ATI MATERNAL NEWBORN
FINAL EXAM
Real exam 2023
SmartPrep Examinations
since 2010
SmartPrep Examinations
, Maternal newborn ati proctored
exam/304Questions and 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 what lab test will be used to confirm her
pregnancy?
a. .rine test for presencethe of HCG
b. urine test for the presence of HCS
c. blood test for presthe ence of estrogen
d. blood test for the amount of circulating progesterone - Correct Answer -a.
urine test fthe or 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 Chadwick’sea
b. chadwick's sign
c. positive pregnancy test - Correct Answer -a. palpable fetal movement
A nurse is caring for a cloligohydramniosgohydraminios. 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.
SmartPrep Examinations
,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
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. non-urgent 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 the 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 tZidovudinedine throughout
thepregnancy
-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.
SmartPrep Examinations
, 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 infusions. The nurse notes that the
clientis having contractions every 2 min whichlastst 100-110 seconds that
the fetalheart rate is reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via a 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
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-section
b. perforendotrachealch 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
The nurse should ensure that all supplies and equipment needed for the
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 - Correct Answer -b. perform a
vaginal exam
SmartPrep Examinations
FINAL EXAM
Real exam 2023
SmartPrep Examinations
since 2010
SmartPrep Examinations
, Maternal newborn ati proctored
exam/304Questions and 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 what lab test will be used to confirm her
pregnancy?
a. .rine test for presencethe of HCG
b. urine test for the presence of HCS
c. blood test for presthe ence of estrogen
d. blood test for the amount of circulating progesterone - Correct Answer -a.
urine test fthe or 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 Chadwick’sea
b. chadwick's sign
c. positive pregnancy test - Correct Answer -a. palpable fetal movement
A nurse is caring for a cloligohydramniosgohydraminios. 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.
SmartPrep Examinations
,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
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. non-urgent 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 the 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 tZidovudinedine throughout
thepregnancy
-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.
SmartPrep Examinations
, 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 infusions. The nurse notes that the
clientis having contractions every 2 min whichlastst 100-110 seconds that
the fetalheart rate is reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via a 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
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-section
b. perforendotrachealch 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
The nurse should ensure that all supplies and equipment needed for the
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 - Correct Answer -b. perform a
vaginal exam
SmartPrep Examinations
