ATI MATERNAL
NEWBORNPROCTORED2023/2024EXA
MREVIEW
Questions & Answers Study Guide A
100%SOLVED
A nurse is caring for a client who is at 32 wks gestation and
isexperiencingpretermlabor.Whatmedsshouldthenurseplantoadminister?
a. misoprostol
b. betamethasone
c. poractantalfa
d. methylergonovineCorrectAnswer:b.betamethasone
Anurseataprenatalcliniciscaringforaclientwhosuspectsshemaybepregnant
and asks the nurse how the provider will confirm herpregnancy. The
nurse should inform the client that what lab test will beused
toconfirmherpregnancy?
a. urinetestforpresenceofHCG
b. urinetestforthepresenceofHCS
c. bloodtestforpresenceofestrogen
d. bloodtestfortheamountofcirculatingprogesteroneCorrectAnswer:
a.urinetestforpresenceofHCG
Anurseiscaringforaclientwhobelievesshemaybepregnant.Whatfindingshould
thenurseidentify asapositivesignofpregnancy?
a. palpablefetalmovement
b. amenorrhea
c. chadwick'ssign
d. positivepregnancytestCorrectAnswer:a.palpablefetalmovement
Anurseiscaringforaclientwhohasoligohydraminios.Whatfetalanomaliesshou
ld thenurseexpect?
a. renalagenesis
b. atrialseptaldefect
,c. spinabifida
d. hydrocephalusCorrectAnswer:a.renalagenesis
A nurse is assessing a client who is at 37 wks gestation and has
asuspectedpelvicfractureduetobluntabdtrauma.Whatfindingsshouldthenu
rseexpect?
a. uterinecontractions
b. bradycardia
c. seizures
d. bradypneaCorrectAnswer:a.uterinecontractions
Anurseisassessingaclientwhoisat12wksgestationandhashydatidiformmole.
Whatfindingsshouldthenurseexpect?
a. hypothermia
b. darkbrownvaginaldischarge
c. fetalhearttones
d. decreasedurinaryoutputCorrectAnswer:b.darkbrownvaginaldischar
ge
A hydatidiform mole, or a molar pregnancy, is a benign
proliferativegrowth of the chorionic villi, which gives rise to
multiple cysts. Theproducts of conception transform into a large
number of edematous,fluid-filled vesicles. As cells slough off the
uterine wall,
vaginaldischargeisusuallydarkbrownandcancontaingrapelikeclusters
.
Anurseisassessing
aclientwhoisat35weeksofgestationandhasmildgestationalHTN.What
findingshouldthenurseidentifyasthepriority?
a. 480mLurineoutputin24hrs
b. 1+protein intheurine
c.+2edemaofthe feet
d.BP144/92CorrectAnswer:a.480mLurineoutputin24hrs
,When using the urgent vs. nonurgent approach to client care, the
nurseshould determine that the priority finding is 480 mL of urine
output in24 hr because the minimum acceptable urine output in an adult
client
is30mL/hr.Thiscanindicateprogressionofpreeclampsiatopreeclampsiawit
h severe features, which requires immediate intervention.
Therefore,thisisthepriorityfinding.
A
nurseisteachingaclientwhoisat12wksgestationandhasHIV.Whatstateme
ntshould thenurseinclude intheteaching?
a. youwillbeinisolationafterdelivery
b. abstainfromsexualintercoursethroughoutpregnancy
c. breastfeedyournewborntoprovidepassiveimmunity
d. you should continue to take zidovudine throughout the
pregnancyCorrectAnswer:d.youshouldcontinuetotakezidovudinethroug
houtthepregnancy
The nurse should inform the client that taking prescription
antiviralmedicationeverydaydecreasestheriskoftransmissionofHIVtoh
ernewborn.
Anurseisprovidingteachingtoaclientwhoisat8wksgestationaboutmanifestati
ons to report to the provider during pregnancy. What
infoshouldthenurse includeintheteaching?
a. nauseauponawakening
b. blurredordoublevision
c. increaseinwhitevaginaldischarge
d. legcrampswhensleepingCorrectAnswer:b.blurredor
doublevision
A nurse is caring for a client who is in the latent phase of labor and
isreceivingoxytocinviacontinuousIVinfusion.Thenursenotesthatthe
, client is having contractions every 2 min which last 100-110
secondsthatthefetalheartrateisreassuring.Whatactionshouldthenursetake?
a. decreasethedoseofoxytocinbyhalf
b. administeroxygenvianonrebreathermask
c. decreasetheinfusionrateofthemaintenanceIVfluid
d. administerterbutaline0.25mgsubqCorrectAnswer:a.decreasethedose
ofoxytocinby half
A nurse is caring for a client who is in active labor and has
meconiumstainingoftheamnioticfluid.ThenursenotesareassuringFHRtra
cingfromtheexternalfetalmonitor.Whataction shouldthenursetake?
a. preparetheclientforemergencyc-section
b. performendotrachsuctioningassoonasthefetalheadis delivered
c. prepareequipmentneededfornewbornresuscitation
d. preparetheclientforanultrasoundexamCorrectAnswer:c.prepareequip
mentneededfornewborn resuscitation
The nurse should ensure that all supplies and equipment needed
forresuscitation of the newborn are readily available for every
delivery.Endotrachealsuctioningisrecommendedincasesofmeconiumstai
ningonly if the newborn has poor respiratory effort, decreased muscle
tone,andbradycardiaafterdelivery.
A nurse is reviewing the medical record of a client who is at 33
wksgestationandhasplacentapreviaandbleeding.Whatscriptsshouldthenur
seclarifywiththeprovider?
a. insertalarge-boreIVcatheter
b. performavaginalexam
c. performcontinuousexternalfetalmonitoring
d. obtainablood
sampleforlabtestingCorrectAnswer:b.performavaginalexam
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