ATI MATERNAL NEWBORN 2024 PROCTORED EXA
ACTUAL EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS/A+ GRADE ASSURED
A nurse is caring for a patient who is at 32 wks gestation and is experiencing
pretermlabor. What meds should the nurse plan to administer?
• misoprostol
• betamethasone
• c. poractant alfa
d. methylergonovine - ANS-b. betamethasone
A nurse at a prenatal clinic is caring for a patient who suspects she may be pregnant
andasks the nurse how the provider will confirm her pregnancy. The nurse should
inform the patient that what lab test will be used to confirm her pregnancy?
• urine test for presence of HCG
• urine test for the presence of HCS
• c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone - ANS-a. urine test for
presenceof HCG
A nurse is caring for a patient who believes she may be pregnant. What finding
shouldthe nurse identify as a positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test - ANS-a. palpable fetal movement
A nurse is caring for a patient who has oligohydraminios. What fetal anomalies
should thenurse expect?
• renal agenesis
• atrial septal defect
• c. spina bifida
d. hydrocephalus - ANS-a. renal agenesis
A nurse is assessing a patient who is at 37 wks gestation and has a suspected
pelvicfracture due to blunt abd trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea - ANS-a. uterine contractions
The nurse should expect the patient to be experiencing uterine contractions due to
abdominal trauma.
,A nurse is assessing a patient who is at 12 wks gestation and has hydatidiform
mole.What findings should the nurse expect?
• hypothermia
• dark brown vaginal
discharge
• c. fetal heart tones
d. decreased urinary output - ANS-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
transforminto 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 patient 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 - ANS-a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to patient 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 patient 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 patient who is at 12 wks gestation and has HIV. What
statementshould the nurse include in the teaching?
• you will be in isolation after delivery
• abstain from sexual intercourse throughout pregnancy
• c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy - ANS-d.
youshould continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the patient that taking prescription antiviral medication every
daydecreases the risk of transmission of HIV to her newborn.
A nurse is providing teaching to a patient who is at 8 wks gestation about
manifestationsto 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 - ANS-b. blurred or double vision
A nurse is caring for a patient who is in the latent phase of labor and is receiving
oxytocinvia continuous IV infusion. The nurse notes that the patient is having
contractions every 2 min which last 100-110 seconds that the fetal heart rate is
reassuring. What action should the nurse take?
• decrease the dose of oxytocin by half
• administer oxygen via nonrebreather mask
• decrease the infusion rate of the maintenance IV fluid
• administer terbutaline 0.25mg subq - ANS-a. decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the patient is
experiencing uterine tachysystole.
A nurse is caring for a patient 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?
• prepare the patient for emergency c-section
• perform endotrach suctioning as soon as the fetal head is
deliveredc. prepare equipment needed for newborn resuscitation
d. prepare the patient for an ultrasound exam - ANS-c. prepare equipment
needed fornewborn resuscitation
The nurse should ensure that all supplies and equipment needed for resuscitation of
thenewborn 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 patient 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
• perform a vaginal exam
• perform continuous external fetal monitoring
• obtain a blood sample for lab testing - ANS-b. perform a vaginal exam
When a patient 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
andincreased bleeding.
, A nurse is caring for a patient 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 thenurse 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 patient's abd for 3 seconds - ANS-d. use
vibroacousticstim on the patient's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the patient's abdomen to elicit
fetalactivity because the fetus is most likely sleeping. Fetal movement should
cause accelerations in the FHR.
A nurse is reviewing lab results for a patient who is at 37 wks gestation. The nurse
notes that the patient is rubella non-immune, positive for group A beta-hemolytic
strep, and hasa blood type O neg. What action should the nurse take?
a. instruct the patient to obtain a rubella immunization after
delivery
b. request a script for an antibiotic until delivery
c. inform the patient that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin - ANS-a. instruct the patient to
obtain arubella immunization after delivery
A nurse is reviewing the med record of a patient who is at 39 wks gestation and
haspolyhydramnios. 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 - ANS-b. fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn
fetus. Gastrointestinal malformations and neurologic disorders are expected findings
fora fetus experiencing the effects of polyhydramnios.
A nurse is teaching a patient 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?
• elevated BP
• feeling of warmth
• c. generalized pruritis
d. hyperactivity - ANS-b. feeling of warmth
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