ATI 3.0 Maternal Newborn 1 Questions
and Answers Graded A
A nurse is assessing a client who is at 35 weeks of gestation and is receiving magnesium sulfate
via continuous IV infusion for severe pre-eclampsia. Which of the following findings should the
nurse report to the provider?
A: Deep Tendon Reflexes 2+
B: BP 150/96 mm Hg
C: Urinary output 20 mL/hr
D: Respiratory Rate 16/min ✔✔C: Urinary output 20 mL/hr
This can indicate inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A
decrease in urinary output can also indicate a decrease in renal perfusion secondary to a
worsening of the pre-eclampsia
A nurse is reviewing lab results for a client who is at 37 weeks gestation. The nurse notes that the
client is rubella non-immune, positive for group A beta-hemolytic streptococci, and has a blood
type of O negative. Which of the following actions should the nurse take?
,A: Administer a dose of Rho(D) immune globulin
B: Request a prescription for an antibiotic until delivery
C: Instruct the client to obtain a rubella immunization after delivery
D: Inform the client that she will need to deliver via cesarean birth ✔✔C: Instruct the client to
obtain a rubella immunization after delivery
The client is not immune to rubella and should receive this immunization after delivery.
Not A because the client should have received this dose at 28 weeks gestation and should receive
it again within 72 hrs if the client's newborn is Rh-positive
A nurse is assessing a client who is at 34 weeks of gestation and has a mild placental abruption.
Which of the following findings should the nurse expect?
A: Increased platelet count
B: Fetal distress
C: Decreased urinary output
D: Dark red vaginal bleeding ✔✔D: Dark red vaginal bleeding
, The nurse should expect the client to have minimal dark red vaginal bleeding.
A nurse is teaching a client who is at 8 weeks gestation and has a uterine fibroid about potential
effects of the fibroid during pregnancy. Which of the following info should the nurse include in
the teaching?
A: "The fibroid will shrink during the pregnancy."
B: "The fibroid can increase the risk for postpartum hemorrhage."
C: "You will receive an injection of medroxyprogesterone acetate to shrink the fibroid."
D: "You will have to undergo a cesarean birth because of the fibroid." ✔✔B: "The fibroid can
increase the risk for postpartum hemorrhage."
This is due to the increase in blood supply to the uterus, which supports the fibroid.
A nurse is caring for a client who is in the latent phase of labor and is experiencing low back
pain. Which of the following actions should the nurse take?
A: Instruct the client to pant during contractions
B: Position the client supine with legs elevated
and Answers Graded A
A nurse is assessing a client who is at 35 weeks of gestation and is receiving magnesium sulfate
via continuous IV infusion for severe pre-eclampsia. Which of the following findings should the
nurse report to the provider?
A: Deep Tendon Reflexes 2+
B: BP 150/96 mm Hg
C: Urinary output 20 mL/hr
D: Respiratory Rate 16/min ✔✔C: Urinary output 20 mL/hr
This can indicate inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A
decrease in urinary output can also indicate a decrease in renal perfusion secondary to a
worsening of the pre-eclampsia
A nurse is reviewing lab results for a client who is at 37 weeks gestation. The nurse notes that the
client is rubella non-immune, positive for group A beta-hemolytic streptococci, and has a blood
type of O negative. Which of the following actions should the nurse take?
,A: Administer a dose of Rho(D) immune globulin
B: Request a prescription for an antibiotic until delivery
C: Instruct the client to obtain a rubella immunization after delivery
D: Inform the client that she will need to deliver via cesarean birth ✔✔C: Instruct the client to
obtain a rubella immunization after delivery
The client is not immune to rubella and should receive this immunization after delivery.
Not A because the client should have received this dose at 28 weeks gestation and should receive
it again within 72 hrs if the client's newborn is Rh-positive
A nurse is assessing a client who is at 34 weeks of gestation and has a mild placental abruption.
Which of the following findings should the nurse expect?
A: Increased platelet count
B: Fetal distress
C: Decreased urinary output
D: Dark red vaginal bleeding ✔✔D: Dark red vaginal bleeding
, The nurse should expect the client to have minimal dark red vaginal bleeding.
A nurse is teaching a client who is at 8 weeks gestation and has a uterine fibroid about potential
effects of the fibroid during pregnancy. Which of the following info should the nurse include in
the teaching?
A: "The fibroid will shrink during the pregnancy."
B: "The fibroid can increase the risk for postpartum hemorrhage."
C: "You will receive an injection of medroxyprogesterone acetate to shrink the fibroid."
D: "You will have to undergo a cesarean birth because of the fibroid." ✔✔B: "The fibroid can
increase the risk for postpartum hemorrhage."
This is due to the increase in blood supply to the uterus, which supports the fibroid.
A nurse is caring for a client who is in the latent phase of labor and is experiencing low back
pain. Which of the following actions should the nurse take?
A: Instruct the client to pant during contractions
B: Position the client supine with legs elevated
