NURSING 412 ATI MATERNAL NEWBORN
PROCTORED 2023/2024 Questions and detailed
Answers
A registered nurse is teaching a patient who is at 12 weeks
gestation and has HIV. What statement should the registered nurse
include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourseual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy
ANSWER: d. you should continue to take zidovudine throughout
the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sexual intercourse
The registered nurse should inform the patient that taking
prescription antiviral medication every day decreases the risk of
transmission of HIV to her newborn.
A registered nurse is providing teaching to a patient who is at 8 weeks
,gestation about manifestations to report to the provider during pregnancy.
What info should the registered nurse include in the teaching?
nausea upon awakening
a. blurred or double vision
b. increase in white vaginal discharge
c. leg cramps when sleeping
ANSWER: b. blurred or double vision
A registered nurse is caring for a patient who is in the latent phase of
labor and is receiving oxytocin via continuous IV infusion. The
registered 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 registered
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 ANSWER: a. decrease the
dose of oxytocin by half
The registered nurse should decrease the dose of oxytocin by half
,because the patient is experiencing uterine tachysystole.
A registered nurse is caring for a patient who is in active labor and has
meconium staining of the amniotic fluid. The registered nurse notes a
reassuring FHR tracing from the external fetal monitor. What action
should the registered nurse take?
, a. prepare the patient 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 patient for an ultrasound exam ANSWER: c.
prepare equipment needed for newborn resuscitation
The registered 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 registered nurse is reviewing the medical record of a patient who is at
33 weeks gestation and has placenta previa and bleeding. What scripts
should the registered nurse clarify with the provider?
a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing
ANSWER: b. perform a vaginal exam
When a patient has a placenta previa, the placenta implants in the lower
part of the uterus and obstructs the cervical os (the opening to the
PROCTORED 2023/2024 Questions and detailed
Answers
A registered nurse is teaching a patient who is at 12 weeks
gestation and has HIV. What statement should the registered nurse
include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourseual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy
ANSWER: d. you should continue to take zidovudine throughout
the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sexual intercourse
The registered nurse should inform the patient that taking
prescription antiviral medication every day decreases the risk of
transmission of HIV to her newborn.
A registered nurse is providing teaching to a patient who is at 8 weeks
,gestation about manifestations to report to the provider during pregnancy.
What info should the registered nurse include in the teaching?
nausea upon awakening
a. blurred or double vision
b. increase in white vaginal discharge
c. leg cramps when sleeping
ANSWER: b. blurred or double vision
A registered nurse is caring for a patient who is in the latent phase of
labor and is receiving oxytocin via continuous IV infusion. The
registered 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 registered
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 ANSWER: a. decrease the
dose of oxytocin by half
The registered nurse should decrease the dose of oxytocin by half
,because the patient is experiencing uterine tachysystole.
A registered nurse is caring for a patient who is in active labor and has
meconium staining of the amniotic fluid. The registered nurse notes a
reassuring FHR tracing from the external fetal monitor. What action
should the registered nurse take?
, a. prepare the patient 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 patient for an ultrasound exam ANSWER: c.
prepare equipment needed for newborn resuscitation
The registered 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 registered nurse is reviewing the medical record of a patient who is at
33 weeks gestation and has placenta previa and bleeding. What scripts
should the registered nurse clarify with the provider?
a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing
ANSWER: b. perform a vaginal exam
When a patient has a placenta previa, the placenta implants in the lower
part of the uterus and obstructs the cervical os (the opening to the
