ATI RN MATERNAL NEWBORN 2023 PROCTORED EXAM COMPLETE 70
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
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 ANSWERS-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 ANSWERS-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 - CORRECT ANSWERS-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
d. leg cramps when sleeping - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-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.
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 - CORRECT ANSWERS-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.
, 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 - CORRECT ANSWERS-a. instruct the client to
obtain a rubella immunization after delivery
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 - CORRECT ANSWERS-b. fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn fetus.
Gastrointestinal malformations and neurologic disorders are expected findings for a fetus experiencing
the effects of polyhydramnios.
A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate via continuous IV
infusion about expected adverse effects. What adverse effects should the nurse include in the teaching?
a. elevated BP
b. feeling of warmth
c. generalized pruritis
d. hyperactivity - CORRECT ANSWERS-b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her body while the magnesium
sulfate is infusing.
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
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 ANSWERS-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 ANSWERS-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 - CORRECT ANSWERS-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
d. leg cramps when sleeping - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-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.
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 - CORRECT ANSWERS-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.
, 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 - CORRECT ANSWERS-a. instruct the client to
obtain a rubella immunization after delivery
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 - CORRECT ANSWERS-b. fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn fetus.
Gastrointestinal malformations and neurologic disorders are expected findings for a fetus experiencing
the effects of polyhydramnios.
A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate via continuous IV
infusion about expected adverse effects. What adverse effects should the nurse include in the teaching?
a. elevated BP
b. feeling of warmth
c. generalized pruritis
d. hyperactivity - CORRECT ANSWERS-b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her body while the magnesium
sulfate is infusing.
