ATI RN MATERNAL NEWBORN PROCTORED EXAM TEST BANK/ 304 QUESTIONS AND
CORRECT VERIFIED ANSWERS/LATEST UPDATE 2026-2027
1. A nurse is caring for a client who is at 32 wks gestation and is experiencingpreterm
g g g g g g g g g g g g g g g g
labor. What meds should the nurse plan to administer? a. misoprostol
g g g g g g g g g g g
b. betamethasone
c. poractant alfa g
d. methylergonovine:
b. betamethasone
g g
2. A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and
g g g g g g g g g g g g g g g g g
asks the nurse how the provider will confirm her pregnancy. The nurse should inform the
g g g g g g g g g g g g g g g
client that what lab test will be used to confirm her pregnancy?
g g g g g g g g g g g g
a. urine test for presence of HCG g g g g g
b. urine test for the presence of HCS
g g g g g g
c. blood test for presence of estrogen g g g g g
d. blood test for the amount of circulating progesterone:
g g g g g g g
e. urine test forpresence of HCG g g g g g
3. A nurse is caring for a client who believes she may be pregnant. What finding should the
g g g g g g g g g g g g g g g g
nurse identify as a positive sign of pregnancy? a. palpable fetal movement
g g g g g g g g g g g g
b. amenorrhea
c. chadwick's sign g
d. positive pregnancy test: g g g
a. palpable fetal movement
g g g
4. A nurse is caring for a client who has oligohydraminios. What fetalanomalies
g g g g g g g g g g g g
should the nurse expect? a. renal agenesis
g g g g g g g
b. atrial septal defect g g
c. spina bifida g
d. hydrocephalus: g
a. renal agenesis g
5. A nurse is assessing a client who is at 37 wks gestation and has a suspectedpelvic
g g g g g g g g g g g g g g g g
,fracture due to blunt abd trauma. What findings should the nurse expect?
g g g g g g g g g g g g
a. uterine contractions g
b. bradycardia
c. seizures
d. bradypnea: g
a. uterine contractions g g
The nurse should expect the client to be experiencing uterine contractions due
g g g g g g g g g g g
gtoabdominal trauma.
g g
6. A nurse is assessing a client who is at 12 wks gestation and has hydatidiformmole. What
g g g g g g g g g g g g g g g g
findings should the nurse expect?
g g g g g
a. hypothermia
b. dark brown vaginal discharge g g g
c. fetal heart tones g g
d. decreased urinary output: g g
b. dark brown vaginal discharge
g g g g g
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic
g g g g g g g g g g g g g g
gvilli, which gives rise to multiple cysts. The products of conceptiontransform into a large
g g g g g g g g g g g g g g
gnumber of edematous, fluid-filled vesicles. As cells sloughoff the uterine wall, vaginal
g g g g g g g g g g g g
gdischarge is usually dark brown and can contain grapelike clusters.g g g g g g g g g
7. A nurse is assessing a client who is at 35 weeks of gestation and has mildgestational
g g g g g g g g g g g g g g g g
gHTN. What finding should the nurse identify as the priority?
g g g g g g g g g
a. 480 mL urine output in 24 hrs g g g g g g
b. 1+ protein in the urine g g g g
c. +2 edema of the feet
g g g g g
d. BP 144/92:
g g g
a. 480 mL urine output in 24 hrs
g g g g g g g
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
g g g g g g g g g g g g g g g
priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine
g g g g g g g g g g g g g g g g
output in an adult client is 30 mL/hr. This can indicateprogression of preeclampsia to
g g g g g g g g g g g g g g g
preeclampsia with severe features, which requires immediate intervention. Therefore, this is the
g g g g g g g g g g g g
priority finding.
g g
8. A nurse is teaching a client who is at 12 wks gestation and has HIV. What statement
g g g g g g g g g g g g g g g g
should the nurse include in the teaching? a. you will be in isolationafter delivery
g g g g g g g g g g g g g g g
b. abstain from sexual intercourse throughout pregnancy g g g g g
,c. breastfeed your newborn to provide passive immunity g g g g g g
d. you should continue to take zidovudine throughout the pregnancy:
g g g g g g g g g
d. youshould continue to take zidovudine throughout the pregnancy
g g g g g g g g g
-can be transmitted through breastfeeding
g g g g
-she can continue to have sex
g g g g g
The nurse should inform the client that taking prescription antiviral medicationevery day
g g g g g g g g g g g g
gdecreases the risk of transmission of HIV to her newborn. g g g g g g g g g
9. A nurse is providing teaching to a client who is at 8 wks gestation about
g g g g g g g g g g g g g g
manifestations to report to the provider during pregnancy. What info shouldthe nurse
g g g g g g g g g g g g g
include in the teaching? a. nausea upon awakening
g g g g g g g g
b. blurred or double vision g g g
c. increase in white vaginal discharge g g g g
d. leg cramps when sleeping: g g g g
b. blurred or double vision
g g g g
10. A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin
g g g g g g g g g g g g g g g g g g
via continuous IV infusion. The nurse notes that the client ishaving contractions every 2 min
g g g g g g g g g g g g g g g g
which last 100-110 seconds that the fetal heart rate is reassuring. What action should the
g g g g g g g g g g g g g g g
nurse take? a. decrease the dose of oxytocin by half
g g g g g g g g g g
b. administer oxygen via nonrebreather mask g g g g
c. decrease the infusion rate of the maintenance IV fluid g g g g g g g g
d. administer terbutaline 0.25mg subq: g g g g
a. decrease the dose of oxytocin by half g g g g g g
The nurse should decrease the dose of oxytocin by half because the client
g g g g g g g g g g g g
gisexperiencing uterine tachysystole.
g g g
11. A nurse is caring for a client who is in active labor and has meconium staining of the
g g g g g g g g g g g g g g g g g
amniotic fluid. The nurse notes a reassuring FHR tracing fromthe external fetal monitor.
g g g g g g g g g g g g g g
What action should the nurse take? a. prepare theclient for emergency c-section
g g g g g g g g g g g g g
b. perform endotrach suctioning as soon as the fetal head is delivered g g g g g g g g g g
c. prepare equipment needed for newborn resuscitation g g g g g
d. prepare the client for an ultrasound exam: g g g g g g
c. prepare equipment needed fornewborn resuscitation
g g g g g g g
, The nurse should ensure that all supplies and equipment needed for resuscitation of
g g g g g g g g g g g g
the newborn are readily available for every delivery. Endotracheal suctioning is
g g g g g g g g g g g
recommended in cases of meconium staining only if the newborn has poor respiratory
g g g g g g g g g g g g g
effort, decreased muscle tone, and bradycardiaafter delivery.
g g g g g g g g
12. A nurse is reviewing the medical record of a client who is at 33 wks gestation and has
g g g g g g g g g g g g g g g g g
placenta previa and bleeding. What scripts should the nurse clarify withthe provider?
g g g g g g g g g g g g g
a. insert a large-bore IV catheter g g g g
b. perform a vaginal exam g g g
c. perform continuous external fetal monitoring g g g g
d. obtain a blood sample for lab testing: g g g g g g g
b. perform a vaginal exam g g g g
When a client has a placenta previa, the placenta implants in the lower part of the uterus and
g g g g g g g g g g g g g g g g g
obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription
g g g g g g g g g g g g g g g
because any manipulation can cause tearing of the placenta and increased bleeding.
g g g g g g g g g g g g
13. A nurse is caring for a client who is at 37 wks gestation and is undergoing anonstress
g g g g g g g g g g g g g g g g g
test. The FHR is 130 without accelerations for the past 10 min.
g g g g g g g g g g g g
What action should the nurse take?
g g g g g
a. request a script for an internal fetal scalp electrode g g g g g g g g
b. auscultate the FHR with a doppler transducer g g g g g g
c. report the nonreactive test result to the provider immediately g g g g g g g g
d. use vibroacoustic stim on the client's abd for 3 seconds:
g g g g g g g g g g
d. use vibroacousticstim on the client's abd for 3 seconds
g g g g g g g g g g
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal
g g g g g g g g g g g g g
activity because the fetus is most likely sleeping. Fetal movement should cause
g g g g g g g g g g g g
accelerations in the FHR.
g g g g
14. A nurse is reviewing lab results for a client who is at 37 wks gestation. Thenurse notes
g g g g g g g g g g g g g g g g g
that the client is rubella non-immune, positive for group A beta- hemolytic strep, and has
g g g g g g g g g g g g g g g
a blood type O neg. What action should the nurse take?
g g g g g g g g g g g
a. instruct the client to obtain a rubella immunization after delivery g g g g g g g g g
b. request a script for an antibiotic until delivery g g g g g g g
CORRECT VERIFIED ANSWERS/LATEST UPDATE 2026-2027
1. A nurse is caring for a client who is at 32 wks gestation and is experiencingpreterm
g g g g g g g g g g g g g g g g
labor. What meds should the nurse plan to administer? a. misoprostol
g g g g g g g g g g g
b. betamethasone
c. poractant alfa g
d. methylergonovine:
b. betamethasone
g g
2. A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and
g g g g g g g g g g g g g g g g g
asks the nurse how the provider will confirm her pregnancy. The nurse should inform the
g g g g g g g g g g g g g g g
client that what lab test will be used to confirm her pregnancy?
g g g g g g g g g g g g
a. urine test for presence of HCG g g g g g
b. urine test for the presence of HCS
g g g g g g
c. blood test for presence of estrogen g g g g g
d. blood test for the amount of circulating progesterone:
g g g g g g g
e. urine test forpresence of HCG g g g g g
3. A nurse is caring for a client who believes she may be pregnant. What finding should the
g g g g g g g g g g g g g g g g
nurse identify as a positive sign of pregnancy? a. palpable fetal movement
g g g g g g g g g g g g
b. amenorrhea
c. chadwick's sign g
d. positive pregnancy test: g g g
a. palpable fetal movement
g g g
4. A nurse is caring for a client who has oligohydraminios. What fetalanomalies
g g g g g g g g g g g g
should the nurse expect? a. renal agenesis
g g g g g g g
b. atrial septal defect g g
c. spina bifida g
d. hydrocephalus: g
a. renal agenesis g
5. A nurse is assessing a client who is at 37 wks gestation and has a suspectedpelvic
g g g g g g g g g g g g g g g g
,fracture due to blunt abd trauma. What findings should the nurse expect?
g g g g g g g g g g g g
a. uterine contractions g
b. bradycardia
c. seizures
d. bradypnea: g
a. uterine contractions g g
The nurse should expect the client to be experiencing uterine contractions due
g g g g g g g g g g g
gtoabdominal trauma.
g g
6. A nurse is assessing a client who is at 12 wks gestation and has hydatidiformmole. What
g g g g g g g g g g g g g g g g
findings should the nurse expect?
g g g g g
a. hypothermia
b. dark brown vaginal discharge g g g
c. fetal heart tones g g
d. decreased urinary output: g g
b. dark brown vaginal discharge
g g g g g
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic
g g g g g g g g g g g g g g
gvilli, which gives rise to multiple cysts. The products of conceptiontransform into a large
g g g g g g g g g g g g g g
gnumber of edematous, fluid-filled vesicles. As cells sloughoff the uterine wall, vaginal
g g g g g g g g g g g g
gdischarge is usually dark brown and can contain grapelike clusters.g g g g g g g g g
7. A nurse is assessing a client who is at 35 weeks of gestation and has mildgestational
g g g g g g g g g g g g g g g g
gHTN. What finding should the nurse identify as the priority?
g g g g g g g g g
a. 480 mL urine output in 24 hrs g g g g g g
b. 1+ protein in the urine g g g g
c. +2 edema of the feet
g g g g g
d. BP 144/92:
g g g
a. 480 mL urine output in 24 hrs
g g g g g g g
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
g g g g g g g g g g g g g g g
priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine
g g g g g g g g g g g g g g g g
output in an adult client is 30 mL/hr. This can indicateprogression of preeclampsia to
g g g g g g g g g g g g g g g
preeclampsia with severe features, which requires immediate intervention. Therefore, this is the
g g g g g g g g g g g g
priority finding.
g g
8. A nurse is teaching a client who is at 12 wks gestation and has HIV. What statement
g g g g g g g g g g g g g g g g
should the nurse include in the teaching? a. you will be in isolationafter delivery
g g g g g g g g g g g g g g g
b. abstain from sexual intercourse throughout pregnancy g g g g g
,c. breastfeed your newborn to provide passive immunity g g g g g g
d. you should continue to take zidovudine throughout the pregnancy:
g g g g g g g g g
d. youshould continue to take zidovudine throughout the pregnancy
g g g g g g g g g
-can be transmitted through breastfeeding
g g g g
-she can continue to have sex
g g g g g
The nurse should inform the client that taking prescription antiviral medicationevery day
g g g g g g g g g g g g
gdecreases the risk of transmission of HIV to her newborn. g g g g g g g g g
9. A nurse is providing teaching to a client who is at 8 wks gestation about
g g g g g g g g g g g g g g
manifestations to report to the provider during pregnancy. What info shouldthe nurse
g g g g g g g g g g g g g
include in the teaching? a. nausea upon awakening
g g g g g g g g
b. blurred or double vision g g g
c. increase in white vaginal discharge g g g g
d. leg cramps when sleeping: g g g g
b. blurred or double vision
g g g g
10. A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin
g g g g g g g g g g g g g g g g g g
via continuous IV infusion. The nurse notes that the client ishaving contractions every 2 min
g g g g g g g g g g g g g g g g
which last 100-110 seconds that the fetal heart rate is reassuring. What action should the
g g g g g g g g g g g g g g g
nurse take? a. decrease the dose of oxytocin by half
g g g g g g g g g g
b. administer oxygen via nonrebreather mask g g g g
c. decrease the infusion rate of the maintenance IV fluid g g g g g g g g
d. administer terbutaline 0.25mg subq: g g g g
a. decrease the dose of oxytocin by half g g g g g g
The nurse should decrease the dose of oxytocin by half because the client
g g g g g g g g g g g g
gisexperiencing uterine tachysystole.
g g g
11. A nurse is caring for a client who is in active labor and has meconium staining of the
g g g g g g g g g g g g g g g g g
amniotic fluid. The nurse notes a reassuring FHR tracing fromthe external fetal monitor.
g g g g g g g g g g g g g g
What action should the nurse take? a. prepare theclient for emergency c-section
g g g g g g g g g g g g g
b. perform endotrach suctioning as soon as the fetal head is delivered g g g g g g g g g g
c. prepare equipment needed for newborn resuscitation g g g g g
d. prepare the client for an ultrasound exam: g g g g g g
c. prepare equipment needed fornewborn resuscitation
g g g g g g g
, The nurse should ensure that all supplies and equipment needed for resuscitation of
g g g g g g g g g g g g
the newborn are readily available for every delivery. Endotracheal suctioning is
g g g g g g g g g g g
recommended in cases of meconium staining only if the newborn has poor respiratory
g g g g g g g g g g g g g
effort, decreased muscle tone, and bradycardiaafter delivery.
g g g g g g g g
12. A nurse is reviewing the medical record of a client who is at 33 wks gestation and has
g g g g g g g g g g g g g g g g g
placenta previa and bleeding. What scripts should the nurse clarify withthe provider?
g g g g g g g g g g g g g
a. insert a large-bore IV catheter g g g g
b. perform a vaginal exam g g g
c. perform continuous external fetal monitoring g g g g
d. obtain a blood sample for lab testing: g g g g g g g
b. perform a vaginal exam g g g g
When a client has a placenta previa, the placenta implants in the lower part of the uterus and
g g g g g g g g g g g g g g g g g
obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription
g g g g g g g g g g g g g g g
because any manipulation can cause tearing of the placenta and increased bleeding.
g g g g g g g g g g g g
13. A nurse is caring for a client who is at 37 wks gestation and is undergoing anonstress
g g g g g g g g g g g g g g g g g
test. The FHR is 130 without accelerations for the past 10 min.
g g g g g g g g g g g g
What action should the nurse take?
g g g g g
a. request a script for an internal fetal scalp electrode g g g g g g g g
b. auscultate the FHR with a doppler transducer g g g g g g
c. report the nonreactive test result to the provider immediately g g g g g g g g
d. use vibroacoustic stim on the client's abd for 3 seconds:
g g g g g g g g g g
d. use vibroacousticstim on the client's abd for 3 seconds
g g g g g g g g g g
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal
g g g g g g g g g g g g g
activity because the fetus is most likely sleeping. Fetal movement should cause
g g g g g g g g g g g g
accelerations in the FHR.
g g g g
14. A nurse is reviewing lab results for a client who is at 37 wks gestation. Thenurse notes
g g g g g g g g g g g g g g g g g
that the client is rubella non-immune, positive for group A beta- hemolytic strep, and has
g g g g g g g g g g g g g g g
a blood type O neg. What action should the nurse take?
g g g g g g g g g g g
a. instruct the client to obtain a rubella immunization after delivery g g g g g g g g g
b. request a script for an antibiotic until delivery g g g g g g g
