ATI Maternal Newborn (2023/2024) Proctored
FULL Exam | 200 CORRECT Questions and
Verified Answers| Rasmussen
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? - 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? - 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 - ANSWER >>> a. palpable fetal
movement
A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect? - 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? - 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? -
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? - 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? - 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? - 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? - 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? - 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? - 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? - ANSWER >>>
d. use vibroacoustic stim on the client's abd for 3 seconds
, The nurse should use a vibroacoustic stimulator on the client's
abdomen to elicit fetal activity because the fetus is most likely
sleeping. Fetal movement should cause accelerations in the FHR.
A nurse is reviewing lab results for a client who is at 37 wks gestation.
The nurse notes that the client is rubella non-immune, positive for
group A beta-hemolytic strep, and has a blood type O neg. What
action should the nurse take? - ANSWER >>> a. instruct the client to
obtain a rubella immunization after delivery
A nurse is reviewing the med record of a client who is at 39 wks
gestation and has polyhydramnios. What finding should the nurse
expect? - ANSWER >>> b. fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid
surrounding the unborn fetus. Gastrointestinal malformations and
neurologic disorders are expected findings for a fetus experiencing the
effects of polyhydramnios.
A nurse is caring for a client who is in the latent phase of labor and is
experiencing low back pain. What action should the nurse take? -
ANSWER >>> d. apply pressure to the client's sacral area during
contractions
A nurse is teaching a client who has pre-eclampsia and is to receive
magnesium sulfate via continuous IV infusion about expected adverse
effects. What adverse effects should the nurse include in the
teaching? - ANSWER >>> b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over
her body while the magnesium sulfate is infusing.
A nurse is teaching a client who is at 12 wks gestation about
manifestations of potential complications that she should report to her
provider. What info should the nurse include in the teaching? -
ANSWER >>> c. swelling of the face
FULL Exam | 200 CORRECT Questions and
Verified Answers| Rasmussen
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? - 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? - 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 - ANSWER >>> a. palpable fetal
movement
A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect? - 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? - 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? -
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? - 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? - 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? - 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? - 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? - 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? - 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? - ANSWER >>>
d. use vibroacoustic stim on the client's abd for 3 seconds
, The nurse should use a vibroacoustic stimulator on the client's
abdomen to elicit fetal activity because the fetus is most likely
sleeping. Fetal movement should cause accelerations in the FHR.
A nurse is reviewing lab results for a client who is at 37 wks gestation.
The nurse notes that the client is rubella non-immune, positive for
group A beta-hemolytic strep, and has a blood type O neg. What
action should the nurse take? - ANSWER >>> a. instruct the client to
obtain a rubella immunization after delivery
A nurse is reviewing the med record of a client who is at 39 wks
gestation and has polyhydramnios. What finding should the nurse
expect? - ANSWER >>> b. fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid
surrounding the unborn fetus. Gastrointestinal malformations and
neurologic disorders are expected findings for a fetus experiencing the
effects of polyhydramnios.
A nurse is caring for a client who is in the latent phase of labor and is
experiencing low back pain. What action should the nurse take? -
ANSWER >>> d. apply pressure to the client's sacral area during
contractions
A nurse is teaching a client who has pre-eclampsia and is to receive
magnesium sulfate via continuous IV infusion about expected adverse
effects. What adverse effects should the nurse include in the
teaching? - ANSWER >>> b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over
her body while the magnesium sulfate is infusing.
A nurse is teaching a client who is at 12 wks gestation about
manifestations of potential complications that she should report to her
provider. What info should the nurse include in the teaching? -
ANSWER >>> c. swelling of the face
