RN MATERNAL NEWBORN ATI PROCTORED NEWEST 2024-2025 ACTU
EXAM COMPLETE 304 FREQUENTLY TESTED QUESTIONS AND CORRE
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A nurse is caring for a client who is
at 32 wks gestation and is experienc-
ing preterm labor. What meds should the
nurse plan to administer?
b. betamethasone
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
A nurse at a prenatal clinic is caring for
a client who suspects she may be preg-
nant 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
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 nurse is caring for a client who be-
lieves she may be pregnant. What finding
should the nurse identify as a positive
sign of pregnancy?
a. palpable fetal movement
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test
A nurse is caring for a client who has
oligohydraminios. What fetal anomalies
should the nurse expect?
a. renal agenesis a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
A nurse is assessing a client who is at
37 wks gestation and has a suspected
, RN MATERNAL NEWBORN ATI PROCTORED NEWEST 2024-2025 ACTU
EXAM COMPLETE 304 FREQUENTLY TESTED QUESTIONS AND CORRE
DETAILED ANSWERS
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pelvic fracture due to blunt abd trauma.
a. uterine contractions
What findings should the nurse expect?
a. uterine contractions
The nurse should expect the client to be
b. bradycardia
experiencing uterine contractions due to
c. seizures
abdominal trauma.
d. bradypnea
b. dark brown vaginal discharge
A nurse is assessing a client who is at
A hydatidiform mole, or a molar pregnan-
12 wks gestation and has hydatidiform
cy, is a benign proliferative growth of the
mole. What findings should the nurse ex-
chorionic villi, which gives rise to multiple
pect?
cysts. The products of conception trans-
a. hypothermia
form into a large number of edematous,
b. dark brown vaginal discharge
fluid-filled vesicles. As cells slough off the
c. fetal heart tones
uterine wall, vaginal discharge is usually
d. decreased urinary output
dark brown and can contain grapelike
clusters.
a. 480 mL urine output in 24 hrs
A nurse is assessing a client who is When using the urgent vs. nonurgent ap-
at 35 weeks of gestation and has mild proach to client care, the nurse should
gestational HTN. What finding should the determine that the priority finding is
nurse identify as the priority? 480 mL of urine output in 24 hr be-
a. 480 mL urine output in 24 hrs cause the minimum acceptable urine
b. 1+ protein in the urine output in an adult client is 30 mL/hr. This
c. +2 edema of the feet can indicate progression of preeclamp-
d. BP 144/92 sia 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 d. you should continue to take zidovudine
wks gestation and has HIV. What state- throughout the pregnancy
ment should the nurse include in the
teaching? -can be transmitted through breastfeed-
a. you will be in isolation after delivery ing
b. abstain from sexual intercourse -she can continue to have sex
throughout pregnancy
c. breastfeed your newborn to provide The nurse should inform the client that
, RN MATERNAL NEWBORN ATI PROCTORED NEWEST 2024-2025 ACTU
EXAM COMPLETE 304 FREQUENTLY TESTED QUESTIONS AND CORRE
DETAILED ANSWERS
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passive immunity taking prescription antiviral medication
d. you should continue to take zidovudine every day decreases the risk of transmis-
throughout the pregnancy sion of HIV to her newborn.
A nurse is providing teaching to a client
who is at 8 wks gestation about mani-
festations to report to the provider during
pregnancy. What info should the nurse
include in the teaching? b. blurred or double vision
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping
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 con-
tractions every 2 min which last 100-110
a. decrease the dose of oxytocin by half
seconds that the fetal heart rate is re-
assuring. What action should the nurse
The nurse should decrease the dose of
take?
oxytocin by half because the client is ex-
a. decrease the dose of oxytocin by half
periencing uterine tachysystole.
b. administer oxygen via nonrebreather
mask
c. decrease the infusion rate of the main-
tenance IV fluid
d. administer terbutaline 0.25mg subq
A nurse is caring for a client who is in
active labor and has meconium staining c. prepare equipment needed for new-
of the amniotic fluid. The nurse notes a born resuscitation
reassuring FHR tracing from the exter-
nal fetal monitor. What action should the The nurse should ensure that all supplies
nurse take? and equipment needed for resuscitation
a. prepare the client for emergency of the newborn are readily available for
c-section every delivery. Endotracheal suctioning
b. perform endotrach suctioning as soon is recommended in cases of meconium
as the fetal head is delivered staining only if the newborn has poor res-
c. prepare equipment needed for new-
, RN MATERNAL NEWBORN ATI PROCTORED NEWEST 2024-2025 ACTU
EXAM COMPLETE 304 FREQUENTLY TESTED QUESTIONS AND CORRE
DETAILED ANSWERS
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born resuscitation
piratory effort, decreased muscle tone,
d. prepare the client for an ultrasound
and bradycardia after delivery.
exam
A nurse is reviewing the medical record
b. perform a vaginal exam
of a client who is at 33 wks gestation and
has placenta previa and bleeding. What
When a client has a placenta previa, the
scripts should the nurse clarify with the
placenta implants in the lower part of
provider?
the uterus and obstructs the cervical os
a. insert a large-bore IV catheter
(the opening to the vagina). The nurse
b. perform a vaginal exam
should clarify this prescription because
c. perform continuous external fetal mon-
any manipulation can cause tearing of
itoring
the placenta and increased bleeding.
d. obtain a blood sample for lab testing
A nurse is caring for a client who is at
37 wks gestation and is undergoing a
nonstress test. The FHR is 130 without
d. use vibroacoustic stim on the client's
accelerations for the past 10 min. What
abd for 3 seconds
action should the nurse take?
a. request a script for an internal fetal
The nurse should use a vibroacoustic
scalp electrode
stimulator on the client's abdomen to
b. auscultate the FHR with a doppler
elicit fetal activity because the fetus is
transducer
most likely sleeping. Fetal movement
c. report the nonreactive test result to the
should cause accelerations in the FHR.
provider immediately
d. use vibroacoustic stim on the client's
abd for 3 seconds
A nurse is reviewing lab results for a
client who is at 37 wks gestation. The
nurse notes that the client is rubel-
la non-immune, positive for group A
beta-hemolytic strep, and has a blood
a. instruct the client to obtain a rubella
type O neg. What action should the nurse
immunization after delivery
take?
a. instruct the client to obtain a rubella
immunization after delivery
b. request a script for an antibiotic until
delivery
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