NURSING 412 ATI MATERNAL NEWBORN
PROCTORED LATEST UPDATE EXAM Questions
& Answers – Study Guide A+ Grade | 100%
SOLVED With Rationales
Question 1
A nurse is caring for a client who has oligohydramnios. What fetal anomalies
should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
Correct Answer: a. renal agenesis
Rationale: Oligohydramnios is associated with fetal renal anomalies (e.g., renal
agenesis, polycystic kidneys) because amniotic fluid production depends on fetal
urination.
Question 2
A nurse is assessing a client who is at 37 weeks gestation and has a suspected
pelvic fracture due to blunt abdominal trauma. What findings should the nurse
expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
Correct Answer: a. uterine contractions
Rationale: Abdominal trauma can cause uterine irritability and contractions,
which may lead to preterm labor or abruption.
Question 3
A nurse is assessing a client who is at 12 weeks 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
Rationale: Hydatidiform mole often presents with dark brown, prune-juice-like
discharge that may contain grapelike vesicles.
Question 4
A nurse is assessing a client who is at 35 weeks of gestation and has mild
gestational hypertension. 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
*Rationale: Minimum urine output is 30 mL/hr; 480 mL in 24 hr (20 mL/hr)
indicates oliguria, which may signal worsening preeclampsia with severe features.*
Question 5
A nurse is teaching a client who is at 12 weeks 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
Rationale: Antiretroviral therapy (e.g., zidovudine) significantly reduces the risk of
perinatal HIV transmission.
,Question 6
A nurse is providing teaching to a client who is at 8 weeks 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
Rationale: Blurred or double vision may indicate preeclampsia or other serious
conditions; requires immediate evaluation.
Question 7
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 and 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
Correct Answer: a. decrease the dose of oxytocin by half
Rationale: Contractions lasting >90 seconds indicate uterine tachysystole;
oxytocin should be reduced to prevent hyperstimulation.
Question 8
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
, Correct Answer: c. prepare equipment needed for newborn resuscitation
Rationale: Meconium staining increases risk of respiratory depression;
resuscitation equipment should be ready. Endotracheal suctioning is only
indicated if the newborn is depressed.
Question 9
A nurse is reviewing the medical record of a client who is at 33 weeks gestation
and has placenta previa and bleeding. What prescriptions should the nurse clarify
with the provider? (Select all that apply)
a. insert a large-bore IV catheter
b. administer a tap water enema
c. perform a vaginal examination
d. administer betamethasone 12 mg IM (this is actually correct for lung maturity
– but in placenta previa, vaginal exam is contraindicated. Let's list the ones to
clarify.)
Given typical exam, vaginal exam and enema are contraindicated in placenta
previa. Betamethasone is indicated for fetal lung maturity. So the nurse should
clarify the enema and vaginal exam.
But the image may have specific answers. I'll provide based on standard
knowledge:
b. administer a tap water enema and c. perform a vaginal examination are
contraindicated.
Correct Answer: b and c
Rationale: Vaginal examination and enemas can provoke severe bleeding in
placenta previa.
Question 10
A nurse is caring for a client with preeclampsia who is receiving magnesium
sulfate. Which finding indicates magnesium toxicity?
a. Respiratory rate of 10/min
b. Deep tendon reflexes 2+
c. Urine output of 40 mL/hr
d. Blood pressure 140/90
PROCTORED LATEST UPDATE EXAM Questions
& Answers – Study Guide A+ Grade | 100%
SOLVED With Rationales
Question 1
A nurse is caring for a client who has oligohydramnios. What fetal anomalies
should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
Correct Answer: a. renal agenesis
Rationale: Oligohydramnios is associated with fetal renal anomalies (e.g., renal
agenesis, polycystic kidneys) because amniotic fluid production depends on fetal
urination.
Question 2
A nurse is assessing a client who is at 37 weeks gestation and has a suspected
pelvic fracture due to blunt abdominal trauma. What findings should the nurse
expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
Correct Answer: a. uterine contractions
Rationale: Abdominal trauma can cause uterine irritability and contractions,
which may lead to preterm labor or abruption.
Question 3
A nurse is assessing a client who is at 12 weeks 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
Rationale: Hydatidiform mole often presents with dark brown, prune-juice-like
discharge that may contain grapelike vesicles.
Question 4
A nurse is assessing a client who is at 35 weeks of gestation and has mild
gestational hypertension. 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
*Rationale: Minimum urine output is 30 mL/hr; 480 mL in 24 hr (20 mL/hr)
indicates oliguria, which may signal worsening preeclampsia with severe features.*
Question 5
A nurse is teaching a client who is at 12 weeks 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
Rationale: Antiretroviral therapy (e.g., zidovudine) significantly reduces the risk of
perinatal HIV transmission.
,Question 6
A nurse is providing teaching to a client who is at 8 weeks 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
Rationale: Blurred or double vision may indicate preeclampsia or other serious
conditions; requires immediate evaluation.
Question 7
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 and 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
Correct Answer: a. decrease the dose of oxytocin by half
Rationale: Contractions lasting >90 seconds indicate uterine tachysystole;
oxytocin should be reduced to prevent hyperstimulation.
Question 8
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
, Correct Answer: c. prepare equipment needed for newborn resuscitation
Rationale: Meconium staining increases risk of respiratory depression;
resuscitation equipment should be ready. Endotracheal suctioning is only
indicated if the newborn is depressed.
Question 9
A nurse is reviewing the medical record of a client who is at 33 weeks gestation
and has placenta previa and bleeding. What prescriptions should the nurse clarify
with the provider? (Select all that apply)
a. insert a large-bore IV catheter
b. administer a tap water enema
c. perform a vaginal examination
d. administer betamethasone 12 mg IM (this is actually correct for lung maturity
– but in placenta previa, vaginal exam is contraindicated. Let's list the ones to
clarify.)
Given typical exam, vaginal exam and enema are contraindicated in placenta
previa. Betamethasone is indicated for fetal lung maturity. So the nurse should
clarify the enema and vaginal exam.
But the image may have specific answers. I'll provide based on standard
knowledge:
b. administer a tap water enema and c. perform a vaginal examination are
contraindicated.
Correct Answer: b and c
Rationale: Vaginal examination and enemas can provoke severe bleeding in
placenta previa.
Question 10
A nurse is caring for a client with preeclampsia who is receiving magnesium
sulfate. Which finding indicates magnesium toxicity?
a. Respiratory rate of 10/min
b. Deep tendon reflexes 2+
c. Urine output of 40 mL/hr
d. Blood pressure 140/90
