ATI RN MATERNAL NEWBORN PROCTORED 2023 RETAKE
FINAL EXAM WITH NGN QNS & ANS (VERIFIED REVISED
FULL EXAM)
• A nurse is caring for a client admitted for induction of labor due to intrauterine
fetal demise at 32 weeks. What statement by the nurse would be most
therapeutic at this time?
• After you recover you can hopefully conceive again and start your family.
• My sister lost a baby too, I know how you feel and I’m here to help.
• If you want to talk about how you’re feeling, I can call a chaplain.
• Would you like to hold your baby after he is born?
• A G1P0 is 8 weeks gestation, and the provider does not detect a fetal heartbeat
on the ultrasound. What assessment data must be collected in order to ensure
the safety of future pregnancies?
• Chromosomal studies of the placental tissue.
• The fetus’ blood type.
• Maternal while blood cell count.
• Maternal Rh status.
• Following a cerclage at 14 weeks, the nurse counsels the client to report
any cramping or contractions. What is the rational for these instructions?
• The client is at risk for bleeding if she contracts with cerclage in place
• Contractions can indicate that cerclage procedure was unsuccessful
• Fetus’ lungs are not yet developed, so preterm birth would be dangerous
• Labor is contraindicated due to the scar on the uterus
• A client is 10 weeks and arrives at her first prenatal visit. An ultrasound reveals
implantation in the right fallopian tube. What important education should the
patient receive?
• The client should return in two weeks to see if the pregnancy has
migrated into the uterus.
• The client needs to take Methotrexate and stop her prenatal vitamins.
• The client should be rushed to emergency surgery for the removal of
her pregnancy.
, • The pregnancy could end in miscarriage so the nurse should
recommend grief counseling.
*Methotrexate will stop cell replication so the body will detect not further growth and
will then release it and it will be expelled
• The nurse is caring for a G1P0 who experienced a miscarriage at home.
Which statement is true about her future pregnancies?
• She has increased risk of future miscarriages.
• She is a candidate for a Cerclage procedure.
• She should avoid pregnancy for at least one year.
• It is most likely that her next pregnancy will be healthy.
*She would only be a greater risk of miscarriages if it was greater than 3
miscarriages. The Cerclage procedure is for an incompetent cervix where it is
stitched closed. Avoid pregnancy for a year for a molar pregnancy.
• A nurse is caring for a client on magnesium sulfate for preeclampsia.
Which finding would indicate that the magnesium level is below therapeutic
range?
• minimal variability
• deep tendon reflexes +3
• shallow respirations
• arrhythmias
• The nurse is assisting with amniotomy. The nurse immediately notes the color
of amniotic fluid is port wine. What condition does this finding indicate?
• Incomplete abortion
• Placenta previa
• Uterine rupture
• Placental abruption
• Which of the following clients would be at risk for developing s placenta previa?
• G2P1 with a history of gestational diabetes
• G1P0 Native American with chronic hypertension
• G3P1 with a placental abruption in her first pregnancy
• G3P2 with a history of 2 C-sections
C-sections can leave scarring on fundus, and the implantation will happen in the lower
uterus.
• A 34-week client with a placenta previa arrives for the office visit. What action by
the nurse shows understanding of this condition?
• Educate the client about c-section as the vaginal birth is contraindicated
• Educate the client that her previa will likely resolve before the delivery
FINAL EXAM WITH NGN QNS & ANS (VERIFIED REVISED
FULL EXAM)
• A nurse is caring for a client admitted for induction of labor due to intrauterine
fetal demise at 32 weeks. What statement by the nurse would be most
therapeutic at this time?
• After you recover you can hopefully conceive again and start your family.
• My sister lost a baby too, I know how you feel and I’m here to help.
• If you want to talk about how you’re feeling, I can call a chaplain.
• Would you like to hold your baby after he is born?
• A G1P0 is 8 weeks gestation, and the provider does not detect a fetal heartbeat
on the ultrasound. What assessment data must be collected in order to ensure
the safety of future pregnancies?
• Chromosomal studies of the placental tissue.
• The fetus’ blood type.
• Maternal while blood cell count.
• Maternal Rh status.
• Following a cerclage at 14 weeks, the nurse counsels the client to report
any cramping or contractions. What is the rational for these instructions?
• The client is at risk for bleeding if she contracts with cerclage in place
• Contractions can indicate that cerclage procedure was unsuccessful
• Fetus’ lungs are not yet developed, so preterm birth would be dangerous
• Labor is contraindicated due to the scar on the uterus
• A client is 10 weeks and arrives at her first prenatal visit. An ultrasound reveals
implantation in the right fallopian tube. What important education should the
patient receive?
• The client should return in two weeks to see if the pregnancy has
migrated into the uterus.
• The client needs to take Methotrexate and stop her prenatal vitamins.
• The client should be rushed to emergency surgery for the removal of
her pregnancy.
, • The pregnancy could end in miscarriage so the nurse should
recommend grief counseling.
*Methotrexate will stop cell replication so the body will detect not further growth and
will then release it and it will be expelled
• The nurse is caring for a G1P0 who experienced a miscarriage at home.
Which statement is true about her future pregnancies?
• She has increased risk of future miscarriages.
• She is a candidate for a Cerclage procedure.
• She should avoid pregnancy for at least one year.
• It is most likely that her next pregnancy will be healthy.
*She would only be a greater risk of miscarriages if it was greater than 3
miscarriages. The Cerclage procedure is for an incompetent cervix where it is
stitched closed. Avoid pregnancy for a year for a molar pregnancy.
• A nurse is caring for a client on magnesium sulfate for preeclampsia.
Which finding would indicate that the magnesium level is below therapeutic
range?
• minimal variability
• deep tendon reflexes +3
• shallow respirations
• arrhythmias
• The nurse is assisting with amniotomy. The nurse immediately notes the color
of amniotic fluid is port wine. What condition does this finding indicate?
• Incomplete abortion
• Placenta previa
• Uterine rupture
• Placental abruption
• Which of the following clients would be at risk for developing s placenta previa?
• G2P1 with a history of gestational diabetes
• G1P0 Native American with chronic hypertension
• G3P1 with a placental abruption in her first pregnancy
• G3P2 with a history of 2 C-sections
C-sections can leave scarring on fundus, and the implantation will happen in the lower
uterus.
• A 34-week client with a placenta previa arrives for the office visit. What action by
the nurse shows understanding of this condition?
• Educate the client about c-section as the vaginal birth is contraindicated
• Educate the client that her previa will likely resolve before the delivery
