ATI RN MATERNAL NEWBORN FINAL
EXAM QUESTIONS AND ANSWERS 2025
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 - correct answer- 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 - correct
answer- 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
,2 | Page
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test - correct answer- 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 - correct answer- 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 - correct answer- a. uterine contractions
The nurse should expect the client to be experiencing uterine
contractions due to abdominal trauma.
,3 | Page
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 - correct answer- 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 - correct answer- 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
, 4 | Page
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 - correct 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 client that taking prescription
antiviral medication every day decreases the risk of
transmission of HIV to her newborn.
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