ATI MATERNAL NEWBORN PROCTORED EXAM 1 REAL EXAM
CORRECT QUESTIONS STUDYGUIDE WITH VERIFIED
ANSWERS 2024 JUST RELEASED
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
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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 - 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.
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
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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 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
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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
d. leg cramps when sleeping - CORRECT ANSWER >>>>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 ANSWER >>>>a.
decrease the dose of oxytocin by half
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