Maternal Newborn Exam 3 ATI and
Powerpoint Questions and Correct
Answers
ATI Chapter 7
1. A nurse in the emergency department is caring for a client who reports abrupt, sharp, right sided
lower quadrant abdominal pain and bright red vaginal bleeding. The client states, "I missed one
menstrual cycle and cannot be pregnant because I have an intrauterine device." The nurse should
suspect which of the following?
A. Missed abortion
B. Ectopic pregnancy
C. Sever preeclampsia
D. Hydatidiform mole - Correct Answer: Answer: B (ectopic pregnancy)
Rationale: Manifestations of an ectopic pregnancy include unilateral lower quadrant pain with or without
bleeding. Use of an IUD is a risk factor associated with this condition
ATI Chapter 7
2. A nurse is providing care for a client who has a marginal abruptio placentae. Which of the following
findings are risk factors for developing the condition?
(Select All That Apply)
A. Fetal position
B. Blunt abdominal trauma
C. Cocaine use
D. Maternal age
E. Cigarette smoking - Correct Answer: Answer: B, C, D (blunt abdominal pain, cocaine use, cigarette
smoking)
,Rationale: blunt abdominal pain, cocaine use, and cigarette smoking are all risk factors associated with
abruptio placentae
ATI Chapter 7
3. A nurse is caring for a client who is at 32 weeks of gestation and has a placenta prevue. The nurse
notes that the client is actively bleeding. Which of the following medications should the nurse expect the
provider will prescribe?
A. Betamethasone
B. Indomethacin
C. Nifedipine
D. Methylergonovine - Correct Answer: Answer: A (betamethasone)
Rationale: Betamethasone is given to promote lung maturity if delivery is anticipated
ATI Chapter 7
4. A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports
continued nausea; vomiting; and scant, prune colored discharge. The client has experience no weight
loss and has a fundal height larger than expected. Which of the following complications should the nurse
suspect?
A. Hyperemesis gravidarum
B. Threatened abortion
C. Hydatidiform mole
D. Preterm labor - Correct Answer: Answer: C (hydatidiform mole)
Rationale: A client who has a hydatidiform mole exhibits increased fundal height that is inconsistent with
the week of gestation, and excessive nausea and vomiting due to elevated hCG levels. Scant, dark
discharge occurs in the second trimester
ATI Chapter 7
, 5. A nurse is caring for a client who is experiencing a ruptured ectopic pregnancy. Which of the following
findings is expected with this condition?
A. No alteration in menses
B. Transvaginal ultrasound indicating a fetus in the uterus
C. Blood progesterone greater than the expected reference range
D. Report of sever shoulder pain - Correct Answer: Answer: D (report of shoulder pain)
Rationale: A client's report of severe shoulder pain is a finding associated with a ruptured ectopic
pregnancy due to the presence of blood in the abdominal cavity, which irritated the diaphragm and
phrenic nerve
ATI Chapter 8
1. A nurse is admitting a client who is in labor and has HIV. Which of the following interventions should
the nurse identify as contraindicated for this client?
(Select all that apply)
A. Vacuum extractor
B. Oxytocin infusion
C. Forceps
D. Cesarean birth
E. Internal fetal monitoring - Correct Answer: Answer: A, C, E
Rationale:
A (vacuum extractor): the use of a vacuum extractor should be avoided for a client who is HIV positive
due to risk of exposing the fetus to maternal blood
C (forceps): the use of forceps during delivery should be avoided due to the risk of fetal bleeding
E (internal fetal monitoring): internal fetal monitoring should be avoided due to the risk of fetal bleeding
Powerpoint Questions and Correct
Answers
ATI Chapter 7
1. A nurse in the emergency department is caring for a client who reports abrupt, sharp, right sided
lower quadrant abdominal pain and bright red vaginal bleeding. The client states, "I missed one
menstrual cycle and cannot be pregnant because I have an intrauterine device." The nurse should
suspect which of the following?
A. Missed abortion
B. Ectopic pregnancy
C. Sever preeclampsia
D. Hydatidiform mole - Correct Answer: Answer: B (ectopic pregnancy)
Rationale: Manifestations of an ectopic pregnancy include unilateral lower quadrant pain with or without
bleeding. Use of an IUD is a risk factor associated with this condition
ATI Chapter 7
2. A nurse is providing care for a client who has a marginal abruptio placentae. Which of the following
findings are risk factors for developing the condition?
(Select All That Apply)
A. Fetal position
B. Blunt abdominal trauma
C. Cocaine use
D. Maternal age
E. Cigarette smoking - Correct Answer: Answer: B, C, D (blunt abdominal pain, cocaine use, cigarette
smoking)
,Rationale: blunt abdominal pain, cocaine use, and cigarette smoking are all risk factors associated with
abruptio placentae
ATI Chapter 7
3. A nurse is caring for a client who is at 32 weeks of gestation and has a placenta prevue. The nurse
notes that the client is actively bleeding. Which of the following medications should the nurse expect the
provider will prescribe?
A. Betamethasone
B. Indomethacin
C. Nifedipine
D. Methylergonovine - Correct Answer: Answer: A (betamethasone)
Rationale: Betamethasone is given to promote lung maturity if delivery is anticipated
ATI Chapter 7
4. A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports
continued nausea; vomiting; and scant, prune colored discharge. The client has experience no weight
loss and has a fundal height larger than expected. Which of the following complications should the nurse
suspect?
A. Hyperemesis gravidarum
B. Threatened abortion
C. Hydatidiform mole
D. Preterm labor - Correct Answer: Answer: C (hydatidiform mole)
Rationale: A client who has a hydatidiform mole exhibits increased fundal height that is inconsistent with
the week of gestation, and excessive nausea and vomiting due to elevated hCG levels. Scant, dark
discharge occurs in the second trimester
ATI Chapter 7
, 5. A nurse is caring for a client who is experiencing a ruptured ectopic pregnancy. Which of the following
findings is expected with this condition?
A. No alteration in menses
B. Transvaginal ultrasound indicating a fetus in the uterus
C. Blood progesterone greater than the expected reference range
D. Report of sever shoulder pain - Correct Answer: Answer: D (report of shoulder pain)
Rationale: A client's report of severe shoulder pain is a finding associated with a ruptured ectopic
pregnancy due to the presence of blood in the abdominal cavity, which irritated the diaphragm and
phrenic nerve
ATI Chapter 8
1. A nurse is admitting a client who is in labor and has HIV. Which of the following interventions should
the nurse identify as contraindicated for this client?
(Select all that apply)
A. Vacuum extractor
B. Oxytocin infusion
C. Forceps
D. Cesarean birth
E. Internal fetal monitoring - Correct Answer: Answer: A, C, E
Rationale:
A (vacuum extractor): the use of a vacuum extractor should be avoided for a client who is HIV positive
due to risk of exposing the fetus to maternal blood
C (forceps): the use of forceps during delivery should be avoided due to the risk of fetal bleeding
E (internal fetal monitoring): internal fetal monitoring should be avoided due to the risk of fetal bleeding
