placement for the external fetal monitoring transducer.
A nurse is caring for a client who is experiencing preeclampsia and has a new
prescription for IV magnesium sulfate. Which of the following medications should the
nurse anticipate administering if the client develops magnesium toxicity?
A. Calcium gluconate
B. Hydralazine
C. Medroxyprogesterone acetate
D. Methylergonovine - ansA. Calcium gluconate
The nurse should anticipate administering calcium gluconate if the client develops
magnesium toxicity. Calcium gluconate is the antidote.
A nurse is caring for a client who is pregnant in an antepartum clinic.
Which of the following findings should the nurse report to the provider?
Select the 3 findings that should be reported.
Vital Signs
0900:
Temperature 36.6° C (97.9° F), Heart rate 88/min, Respiratory rate 18/min, Blood
pressure 130/70 mm Hg, Oxygen saturation 97% on room air
1000:
Heart rate 76/min, Respiratory rate 20/min, Blood pressure 138/68 mm Hg, Oxygen
saturation 98% on room air
