ATI RN MATERNAL NEWBORN PROCTORED EXAM TEST BANK/
304 QUESTIONS AND CORRECT VERIFIED ANSWERS/LATEST
UPDATE 2025-2026
1. A nurse is caring for a client who is at 32 wks gestation and is experiencingpreterm 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:
e. urine test forpresence 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 fetalanomalies 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 suspectedpelvic fracture due to
blunt abd trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea:
a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due toabdominal
trauma.
6. A nurse is assessing a client who is at 12 wks gestation and has hydatidiformmole. What findings
should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output:
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 conceptiontransform into a large number of
edematous, fluid-filled vesicles. As cells sloughoff the uterine wall, vaginal discharge is usually
dark brown and can contain grapelike clusters.
7. A nurse is assessing a client who is at 35 weeks of gestation and has mildgestational 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
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 indicateprogression of preeclampsia to preeclampsia with sever
features, which requires immediate intervention. Therefore, this is the priority finding.
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 isolationafter 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. youshould 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 medicationevery day decreases
the risk of transmission of HIV to her newborn.
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 shouldthe 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 ishaving 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
The nurse should decrease the dose of oxytocin by half because the client isexperiencing
uterine tachysystole.
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 fromthe external fetal monitor. What action should
the nurse take? a. prepare theclient 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 fornewborn resuscitation
, The nurse should ensure that all supplies and equipment needed for resuscitation of the
newborn are readily available for every delivery. Endotracheal suctioning is recommended in
cases of meconium staining only if the newborn has poor respiratory effort, decreased muscle
tone, and bradycardiaafter delivery.
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 withthe 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
When a client has a placenta previa, the placenta implants in the lower part of the uterus and
obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription because
any manipulation can cause tearing of the placenta and increased bleeding.
13. A nurse is caring for a client who is at 37 wks gestation and is undergoing anonstress 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 vibroacousticstim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal activity
because the fetus is most likely sleeping. Fetal movement should cause accelerations in the FHR.
14. A nurse is reviewing lab results for a client who is at 37 wks gestation. Thenurse 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?
304 QUESTIONS AND CORRECT VERIFIED ANSWERS/LATEST
UPDATE 2025-2026
1. A nurse is caring for a client who is at 32 wks gestation and is experiencingpreterm 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:
e. urine test forpresence 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 fetalanomalies 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 suspectedpelvic fracture due to
blunt abd trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea:
a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due toabdominal
trauma.
6. A nurse is assessing a client who is at 12 wks gestation and has hydatidiformmole. What findings
should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output:
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 conceptiontransform into a large number of
edematous, fluid-filled vesicles. As cells sloughoff the uterine wall, vaginal discharge is usually
dark brown and can contain grapelike clusters.
7. A nurse is assessing a client who is at 35 weeks of gestation and has mildgestational 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
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 indicateprogression of preeclampsia to preeclampsia with sever
features, which requires immediate intervention. Therefore, this is the priority finding.
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 isolationafter 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. youshould 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 medicationevery day decreases
the risk of transmission of HIV to her newborn.
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 shouldthe 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 ishaving 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
The nurse should decrease the dose of oxytocin by half because the client isexperiencing
uterine tachysystole.
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 fromthe external fetal monitor. What action should
the nurse take? a. prepare theclient 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 fornewborn resuscitation
, The nurse should ensure that all supplies and equipment needed for resuscitation of the
newborn are readily available for every delivery. Endotracheal suctioning is recommended in
cases of meconium staining only if the newborn has poor respiratory effort, decreased muscle
tone, and bradycardiaafter delivery.
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 withthe 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
When a client has a placenta previa, the placenta implants in the lower part of the uterus and
obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription because
any manipulation can cause tearing of the placenta and increased bleeding.
13. A nurse is caring for a client who is at 37 wks gestation and is undergoing anonstress 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 vibroacousticstim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal activity
because the fetus is most likely sleeping. Fetal movement should cause accelerations in the FHR.
14. A nurse is reviewing lab results for a client who is at 37 wks gestation. Thenurse 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?
