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ATI PN MATERNAL NEWBORN PROCTORED
EXAM||NEWEST EXAM!!!
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
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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.
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
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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
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c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam - Answer-c.
prepare equipment needed for newborn 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 bradycardia after delivery.
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 with the 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 - Answer-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
ATI PN MATERNAL NEWBORN PROCTORED
EXAM||NEWEST EXAM!!!
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
,2|Page
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.
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
,3|Page
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
, 4|Page
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam - Answer-c.
prepare equipment needed for newborn 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 bradycardia after delivery.
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 with the 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 - Answer-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
