ATI MATERNAL NEWBORN PROCTORED
EXAM 2023
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 - ==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 - ==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 - ==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 - ==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 - ==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
c. fetal heart tones
,d. decreased urinary output - ==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 - ==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 - ==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 - ==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 - ==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 - ==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 - ==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 - ==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 - ==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 - ==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 - ==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.
A nurse is caring for a client who is in the latent phase of labor and is experiencing low back
pain. What action should the nurse take?
a. position the client supine with legs elevated
b. instruct the client to pant during contractions
c. encourage the client to soak in a warm bath
d. apply pressure to the client's sacral area during contractions - ==d. apply pressure to the
client's sacral area during contractions
A nurse is teaching a client who is at 12 wks gestation about manifestations of potential
complications that she should report to her provider. What info should the nurse include in
the teaching?
a. intermittent nausea
b. white vaginal discharge
c. swelling of the face
d. urinary frequency - ==c. swelling of the face
A nurse is teaching a client who is at 10 wks gestation about an abd. ultrasound in the first
trimester. What info should the nurse include in the teaching? a. you will need to have a
full bladder during the ultrasound
b. you will have a non stress test prior to the ultrasound
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Davieacademia. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.99. You're not tied to anything after your purchase.
