RN Maternal Newborn ATI Proctored Exam with
Actual and Verified Ques ons Ra onalized
Answers, A+ Exam Guarantee
A nurse is caring for a client who is at 32 wks gesta on and is experiencing preterm labor. What meds
should the nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine - answerb. 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 circula ng progesterone - answera. urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant. What finding should the nurse iden fy
as a posi ve sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. posi ve pregnancy test - answera. palpable fetal movement
,A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus - answera. renal agenesis
A nurse is assessing a client who is at 37 wks gesta on and has a suspected pelvic fracture due to blunt
abd trauma. What findings should the nurse expect?
a. uterine contrac ons
b. bradycardia
c. seizures
d. bradypnea - answera. uterine contrac ons
The nurse should expect the client to be experiencing uterine contrac ons due to abdominal trauma.
A nurse is assessing a client who is at 12 wks gesta on and has hyda diform mole. What findings should
the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output - answerb. dark brown vaginal discharge
A hyda diform mole, or a molar pregnancy, is a benign prolifera ve growth of the chorionic villi, which
gives rise to mul ple cysts. The products of concep on 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.
,A nurse is assessing a client who is at 35 weeks of gesta on and has mild gesta onal HTN. What finding
should the nurse iden fy 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 - answera. 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 interven on. Therefore, this is the priority finding.
A nurse is teaching a client who is at 12 wks gesta on and has HIV. What statement should the nurse
include in the teaching?
a. you will be in isola on a er delivery
b. abstain from sexual intercourse throughout pregnancy
c. breas eed your newborn to provide passive immunity
d. you should con nue to take zidovudine throughout the pregnancy - answerd. you should con nue to
take zidovudine throughout the pregnancy
-can be transmi ed through breas eeding
-she can con nue to have sex
The nurse should inform the client that taking prescrip on an viral medica on every day decreases the
risk of transmission of HIV to her newborn.
A nurse is providing teaching to a client who is at 8 wks gesta on about manifesta ons 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 - answerb. blurred or double vision
A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin via con nuous IV
infusion. The nurse notes that the client is having contrac ons every 2 min which last 100-110 seconds
that the fetal heart rate is reassuring. What ac on 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 - answera. 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 ac ve labor and has meconium staining of the amnio c fluid. The
nurse notes a reassuring FHR tracing from the external fetal monitor. What ac on should the nurse take?
a. prepare the client for emergency c-sec on
b. perform endotrach suc oning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscita on
d. prepare the client for an ultrasound exam - answerc. prepare equipment needed for newborn
resuscita on
The nurse should ensure that all supplies and equipment needed for resuscita on of the newborn are
readily available for every delivery. Endotracheal suc oning is recommended in cases of meconium
staining only if the newborn has poor respiratory effort, decreased muscle tone, and bradycardia a er
delivery.
Actual and Verified Ques ons Ra onalized
Answers, A+ Exam Guarantee
A nurse is caring for a client who is at 32 wks gesta on and is experiencing preterm labor. What meds
should the nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine - answerb. 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 circula ng progesterone - answera. urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant. What finding should the nurse iden fy
as a posi ve sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. posi ve pregnancy test - answera. palpable fetal movement
,A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus - answera. renal agenesis
A nurse is assessing a client who is at 37 wks gesta on and has a suspected pelvic fracture due to blunt
abd trauma. What findings should the nurse expect?
a. uterine contrac ons
b. bradycardia
c. seizures
d. bradypnea - answera. uterine contrac ons
The nurse should expect the client to be experiencing uterine contrac ons due to abdominal trauma.
A nurse is assessing a client who is at 12 wks gesta on and has hyda diform mole. What findings should
the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output - answerb. dark brown vaginal discharge
A hyda diform mole, or a molar pregnancy, is a benign prolifera ve growth of the chorionic villi, which
gives rise to mul ple cysts. The products of concep on 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.
,A nurse is assessing a client who is at 35 weeks of gesta on and has mild gesta onal HTN. What finding
should the nurse iden fy 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 - answera. 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 interven on. Therefore, this is the priority finding.
A nurse is teaching a client who is at 12 wks gesta on and has HIV. What statement should the nurse
include in the teaching?
a. you will be in isola on a er delivery
b. abstain from sexual intercourse throughout pregnancy
c. breas eed your newborn to provide passive immunity
d. you should con nue to take zidovudine throughout the pregnancy - answerd. you should con nue to
take zidovudine throughout the pregnancy
-can be transmi ed through breas eeding
-she can con nue to have sex
The nurse should inform the client that taking prescrip on an viral medica on every day decreases the
risk of transmission of HIV to her newborn.
A nurse is providing teaching to a client who is at 8 wks gesta on about manifesta ons 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 - answerb. blurred or double vision
A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin via con nuous IV
infusion. The nurse notes that the client is having contrac ons every 2 min which last 100-110 seconds
that the fetal heart rate is reassuring. What ac on 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 - answera. 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 ac ve labor and has meconium staining of the amnio c fluid. The
nurse notes a reassuring FHR tracing from the external fetal monitor. What ac on should the nurse take?
a. prepare the client for emergency c-sec on
b. perform endotrach suc oning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscita on
d. prepare the client for an ultrasound exam - answerc. prepare equipment needed for newborn
resuscita on
The nurse should ensure that all supplies and equipment needed for resuscita on of the newborn are
readily available for every delivery. Endotracheal suc oning is recommended in cases of meconium
staining only if the newborn has poor respiratory effort, decreased muscle tone, and bradycardia a er
delivery.
