ATI RN MATERNAL NEWBORN 2023 PROCTORED
EXAM\\\ATI RN MATERNAL NEWBORN REAL
EXAM 2025
The nurse should expect the client to be experiencing uterine contractions due to abdominal trauma.
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 ----ANS---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.
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 ----ANS---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.
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 ----ANS---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 client that taking prescription antiviral medication every day decreases the
risk of transmission of HIV to her newborn.
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 ----ANS---b. betamethasone
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 ----ANS---a. urine test for presence of HCG
,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 ----ANS---a. palpable fetal movement
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 ----ANS---a. renal agenesis
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 ----ANS---a. uterine contractions
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 ----ANS---b. blurred or double vision
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 ----ANS---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.
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 ----ANS---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.
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
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing ----ANS---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.
EXAM\\\ATI RN MATERNAL NEWBORN REAL
EXAM 2025
The nurse should expect the client to be experiencing uterine contractions due to abdominal trauma.
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 ----ANS---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.
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 ----ANS---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.
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 ----ANS---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 client that taking prescription antiviral medication every day decreases the
risk of transmission of HIV to her newborn.
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 ----ANS---b. betamethasone
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 ----ANS---a. urine test for presence of HCG
,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 ----ANS---a. palpable fetal movement
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 ----ANS---a. renal agenesis
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 ----ANS---a. uterine contractions
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 ----ANS---b. blurred or double vision
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 ----ANS---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.
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 ----ANS---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.
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
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing ----ANS---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.
