RN Maternal newborn ATI proctored exam
questions with correct answers
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 - CORRECT ANSWER✔✔-b. betamethasone
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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
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b. urine test for the presence of HCS
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c. blood test for presence of estrogen
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d. blood test for the amount of circulating progesterone - CORRECT ANSWER✔✔-
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a. urine test for presence of HCG
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A nurse is caring for a client who believes she may be pregnant. What finding
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should the nurse identify as a positive sign of pregnancy?
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a. palpable fetal movement
| | |
,b. amenorrhea
|
c. chadwick's sign
| |
d. positive pregnancy test - CORRECT ANSWER✔✔-a. palpable fetal movement
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A nurse is caring for a client who has oligohydraminios. What fetal anomalies
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should the nurse expect?
| | | |
a. renal agenesis
| |
b. atrial septal defect
| | |
c. spina bifida
| |
d. hydrocephalus - CORRECT ANSWER✔✔-a. renal agenesis
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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 - CORRECT 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 - CORRECT 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.
| |
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
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d. BP 144/92 - CORRECT ANSWER✔✔-a. 480 mL urine output in 24 hrs
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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
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d. you should continue to take zidovudine throughout the pregnancy - CORRECT
| | | | | | | | | | |
ANSWER✔✔-d. you should continue to take zidovudine throughout the
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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.
| | | | | | | | | | | |
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 - CORRECT 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?
| | | | | | |
questions with correct answers
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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER✔✔-a. 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 - CORRECT 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 - CORRECT 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 - CORRECT 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.
| |
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 - CORRECT 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 - CORRECT
| | | | | | | | | | |
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.
| | | | | | | | | | | |
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 - CORRECT 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?
| | | | | | |
