ATI MATERNAL NEWBORN PROCTORED
EXAM 2023-2024 MATERNAL NEWBORN A
PROCTORED EXAM LATEST UPDATE
QUESTIONS & CORRECT ANSWERS RATE
A+
A nurse is caring for a patient who is at 32 wks gestation and is experiencing prete
labor. What meds should the nurse plan toadminister?
• Misoprostol
• Betamethasone
• Poractant alfa
• Methylergonovine - CORRECT ANSWER-b. Betamethasone
A nurse at a prenatal clinic is caring for a patient who suspects she may be pregna
and asks the nurse how the provider will confirm her pregnancy. The nurse should
inform the patient that what lab test will beused to confirm her pregnancy?
• Urine test for presence of HCG
• Urine test for the presence of HCS
• Blood test for presence of estrogen
• Blood test for the amount of circulating progesterone - CORRECTANSWER
Urine test for presence of HCG
A nurse is caring for a patient who believes she may be pregnant. Whatfinding sho
the nurse identify as a positive sign of pregnancy?
• Palpable fetal movement
• Amenorrhea
,• Chadwick's sign
• Positive pregnancy test - CORRECT ANSWER-a. Palpable fetalmovement
A nurse is caring for a patient who has oligohydraminios. What fetalanomalies sho
the nurse expect?
• Renal agenesis
• Atrial septal defect
• Spina bifida
• Hydrocephalus - CORRECT ANSWER-a. Renal agenesis
A nurse is assessing a patient who is at 37 wks gestation and has a suspected pelvi
fracture due to blunt abd trauma. What findings shouldthe nurse expect?
• Uterine contractions
• Bradycardia
• Seizures
• Bradypnea - CORRECT ANSWER-a. Uterine contractions
The nurse should expect the patient to be experiencing uterinecontractions due to
abdominal trauma.
A nurse is assessing a patient who is at 12 wks gestation and hashydatidiform mol
What findings should the nurse expect?
• Hypothermia
• Dark brown vaginal discharge
• Fetal heart tones
• Decreased urinary output - CORRECT ANSWER-b. Dark brown vaginal
discharge
,A hydatidiform mole, or a molar pregnancy, is a benign proliferativegrowth 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 o
the uterine wall, vaginal discharge is usually dark brown and can contain grapelike
clusters.
A nurse is assessing a patient who is at 35 weeks of gestation and has mild gestat
HTN. What finding should the nurse identify as thepriority?
• 480 ml urine output in 24 hrs
• 1+ protein in the urine
C. +2 edema of the feet
D. BP 144/92 - CORRECT ANSWER-a. 480 ml urine output in 24 hrs
When using the urgent vs. Nonurgent approach to patient care, the nurse should
determine that the priority finding is 480 ml of urine output in 24hr because the
minimum acceptable urine output in an adult patient 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 patient who is at 12 wks gestation and has HIV. What statem
should the nurse include in the teaching?
• You will be in isolation after delivery
• Abstain from sexual intercourse throughout pregnancy
• Breastfeed your newborn to provide passive immunity
• You should continue to take zidovudine throughout the pregnancy -CORREC
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 patient that taking prescription antiviral medication e
day decreases the risk of transmission of HIV to hernewborn.
A nurse is providing teaching to a patient who is at 8 wks gestation about
manifestations to report to the provider during pregnancy. What info should the nu
include in the teaching?
• Nausea upon awakening
• Blurred or double vision
• Increase in white vaginal discharge
• Leg cramps when sleeping - CORRECT ANSWER-b. Blurred ordouble visi
A nurse is caring for a patient who is in the latent phase of labor and is receiving
oxytocin via continuous IV infusion. The nurse notes that the patient is having
contractions every 2 min which last 100-110 seconds that the fetal heart rate is
reassuring. What action should the nurse take?
• Decrease the dose of oxytocin by half
• Administer oxygen via nonrebreather mask
• Decrease the infusion rate of the maintenance IV fluid
• Administer terbutaline 0.25mg subq - CORRECT ANSWER-a.Decrease the
of oxytocin by half
The nurse should decrease the dose of oxytocin by half because thepatient is
experiencing uterine tachysystole.
A nurse is caring for a patient who is in active labor and has meconium staining of
amniotic fluid. The nurse notes a reassuring FHR tracingfrom the external fetal
monitor. What action should the nurse take?
• Prepare the patient for emergency c-section
• Perform endotrach suctioning as soon as the fetal head is delivered
EXAM 2023-2024 MATERNAL NEWBORN A
PROCTORED EXAM LATEST UPDATE
QUESTIONS & CORRECT ANSWERS RATE
A+
A nurse is caring for a patient who is at 32 wks gestation and is experiencing prete
labor. What meds should the nurse plan toadminister?
• Misoprostol
• Betamethasone
• Poractant alfa
• Methylergonovine - CORRECT ANSWER-b. Betamethasone
A nurse at a prenatal clinic is caring for a patient who suspects she may be pregna
and asks the nurse how the provider will confirm her pregnancy. The nurse should
inform the patient that what lab test will beused to confirm her pregnancy?
• Urine test for presence of HCG
• Urine test for the presence of HCS
• Blood test for presence of estrogen
• Blood test for the amount of circulating progesterone - CORRECTANSWER
Urine test for presence of HCG
A nurse is caring for a patient who believes she may be pregnant. Whatfinding sho
the nurse identify as a positive sign of pregnancy?
• Palpable fetal movement
• Amenorrhea
,• Chadwick's sign
• Positive pregnancy test - CORRECT ANSWER-a. Palpable fetalmovement
A nurse is caring for a patient who has oligohydraminios. What fetalanomalies sho
the nurse expect?
• Renal agenesis
• Atrial septal defect
• Spina bifida
• Hydrocephalus - CORRECT ANSWER-a. Renal agenesis
A nurse is assessing a patient who is at 37 wks gestation and has a suspected pelvi
fracture due to blunt abd trauma. What findings shouldthe nurse expect?
• Uterine contractions
• Bradycardia
• Seizures
• Bradypnea - CORRECT ANSWER-a. Uterine contractions
The nurse should expect the patient to be experiencing uterinecontractions due to
abdominal trauma.
A nurse is assessing a patient who is at 12 wks gestation and hashydatidiform mol
What findings should the nurse expect?
• Hypothermia
• Dark brown vaginal discharge
• Fetal heart tones
• Decreased urinary output - CORRECT ANSWER-b. Dark brown vaginal
discharge
,A hydatidiform mole, or a molar pregnancy, is a benign proliferativegrowth 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 o
the uterine wall, vaginal discharge is usually dark brown and can contain grapelike
clusters.
A nurse is assessing a patient who is at 35 weeks of gestation and has mild gestat
HTN. What finding should the nurse identify as thepriority?
• 480 ml urine output in 24 hrs
• 1+ protein in the urine
C. +2 edema of the feet
D. BP 144/92 - CORRECT ANSWER-a. 480 ml urine output in 24 hrs
When using the urgent vs. Nonurgent approach to patient care, the nurse should
determine that the priority finding is 480 ml of urine output in 24hr because the
minimum acceptable urine output in an adult patient 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 patient who is at 12 wks gestation and has HIV. What statem
should the nurse include in the teaching?
• You will be in isolation after delivery
• Abstain from sexual intercourse throughout pregnancy
• Breastfeed your newborn to provide passive immunity
• You should continue to take zidovudine throughout the pregnancy -CORREC
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 patient that taking prescription antiviral medication e
day decreases the risk of transmission of HIV to hernewborn.
A nurse is providing teaching to a patient who is at 8 wks gestation about
manifestations to report to the provider during pregnancy. What info should the nu
include in the teaching?
• Nausea upon awakening
• Blurred or double vision
• Increase in white vaginal discharge
• Leg cramps when sleeping - CORRECT ANSWER-b. Blurred ordouble visi
A nurse is caring for a patient who is in the latent phase of labor and is receiving
oxytocin via continuous IV infusion. The nurse notes that the patient is having
contractions every 2 min which last 100-110 seconds that the fetal heart rate is
reassuring. What action should the nurse take?
• Decrease the dose of oxytocin by half
• Administer oxygen via nonrebreather mask
• Decrease the infusion rate of the maintenance IV fluid
• Administer terbutaline 0.25mg subq - CORRECT ANSWER-a.Decrease the
of oxytocin by half
The nurse should decrease the dose of oxytocin by half because thepatient is
experiencing uterine tachysystole.
A nurse is caring for a patient who is in active labor and has meconium staining of
amniotic fluid. The nurse notes a reassuring FHR tracingfrom the external fetal
monitor. What action should the nurse take?
• Prepare the patient for emergency c-section
• Perform endotrach suctioning as soon as the fetal head is delivered
