,2023 ATI RN Maternal Newborn
Proctored – 450 Dynamic Quizzes (NGN-
Style) with Rationales
A7nurse7is7caring7for7a7client7who7is7at7327wks7gestation7and7is7experiencing7preterm7la
bor.7What7meds7should7the7nurse7plan7to7administer?
a.7misoprostol
b.7betamethasone
c.7poractant7alfa
d.7methylergonovine7-7correct7answer✔ ✔ b.7betamethasone
A7nurse7at7a7prenatal7clinic7is7caring7for7a7client7who7suspects7she7may7be7pregnant7an
d7asks7the7nurse7how7the7provider7will7confirm7her7pregnancy.7The7nurse7should7inform
7the7client7that7what7lab7test7will7be7used7to7confirm7her7pregnancy?
a.7urine7test7for7presence7of7HCG
b.7urine7test7for7the7presence7of7HCS
c.7blood7test7for7presence7of7estrogen
d.7blood7test7for7the7amount7of7circulating7progesterone7-7correct7answer✔ ✔
a.7urine7test7for7presence7of7HCG
A7nurse7is7caring7for7a7client7who7believes7she7may7be7pregnant.7What7finding7should7t
he7nurse7identify7as7a7positive7sign7of7pregnancy?
a.7palpable7fetal7movement
b.7amenorrhea
c.7chadwick's7sign
d.7positive7pregnancy7test7-7correct7answer✔ ✔ a.7palpable7fetal7movement
A7nurse7is7caring7for7a7client7who7has7oligohydraminios.7What7fetal7anomalies7should7t
he7nurse7expect?
a.7renal7agenesis
b.7atrial7septal7defect
c.7spina7bifida
d.7hydrocephalus7-7correct7answer✔ ✔ a.7renal7agenesis
A7nurse7is7assessing7a7client7who7is7at7377wks7gestation7and7has7a7suspected7pelvic7fr
acture7due7to7blunt7abd7trauma.7What7findings7should7the7nurse7expect?
a.7uterine7contractions
b.7bradycardia
c.7seizures
d.7bradypnea7-7correct7answer✔ ✔ a.7uterine7contractions
,The7nurse7should7expect7the7client7to7be7experiencing7uterine7contractions7due7to7abdo
minal7trauma.
A7nurse7is7assessing7a7client7who7is7at7127wks7gestation7and7has7hydatidiform7mole.7W
hat7findings7should7the7nurse7expect?
a.7hypothermia
b.7dark7brown7vaginal7discharge
c.7fetal7heart7tones
d.7decreased7urinary7output7-7correct7answer✔ ✔ b.7dark7brown7vaginal7discharge
A7hydatidiform7mole,7or7a7molar7pregnancy,7is7a7benign7proliferative7growth7of7the7chori
onic7villi,7which7gives7rise7to7multiple7cysts.7The7products7of7conception7transform7into7
a7large7number7of7edematous,7fluid-
filled7vesicles.7As7cells7slough7off7the7uterine7wall,7vaginal7discharge7is7usually7dark7bro
wn7and7can7contain7grapelike7clusters.
A7nurse7is7assessing7a7client7who7is7at7357weeks7of7gestation7and7has7mild7gestational7
HTN.7What7finding7should7the7nurse7identify7as7the7priority?
a.74807mL7urine7output7in7247hrs
b.71+7protein7in7the7urine
c.7+27edema7of7the7feet
d.7BP7144/927-7correct7answer✔ ✔ a.74807mL7urine7output7in7247hrs
When7using7the7urgent7vs.7nonurgent7approach7to7client7care,7the7nurse7should7determi
ne7that7the7priority7finding7is74807mL7of7urine7output7in7247hr7because7the7minimum7acc
eptable7urine7output7in7an7adult7client7is7307mL/hr.7This7can7indicate7progression7of7pre
eclampsia7to7preeclampsia7with7severe7features,7which7requires7immediate7intervention
.7Therefore,7this7is7the7priority7finding.
A7nurse7is7teaching7a7client7who7is7at7127wks7gestation7and7has7HIV.7What7statement7s
hould7the7nurse7include7in7the7teaching?
a.7you7will7be7in7isolation7after7delivery
b.7abstain7from7sexual7intercourse7throughout7pregnancy
c.7breastfeed7your7newborn7to7provide7passive7immunity
d.7you7should7continue7to7take7zidovudine7throughout7the7pregnancy7-7correct7answer
✔ ✔ d.7you7should7continue7to7take7zidovudine7throughout7the7pregnancy
-can7be7transmitted7through7breastfeeding
-she7can7continue7to7have7sex
The7nurse7should7inform7the7client7that7taking7prescription7antiviral7medication7every7da
y7decreases7the7risk7of7transmission7of7HIV7to7her7newborn.
A7nurse7is7providing7teaching7to7a7client7who7is7at787wks7gestation7about7manifestations
7to7report7to7the7provider7during7pregnancy.7What7info7should7the7nurse7include7in7the7t
eaching?
, a.7nausea7upon7awakening
b.7blurred7or7double7vision
c.7increase7in7white7vaginal7discharge
d.7leg7cramps7when7sleeping7-7correct7answer✔ ✔ b.7blurred7or7double7vision
A7nurse7is7caring7for7a7client7who7is7in7the7latent7phase7of7labor7and7is7receiving7oxytoci
n7via7continuous7IV7infusion.7The7nurse7notes7that7the7client7is7having7contractions7ever
y727min7which7last7100-
1107seconds7that7the7fetal7heart7rate7is7reassuring.7What7action7should7the7nurse7take?
a.7decrease7the7dose7of7oxytocin7by7half
b.7administer7oxygen7via7nonrebreather7mask
c.7decrease7the7infusion7rate7of7the7maintenance7IV7fluid
d.7administer7terbutaline70.25mg7subq7-7correct7answer✔ ✔
a.7decrease7the7dose7of7oxytocin7by7half
The7nurse7should7decrease7the7dose7of7oxytocin7by7half7because7the7client7is7experien
cing7uterine7tachysystole.
A7nurse7is7caring7for7a7client7who7is7in7active7labor7and7has7meconium7staining7of7the7a
mniotic7fluid.7The7nurse7notes7a7reassuring7FHR7tracing7from7the7external7fetal7monitor.
7What7action7should7the7nurse7take?
a.7prepare7the7client7for7emergency7c-section
b.7perform7endotrach7suctioning7as7soon7as7the7fetal7head7is7delivered
c.7prepare7equipment7needed7for7newborn7resuscitation
d.7prepare7the7client7for7an7ultrasound7exam7-7correct7answer✔ ✔
c.7prepare7equipment7needed7for7newborn7resuscitation
The7nurse7should7ensure7that7all7supplies7and7equipment7needed7for7resuscitation7of7th
e7newborn7are7readily7available7for7every7delivery.7Endotracheal7suctioning7is7recomme
nded7in7cases7of7meconium7staining7only7if7the7newborn7has7poor7respiratory7effort,7de
creased7muscle7tone,7and7bradycardia7after7delivery.
A7nurse7is7reviewing7the7medical7record7of7a7client7who7is7at7337wks7gestation7and7has7
placenta7previa7and7bleeding.7What7scripts7should7the7nurse7clarify7with7the7provider?
a.7insert7a7large-bore7IV7catheter
b.7perform7a7vaginal7exam
c.7perform7continuous7external7fetal7monitoring
d.7obtain7a7blood7sample7for7lab7testing7-7correct7answer✔ ✔
b.7perform7a7vaginal7exam
When7a7client7has7a7placenta7previa,7the7placenta7implants7in7the7lower7part7of7the7uter
us7and7obstructs7the7cervical7os7(the7opening7to7the7vagina).7The7nurse7should7clarify7t
his7prescription7because7any7manipulation7can7cause7tearing7of7the7placenta7and7incre
ased7bleeding.
Proctored – 450 Dynamic Quizzes (NGN-
Style) with Rationales
A7nurse7is7caring7for7a7client7who7is7at7327wks7gestation7and7is7experiencing7preterm7la
bor.7What7meds7should7the7nurse7plan7to7administer?
a.7misoprostol
b.7betamethasone
c.7poractant7alfa
d.7methylergonovine7-7correct7answer✔ ✔ b.7betamethasone
A7nurse7at7a7prenatal7clinic7is7caring7for7a7client7who7suspects7she7may7be7pregnant7an
d7asks7the7nurse7how7the7provider7will7confirm7her7pregnancy.7The7nurse7should7inform
7the7client7that7what7lab7test7will7be7used7to7confirm7her7pregnancy?
a.7urine7test7for7presence7of7HCG
b.7urine7test7for7the7presence7of7HCS
c.7blood7test7for7presence7of7estrogen
d.7blood7test7for7the7amount7of7circulating7progesterone7-7correct7answer✔ ✔
a.7urine7test7for7presence7of7HCG
A7nurse7is7caring7for7a7client7who7believes7she7may7be7pregnant.7What7finding7should7t
he7nurse7identify7as7a7positive7sign7of7pregnancy?
a.7palpable7fetal7movement
b.7amenorrhea
c.7chadwick's7sign
d.7positive7pregnancy7test7-7correct7answer✔ ✔ a.7palpable7fetal7movement
A7nurse7is7caring7for7a7client7who7has7oligohydraminios.7What7fetal7anomalies7should7t
he7nurse7expect?
a.7renal7agenesis
b.7atrial7septal7defect
c.7spina7bifida
d.7hydrocephalus7-7correct7answer✔ ✔ a.7renal7agenesis
A7nurse7is7assessing7a7client7who7is7at7377wks7gestation7and7has7a7suspected7pelvic7fr
acture7due7to7blunt7abd7trauma.7What7findings7should7the7nurse7expect?
a.7uterine7contractions
b.7bradycardia
c.7seizures
d.7bradypnea7-7correct7answer✔ ✔ a.7uterine7contractions
,The7nurse7should7expect7the7client7to7be7experiencing7uterine7contractions7due7to7abdo
minal7trauma.
A7nurse7is7assessing7a7client7who7is7at7127wks7gestation7and7has7hydatidiform7mole.7W
hat7findings7should7the7nurse7expect?
a.7hypothermia
b.7dark7brown7vaginal7discharge
c.7fetal7heart7tones
d.7decreased7urinary7output7-7correct7answer✔ ✔ b.7dark7brown7vaginal7discharge
A7hydatidiform7mole,7or7a7molar7pregnancy,7is7a7benign7proliferative7growth7of7the7chori
onic7villi,7which7gives7rise7to7multiple7cysts.7The7products7of7conception7transform7into7
a7large7number7of7edematous,7fluid-
filled7vesicles.7As7cells7slough7off7the7uterine7wall,7vaginal7discharge7is7usually7dark7bro
wn7and7can7contain7grapelike7clusters.
A7nurse7is7assessing7a7client7who7is7at7357weeks7of7gestation7and7has7mild7gestational7
HTN.7What7finding7should7the7nurse7identify7as7the7priority?
a.74807mL7urine7output7in7247hrs
b.71+7protein7in7the7urine
c.7+27edema7of7the7feet
d.7BP7144/927-7correct7answer✔ ✔ a.74807mL7urine7output7in7247hrs
When7using7the7urgent7vs.7nonurgent7approach7to7client7care,7the7nurse7should7determi
ne7that7the7priority7finding7is74807mL7of7urine7output7in7247hr7because7the7minimum7acc
eptable7urine7output7in7an7adult7client7is7307mL/hr.7This7can7indicate7progression7of7pre
eclampsia7to7preeclampsia7with7severe7features,7which7requires7immediate7intervention
.7Therefore,7this7is7the7priority7finding.
A7nurse7is7teaching7a7client7who7is7at7127wks7gestation7and7has7HIV.7What7statement7s
hould7the7nurse7include7in7the7teaching?
a.7you7will7be7in7isolation7after7delivery
b.7abstain7from7sexual7intercourse7throughout7pregnancy
c.7breastfeed7your7newborn7to7provide7passive7immunity
d.7you7should7continue7to7take7zidovudine7throughout7the7pregnancy7-7correct7answer
✔ ✔ d.7you7should7continue7to7take7zidovudine7throughout7the7pregnancy
-can7be7transmitted7through7breastfeeding
-she7can7continue7to7have7sex
The7nurse7should7inform7the7client7that7taking7prescription7antiviral7medication7every7da
y7decreases7the7risk7of7transmission7of7HIV7to7her7newborn.
A7nurse7is7providing7teaching7to7a7client7who7is7at787wks7gestation7about7manifestations
7to7report7to7the7provider7during7pregnancy.7What7info7should7the7nurse7include7in7the7t
eaching?
, a.7nausea7upon7awakening
b.7blurred7or7double7vision
c.7increase7in7white7vaginal7discharge
d.7leg7cramps7when7sleeping7-7correct7answer✔ ✔ b.7blurred7or7double7vision
A7nurse7is7caring7for7a7client7who7is7in7the7latent7phase7of7labor7and7is7receiving7oxytoci
n7via7continuous7IV7infusion.7The7nurse7notes7that7the7client7is7having7contractions7ever
y727min7which7last7100-
1107seconds7that7the7fetal7heart7rate7is7reassuring.7What7action7should7the7nurse7take?
a.7decrease7the7dose7of7oxytocin7by7half
b.7administer7oxygen7via7nonrebreather7mask
c.7decrease7the7infusion7rate7of7the7maintenance7IV7fluid
d.7administer7terbutaline70.25mg7subq7-7correct7answer✔ ✔
a.7decrease7the7dose7of7oxytocin7by7half
The7nurse7should7decrease7the7dose7of7oxytocin7by7half7because7the7client7is7experien
cing7uterine7tachysystole.
A7nurse7is7caring7for7a7client7who7is7in7active7labor7and7has7meconium7staining7of7the7a
mniotic7fluid.7The7nurse7notes7a7reassuring7FHR7tracing7from7the7external7fetal7monitor.
7What7action7should7the7nurse7take?
a.7prepare7the7client7for7emergency7c-section
b.7perform7endotrach7suctioning7as7soon7as7the7fetal7head7is7delivered
c.7prepare7equipment7needed7for7newborn7resuscitation
d.7prepare7the7client7for7an7ultrasound7exam7-7correct7answer✔ ✔
c.7prepare7equipment7needed7for7newborn7resuscitation
The7nurse7should7ensure7that7all7supplies7and7equipment7needed7for7resuscitation7of7th
e7newborn7are7readily7available7for7every7delivery.7Endotracheal7suctioning7is7recomme
nded7in7cases7of7meconium7staining7only7if7the7newborn7has7poor7respiratory7effort,7de
creased7muscle7tone,7and7bradycardia7after7delivery.
A7nurse7is7reviewing7the7medical7record7of7a7client7who7is7at7337wks7gestation7and7has7
placenta7previa7and7bleeding.7What7scripts7should7the7nurse7clarify7with7the7provider?
a.7insert7a7large-bore7IV7catheter
b.7perform7a7vaginal7exam
c.7perform7continuous7external7fetal7monitoring
d.7obtain7a7blood7sample7for7lab7testing7-7correct7answer✔ ✔
b.7perform7a7vaginal7exam
When7a7client7has7a7placenta7previa,7the7placenta7implants7in7the7lower7part7of7the7uter
us7and7obstructs7the7cervical7os7(the7opening7to7the7vagina).7The7nurse7should7clarify7t
his7prescription7because7any7manipulation7can7cause7tearing7of7the7placenta7and7incre
ased7bleeding.
