NGN ATI RN MATERNAL NEWBORN 2024
EXAM/RN ATI MATERNAL NEWBORN
PROCTORED EXAM 300 ACTUAL
QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALE /A+ GRADE
ASSURED
A nurse is caring for a client who is anemic at 32 weeks
of gestation and is in preterm labor. The provider
prescribed betamethasone 12 mg IM. Which of the
following outcomes should the nurse expect?
A. Decreased uterine contractions
B. An increase in the client's hemoglobin levels
C. A reduction in respiratory distress in the newborn
D. Increased production of antibodies in the newborn -
....ANSWER...C. A reduction in respiratory distress in the
newborn
RATIONALE: Betamethasone is a glucocorticoid that is
given to stimulate fetal lung maturity and prevent
respiratory distress.
A nurse is assessing a client who received carboprost
for postpartum hemorrhage. Which of the following
findings is an adverse effect of this medication?
A. Hypertension
,B. Hypothermia
C. Constipation
D. Muscle weakness - ....ANSWER...A. Hypertension
RATIONALE: The nurse should recognize that
carboprost is a vasoconstrictor that can cause
hypertension.
A nurse is reviewing the prenatal laboratory results for
a client who is at 12 weeks of gestation following an
initial prenatal visit. Which of the following laboratory
findings should the nurse report to the provider?
A. Hemoglobin 10 g/dL
B. WBC count 10,000/mm3
C. Platelets 250,000/mm3
D. Fasting blood glucose 90 mg/dL - ....ANSWER...A.
Hemoglobin 10 g/dL
RATIONALE: A hemoglobin of 10 g/dL is below the
expected reference range of greater than 11 g/dL for a
client who is pregnant. The nurse should report this
finding to the provider to obtain a prescription for
ferrous iron supplementation because of anemia.
A nurse is admitting a client to the labor and delivery
unit when the client states, "My water just broke."
Which of the following interventions is the nurse's
priority?
A. Perform Nitrazine testing.
B. Assess the fluid.
,C. Check cervical dilation.
D. Begin FHR monitoring. - ....ANSWER...D. Begin FHR
monitoring.
RATIONALE: The greatest risk to the client and her fetus
following a rupture of membranes is umbilical cord
prolapse. The nurse should monitor the fetus closely to
ensure well-being. Therefore, this is the priority action
the nurse should take.
A nurse in a provider's office is reviewing the medical
record of a client who is in the first trimester of
pregnancy. Which of the following findings should the
nurse identify as a risk factor for the development of
preeclampsia?
A. Singleton pregnancy
B. BMI of 20
C. Maternal age 32 years
D. Pregestational diabetes mellitus - ....ANSWER...D.
Pregestational diabetes mellitus
RATIONALE: Pregestational diabetes mellitus increases
a client's risk for the development of preeclampsia.
Other risk factors include preexisting hypertension,
renal disease, systemic lupus erythematosus, and
rheumatoid arthritis.
A nurse is caring for a client who is at 15 weeks of
gestation, is Rh-negative, and has just had an
amniocentesis. Which of the following interventions is
the nurse's priority following the procedure?
, A. Check the client's temperature.
B. Observe for uterine contractions.
C. Administer Rho(D) immune globulin.
D. Monitor the FHR. - ....ANSWER...D. Monitor the FHR.
RATIONALE: The greatest risk to this client and her
fetus is fetal death. Therefore, the priority nursing
intervention is to monitor the FHR following an
amniocentesis.
A nurse is preparing to collect a blood specimen from a
newborn via a heel stick. Which of the following
techniques should the nurse use to help minimize the
pain of the procedure for the newborn?
A. Apply a cool pack for 10 min to the heel prior to the
puncture.
B. Request a prescription for IM analgesic.
C. Use a manual lance blade to pierce the skin.
D. Place the newborn skin to skin on the mother's
chest. - ....ANSWER...D. Place the newborn skin to skin
on the mother's chest.
RATIONALE: Placing the newborn skin to skin on the
mother's chest is an effective technique to significantly
decrease the newborn's pain level and anxiety. The
nurse should implement this technique before, during,
and after the procedure.
EXAM/RN ATI MATERNAL NEWBORN
PROCTORED EXAM 300 ACTUAL
QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALE /A+ GRADE
ASSURED
A nurse is caring for a client who is anemic at 32 weeks
of gestation and is in preterm labor. The provider
prescribed betamethasone 12 mg IM. Which of the
following outcomes should the nurse expect?
A. Decreased uterine contractions
B. An increase in the client's hemoglobin levels
C. A reduction in respiratory distress in the newborn
D. Increased production of antibodies in the newborn -
....ANSWER...C. A reduction in respiratory distress in the
newborn
RATIONALE: Betamethasone is a glucocorticoid that is
given to stimulate fetal lung maturity and prevent
respiratory distress.
A nurse is assessing a client who received carboprost
for postpartum hemorrhage. Which of the following
findings is an adverse effect of this medication?
A. Hypertension
,B. Hypothermia
C. Constipation
D. Muscle weakness - ....ANSWER...A. Hypertension
RATIONALE: The nurse should recognize that
carboprost is a vasoconstrictor that can cause
hypertension.
A nurse is reviewing the prenatal laboratory results for
a client who is at 12 weeks of gestation following an
initial prenatal visit. Which of the following laboratory
findings should the nurse report to the provider?
A. Hemoglobin 10 g/dL
B. WBC count 10,000/mm3
C. Platelets 250,000/mm3
D. Fasting blood glucose 90 mg/dL - ....ANSWER...A.
Hemoglobin 10 g/dL
RATIONALE: A hemoglobin of 10 g/dL is below the
expected reference range of greater than 11 g/dL for a
client who is pregnant. The nurse should report this
finding to the provider to obtain a prescription for
ferrous iron supplementation because of anemia.
A nurse is admitting a client to the labor and delivery
unit when the client states, "My water just broke."
Which of the following interventions is the nurse's
priority?
A. Perform Nitrazine testing.
B. Assess the fluid.
,C. Check cervical dilation.
D. Begin FHR monitoring. - ....ANSWER...D. Begin FHR
monitoring.
RATIONALE: The greatest risk to the client and her fetus
following a rupture of membranes is umbilical cord
prolapse. The nurse should monitor the fetus closely to
ensure well-being. Therefore, this is the priority action
the nurse should take.
A nurse in a provider's office is reviewing the medical
record of a client who is in the first trimester of
pregnancy. Which of the following findings should the
nurse identify as a risk factor for the development of
preeclampsia?
A. Singleton pregnancy
B. BMI of 20
C. Maternal age 32 years
D. Pregestational diabetes mellitus - ....ANSWER...D.
Pregestational diabetes mellitus
RATIONALE: Pregestational diabetes mellitus increases
a client's risk for the development of preeclampsia.
Other risk factors include preexisting hypertension,
renal disease, systemic lupus erythematosus, and
rheumatoid arthritis.
A nurse is caring for a client who is at 15 weeks of
gestation, is Rh-negative, and has just had an
amniocentesis. Which of the following interventions is
the nurse's priority following the procedure?
, A. Check the client's temperature.
B. Observe for uterine contractions.
C. Administer Rho(D) immune globulin.
D. Monitor the FHR. - ....ANSWER...D. Monitor the FHR.
RATIONALE: The greatest risk to this client and her
fetus is fetal death. Therefore, the priority nursing
intervention is to monitor the FHR following an
amniocentesis.
A nurse is preparing to collect a blood specimen from a
newborn via a heel stick. Which of the following
techniques should the nurse use to help minimize the
pain of the procedure for the newborn?
A. Apply a cool pack for 10 min to the heel prior to the
puncture.
B. Request a prescription for IM analgesic.
C. Use a manual lance blade to pierce the skin.
D. Place the newborn skin to skin on the mother's
chest. - ....ANSWER...D. Place the newborn skin to skin
on the mother's chest.
RATIONALE: Placing the newborn skin to skin on the
mother's chest is an effective technique to significantly
decrease the newborn's pain level and anxiety. The
nurse should implement this technique before, during,
and after the procedure.
