ATI RN MATERNAL NEWBORN PROCTORED
RETAKE EXAM QUESTIONS AND VERIFIED
ANSWERS
Question 1
A nurse is planning care for a client who is pregnant and has HIV. Which of the
following actions should the
nurse include in the plan of care?
A. Instruct the client to stop taking the antiretroviral medication at 32 weeks of
gestation.
B. Use a fetal scalp electrode during labor and delivery.
C. Administer a pneumococcal immunization to the newborn within 4 hr following
birth.
D. Bathe the newborn before initiating skin-to-skin contact
Correct Answer
D
Question 2
A nurse is assessing a client following an amniocentesis. Which of the following
findings should the nurse
recognize as complications? (select all that apply).
A. Amnionitis
B. Urinary tract infection
C. Polyhydramnios
D. Leakage of amniotic fluid
E. Preterm labor
Correct Answer
ADE
Page 1 of 34
,Question 3
A nurse is assessing a newborn whose mother had a primary cytomegalovirus
infection during pregnancy. The
newborns acquired CMV trans placentally. Which of the following findings should the
nurse expect the newborn to
exhibit?
A) Urinary tract infection
B) Cataracts
C) Hearing loss
D) Macrosomia
Correct Answer
C
Question 4
A nurse is caring for a client who has pregestational diabetes. Which of the following
findings should indicate to the
nurse the client has hyperglycemia?
A) Dizziness
B) Increased urination
C) Sweating
D) Double vision
Correct Answer
B
Question 5
A nurse is caring for a client who is in active labor and reports sudden, severe lower
abdominal pain. The nurse
observes a drop in the client's blood pressure and notes cool skin and pallor. The fetal
heart rate tracing shows prolonged
bradycardia. Which of the following complications should the nurse expect?
A) Placenta Previa
B) Amniotic fluid embolism
C) Uterine rupture
D) Umbilical cord prolapse
Correct Answer
C
Page 2 of 34
,Question 6
A nurse is assessing a client who is at 37 weeks of gestation. Which of the following
statements by the client requires immediate intervention by the nurse?
A. "It burns when I urinate
B. "My feet are really swollen today".
Correct Answer
A
Question 7
A charge nurse is teaching a group of staff nurses about fetal monitoring during
labor. Which of the following findings should the charge nurse instruct the staff
members to report to the provider?
A. Contractions duration 95 seconds to 100 seconds
B. Contraction frequency 2-3 minutes
C. Absent early decelerations of fetal heart rate
Correct Answer
C
Question 8
A nurse is assisting the provider to administer dinoprostone insert to induce labor.
Which of the following actions
should the nurse take?
A) Verify informed consent is obtained
B) Place the client in a semi-fowlers position
C) Instruct the client to avoid urinary elimination until after administration
D) Allow the medication to reach room temperature prior to administration
Correct Answer
D
Page 3 of 34
, Question 9
A nurse on a labor and delivery unit is providing teaching to a client who plans to use
hypnosis to control labor
pain. Which of the following information should the nurse include?
A. Focusing on controlling body functions
B. "Synchronized breathing will be required during hypnosis"
C. "Hypnosis can be beneficial in you practiced it during the prenatal period"
D. "Hypnosis does not work for controlling pain associated with labor".
Correct Answer
-
Question 10
A nurse is reviewing the medical record for a client who is receiving treatment for
gestational diabetes. Which of the
following medications should the nurse expect to administer?
A) Nifedipine
B) Chlorpromazine
C) Glyburide
D) Levothyroxine
Correct Answer
C
Question 11
A nurse is admitting a client who is at 38 weeks gestation following spontaneous
rupture of membranes. The nurse
performs a vaginal examination and palpates the umbilical cord. Which of the
following actions should the nurse take
first?
A) Request that the provider insert an intrauterine pressure catheter
B) Initiate oxytocin via continuous IV infusion
C) Place the client in a left lateral position
D) Exert continuous upward pressure on the presenting part
Correct Answer
D
Page 4 of 34
RETAKE EXAM QUESTIONS AND VERIFIED
ANSWERS
Question 1
A nurse is planning care for a client who is pregnant and has HIV. Which of the
following actions should the
nurse include in the plan of care?
A. Instruct the client to stop taking the antiretroviral medication at 32 weeks of
gestation.
B. Use a fetal scalp electrode during labor and delivery.
C. Administer a pneumococcal immunization to the newborn within 4 hr following
birth.
D. Bathe the newborn before initiating skin-to-skin contact
Correct Answer
D
Question 2
A nurse is assessing a client following an amniocentesis. Which of the following
findings should the nurse
recognize as complications? (select all that apply).
A. Amnionitis
B. Urinary tract infection
C. Polyhydramnios
D. Leakage of amniotic fluid
E. Preterm labor
Correct Answer
ADE
Page 1 of 34
,Question 3
A nurse is assessing a newborn whose mother had a primary cytomegalovirus
infection during pregnancy. The
newborns acquired CMV trans placentally. Which of the following findings should the
nurse expect the newborn to
exhibit?
A) Urinary tract infection
B) Cataracts
C) Hearing loss
D) Macrosomia
Correct Answer
C
Question 4
A nurse is caring for a client who has pregestational diabetes. Which of the following
findings should indicate to the
nurse the client has hyperglycemia?
A) Dizziness
B) Increased urination
C) Sweating
D) Double vision
Correct Answer
B
Question 5
A nurse is caring for a client who is in active labor and reports sudden, severe lower
abdominal pain. The nurse
observes a drop in the client's blood pressure and notes cool skin and pallor. The fetal
heart rate tracing shows prolonged
bradycardia. Which of the following complications should the nurse expect?
A) Placenta Previa
B) Amniotic fluid embolism
C) Uterine rupture
D) Umbilical cord prolapse
Correct Answer
C
Page 2 of 34
,Question 6
A nurse is assessing a client who is at 37 weeks of gestation. Which of the following
statements by the client requires immediate intervention by the nurse?
A. "It burns when I urinate
B. "My feet are really swollen today".
Correct Answer
A
Question 7
A charge nurse is teaching a group of staff nurses about fetal monitoring during
labor. Which of the following findings should the charge nurse instruct the staff
members to report to the provider?
A. Contractions duration 95 seconds to 100 seconds
B. Contraction frequency 2-3 minutes
C. Absent early decelerations of fetal heart rate
Correct Answer
C
Question 8
A nurse is assisting the provider to administer dinoprostone insert to induce labor.
Which of the following actions
should the nurse take?
A) Verify informed consent is obtained
B) Place the client in a semi-fowlers position
C) Instruct the client to avoid urinary elimination until after administration
D) Allow the medication to reach room temperature prior to administration
Correct Answer
D
Page 3 of 34
, Question 9
A nurse on a labor and delivery unit is providing teaching to a client who plans to use
hypnosis to control labor
pain. Which of the following information should the nurse include?
A. Focusing on controlling body functions
B. "Synchronized breathing will be required during hypnosis"
C. "Hypnosis can be beneficial in you practiced it during the prenatal period"
D. "Hypnosis does not work for controlling pain associated with labor".
Correct Answer
-
Question 10
A nurse is reviewing the medical record for a client who is receiving treatment for
gestational diabetes. Which of the
following medications should the nurse expect to administer?
A) Nifedipine
B) Chlorpromazine
C) Glyburide
D) Levothyroxine
Correct Answer
C
Question 11
A nurse is admitting a client who is at 38 weeks gestation following spontaneous
rupture of membranes. The nurse
performs a vaginal examination and palpates the umbilical cord. Which of the
following actions should the nurse take
first?
A) Request that the provider insert an intrauterine pressure catheter
B) Initiate oxytocin via continuous IV infusion
C) Place the client in a left lateral position
D) Exert continuous upward pressure on the presenting part
Correct Answer
D
Page 4 of 34
