ATI MATERNAL/NEWBORN PRACTICE | FROM QUESTION
TO PERFECTION| STUDY WITH CONFIDENCE!
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 - Answer: b. Betamethasone
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 - Answer: a. Urine test for presence
of HCG
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
A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the
nurse expect?
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,A. Renal agenesis
B. Atrial septal defect
C. Spina bifida
D. Hydrocephalus - Answer: a. Renal agenesis
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 - Answer: a. Uterine contractions
The nurse should expect the client to be experiencing uterine contractions due to
abdominal trauma.
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.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
,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. Nonurgent approach to client care, the nurse should determine
that the priority finding is 480 ml of urine output in 24 hr because the minimum acceptable
urine output in an adult client is 30 ml/hr. This can indicate progression of preeclampsia to
preeclampsia with severe features, which requires immediate intervention. Therefore, this
is the priority finding.
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
-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.
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
, 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
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.
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
APPHIA – Crafted with Care and Precision for Academic Excellence.
4
TO PERFECTION| STUDY WITH CONFIDENCE!
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 - Answer: b. Betamethasone
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 - Answer: a. Urine test for presence
of HCG
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
A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the
nurse expect?
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,A. Renal agenesis
B. Atrial septal defect
C. Spina bifida
D. Hydrocephalus - Answer: a. Renal agenesis
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 - Answer: a. Uterine contractions
The nurse should expect the client to be experiencing uterine contractions due to
abdominal trauma.
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.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
,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. Nonurgent approach to client care, the nurse should determine
that the priority finding is 480 ml of urine output in 24 hr because the minimum acceptable
urine output in an adult client is 30 ml/hr. This can indicate progression of preeclampsia to
preeclampsia with severe features, which requires immediate intervention. Therefore, this
is the priority finding.
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
-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.
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
, 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
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.
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
APPHIA – Crafted with Care and Precision for Academic Excellence.
4
