Maternal
newborn ati
proctored
exam/304
Questions and
Answers 2023
,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 that
what lab test will be used to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone - Correct Answer -a. urine test for
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
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test - Correct Answer -a. palpable fetal movement
A nurse is caring for a client who has oligohydraminios. 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.
A nurse is assessing a client who is at 12 wks 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. 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
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
-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 - 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 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 - 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 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
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 - Correct 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 prescription
because any manipulation can cause tearing of the placenta and increased bleeding.
A nurse is caring for a client who is at 37 wks gestation and is undergoing a nonstress test. The
FHR is 130 without accelerations for the past 10 min.
What action should the nurse take?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
newborn ati
proctored
exam/304
Questions and
Answers 2023
,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 that
what lab test will be used to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone - Correct Answer -a. urine test for
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
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test - Correct Answer -a. palpable fetal movement
A nurse is caring for a client who has oligohydraminios. 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.
A nurse is assessing a client who is at 12 wks 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. 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
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
-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 - 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 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 - 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 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
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 - Correct 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 prescription
because any manipulation can cause tearing of the placenta and increased bleeding.
A nurse is caring for a client who is at 37 wks gestation and is undergoing a nonstress test. The
FHR is 130 without accelerations for the past 10 min.
What action should the nurse take?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
