RN Maternal newborn ati proctored exam
Study online at https://quizlet.com/_fd1pra
SNHD AEMT PROTOCOL
1. 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? a.
misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine: b. betamethasone
2. 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?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone: a. urine test for
presence of HCG
3. 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
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test: a. palpable fetal movement
4. A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect? a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus: a. renal agenesis
5. 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?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea: a. uterine contractions
,RN Maternal newborn ati proctored exam
Study online at https://quizlet.com/_fd1pra
The nurse should expect the client to be experiencing uterine contractions due to
abdominal trauma.
6. A nurse is assessing a client who is at 12 wks gestation and has hydatidiform
mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output: 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.
7. 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?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92: 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.
8. A nurse is teaching a client who is at 12 wks gestation and has HIV. What
statement should the nurse include in the teaching? a. you will be in
isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy: d. you
should continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
,RN Maternal newborn ati proctored exam
Study online at https://quizlet.com/_fd1pra
The nurse should inform the client that taking prescription antiviral medication
every day decreases the risk of transmission of HIV to her newborn.
9. 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? a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping: b. blurred or double vision
10. 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? a. decrease the
dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq: 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.
11. 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? a. prepare the
client for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam: 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.
12. 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?
a. insert a large-bore IV catheter
b. perform a vaginal exam
, RN Maternal newborn ati proctored exam
Study online at https://quizlet.com/_fd1pra
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing: 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.
13. 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?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds: 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.
14. 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?
a. instruct the client to obtain a rubella immunization after delivery
b. request a script for an antibiotic until delivery
c. inform the client that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin: a. instruct the client to obtain
a rubella immunization after delivery
15. 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? a. total
pregnancy wt gain of 3.6 kg
b. fetal GI anomaly
c. gestational HTN
d. fundal height of 34 cm: b. fetal GI anomaly
Study online at https://quizlet.com/_fd1pra
SNHD AEMT PROTOCOL
1. 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? a.
misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine: b. betamethasone
2. 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?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone: a. urine test for
presence of HCG
3. 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
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test: a. palpable fetal movement
4. A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect? a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus: a. renal agenesis
5. 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?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea: a. uterine contractions
,RN Maternal newborn ati proctored exam
Study online at https://quizlet.com/_fd1pra
The nurse should expect the client to be experiencing uterine contractions due to
abdominal trauma.
6. A nurse is assessing a client who is at 12 wks gestation and has hydatidiform
mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output: 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.
7. 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?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92: 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.
8. A nurse is teaching a client who is at 12 wks gestation and has HIV. What
statement should the nurse include in the teaching? a. you will be in
isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy: d. you
should continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
,RN Maternal newborn ati proctored exam
Study online at https://quizlet.com/_fd1pra
The nurse should inform the client that taking prescription antiviral medication
every day decreases the risk of transmission of HIV to her newborn.
9. 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? a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping: b. blurred or double vision
10. 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? a. decrease the
dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq: 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.
11. 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? a. prepare the
client for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam: 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.
12. 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?
a. insert a large-bore IV catheter
b. perform a vaginal exam
, RN Maternal newborn ati proctored exam
Study online at https://quizlet.com/_fd1pra
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing: 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.
13. 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?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds: 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.
14. 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?
a. instruct the client to obtain a rubella immunization after delivery
b. request a script for an antibiotic until delivery
c. inform the client that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin: a. instruct the client to obtain
a rubella immunization after delivery
15. 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? a. total
pregnancy wt gain of 3.6 kg
b. fetal GI anomaly
c. gestational HTN
d. fundal height of 34 cm: b. fetal GI anomaly
