Ati Rn Maternal Newborn Nursing
Review Exam With All Questions And
Answers
Chadwick's sign - ✔✔✔ANSWER-Blueish-purple coloration of vagina and
cervix
-A probable sign of pregnancy
Hegar's sign - ✔✔✔ANSWER-Softening of lower uterus
-A probable sign of pregnancy
Ballottment - ✔✔✔ANSWER-Light tap of the examiner's fingers on cervix
causes the fetus to rise in the amniotic fluid, then rebound to it's original position
(rebound of unengaged fetus); occurs at 16-18 wks
,-A probable sign of pregnancy
Quickening - ✔✔✔ANSWER-A woman's first awareness of fetal movement;
flutter movements of fetus, occurs around 16-20 wks
-*Presumptive sign* of pregnancy (observed by woman that makes her suspicious
of being preg.)
What IV solution should the nurse plan to give prior to administering a pain
anesthetic solution to a patient in labor? - ✔✔✔ANSWER-The nurse should
plan to administer 500-1,000 mL of LR's or 0.9% NS at 15 to 30 minutes prior to
admin. of the first dose of anesthetic solution to decrease the risk of maternal
hypotension. The nurse should NOT admin. Dextrose 5% (or any %) because it can
cause maternal hyperglycemia and neonatal hypoglycemia
A nurse is caring for a pt. who is at 15 wks gestation, is rh-negative, and just had
an Amniocentesis. Which of the following interventions is the nurse's priority
following the procedure?
A.) Check Pt.'s temp.
B.) Observe for UC's
C.) Admin. Rho-Immunoglobulin
D.) Monitor the FHR - ✔✔✔ANSWER-Answer= D- greatest risk to pt. and
fetus is fetal death.
Rationale=
, C- the nurse should admin. Rho-immunoglobulin to prevent sensitization.
However, this is not the PRIORITY nursing intervention
A nurse is providing care for a pt. who is at 32 wks gestation & has Placenta
Previa. The nurse notes that the pt. is actively bleeding. Which of the following
medications should the nurse anticipate will be prescribed?
A. Betamethasone
B. Indomethacin
C. Nifedipine
D. Methylergonovine - ✔✔✔ANSWER-*A.) Betamethasone: Given to
promote lung maturity if delivery is anticipated*
B.) Indomethacin is given to pt. in preterm labor
C.) Nifedipine is given to pt.'s in preterm labor
D.) Methylergonovine is prescribed to pt. experiencing postpartum hemorrhage
A nurse at a clinic is caring for a pt. who is at 4 months of gestation. The pt. reports
continued N/V & scant, prune-colored discharge. She has no wt. loss and has a
fundal height greater than expected. Which of the following complications should
the nurse expect?
A. Hyperemesis Gravidarum
B. Threatened Abortion
C. Hydatiform mole
D. Preterm labor - ✔✔✔ANSWER-Answer= C Hydatiform mole.
Review Exam With All Questions And
Answers
Chadwick's sign - ✔✔✔ANSWER-Blueish-purple coloration of vagina and
cervix
-A probable sign of pregnancy
Hegar's sign - ✔✔✔ANSWER-Softening of lower uterus
-A probable sign of pregnancy
Ballottment - ✔✔✔ANSWER-Light tap of the examiner's fingers on cervix
causes the fetus to rise in the amniotic fluid, then rebound to it's original position
(rebound of unengaged fetus); occurs at 16-18 wks
,-A probable sign of pregnancy
Quickening - ✔✔✔ANSWER-A woman's first awareness of fetal movement;
flutter movements of fetus, occurs around 16-20 wks
-*Presumptive sign* of pregnancy (observed by woman that makes her suspicious
of being preg.)
What IV solution should the nurse plan to give prior to administering a pain
anesthetic solution to a patient in labor? - ✔✔✔ANSWER-The nurse should
plan to administer 500-1,000 mL of LR's or 0.9% NS at 15 to 30 minutes prior to
admin. of the first dose of anesthetic solution to decrease the risk of maternal
hypotension. The nurse should NOT admin. Dextrose 5% (or any %) because it can
cause maternal hyperglycemia and neonatal hypoglycemia
A nurse is caring for a pt. who is at 15 wks gestation, is rh-negative, and just had
an Amniocentesis. Which of the following interventions is the nurse's priority
following the procedure?
A.) Check Pt.'s temp.
B.) Observe for UC's
C.) Admin. Rho-Immunoglobulin
D.) Monitor the FHR - ✔✔✔ANSWER-Answer= D- greatest risk to pt. and
fetus is fetal death.
Rationale=
, C- the nurse should admin. Rho-immunoglobulin to prevent sensitization.
However, this is not the PRIORITY nursing intervention
A nurse is providing care for a pt. who is at 32 wks gestation & has Placenta
Previa. The nurse notes that the pt. is actively bleeding. Which of the following
medications should the nurse anticipate will be prescribed?
A. Betamethasone
B. Indomethacin
C. Nifedipine
D. Methylergonovine - ✔✔✔ANSWER-*A.) Betamethasone: Given to
promote lung maturity if delivery is anticipated*
B.) Indomethacin is given to pt. in preterm labor
C.) Nifedipine is given to pt.'s in preterm labor
D.) Methylergonovine is prescribed to pt. experiencing postpartum hemorrhage
A nurse at a clinic is caring for a pt. who is at 4 months of gestation. The pt. reports
continued N/V & scant, prune-colored discharge. She has no wt. loss and has a
fundal height greater than expected. Which of the following complications should
the nurse expect?
A. Hyperemesis Gravidarum
B. Threatened Abortion
C. Hydatiform mole
D. Preterm labor - ✔✔✔ANSWER-Answer= C Hydatiform mole.
