ATI MATERNAL NEWBORN PROCTORED EXAM 2019 RETAKE WITH 100% CORRECT ANSWERS LATEST UPDATE 2023

ATI MATERNAL NEWBORN PROCTORED EXAM
2019 RETAKE WITH 100% CORRECT ANSWERS
LATEST UPDATE 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 - ANSWERS-b. betamethasone
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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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
c. the ultrasound will determine the length of your cervix
d. you will experience uterine cramping during the ultrasound - ANSWERS-a. you will
need to have a full bladder during the ultrasound
MY ANSWER
The nurse should tell the client that a full bladder helps to lift the gravid uterus out of the
pelvis during the examination. Therefore, it is important to ensure that the client has a
full bladder to obtain the most accurate image of the fetus.
A nurse is assessing a client who is 34 wks gestation and has mild placental abruption.
What finding should the nurse expect?
a. decreased urinary output
b. fetal distress
c. dark red vaginal bleeding
d. increased platelet count - ANSWERS-c. dark red vaginal bleeding
The nurse should expect the client who has a mild placental abruption to have minimal
dark red vaginal bleeding.
A nurse is caring for a client whose last menstrual period began july 8. Using Nageles
rule, the nurse should identify the client's estimated DOB as what?
a. oct 15
b. april 15
c. oct 1
d. april 1 - ANSWERS-b. april 15
A nurse is caring for a client who is at 39 wks gestation and is in the active phase of
labor. The nurse observes late decels in the FHR. What finding should the nurse identify
as the cause of late decels?
a. umbilical cord compression
b. fetal head compression
c. uteroplacental insufficiency
d. fetal ventricular septal defect - ANSWERS-c. uteroplacental insufficiency
A nurse is assessing a client who is at 35 wks gestation and is receiving magnesium
sulfate via continuous IV infusion for severe pre-eclampsia. What finding should the
nurse report to the provider?
a. DTR 2+
b. resp 16
c. BP 150/96
d. urinary output 20 mL/hr - ANSWERS-d. urinary output 20 mL/hr
The nurse should report a urinary output of 20 mL/hr because this can indicate
inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A
decrease in urinary output can also indicate a decrease in renal perfusion secondary to
a worsening of the client's pre-eclampsia.
A nurse is teaching a client who is at 13 wks gestation about the treatment of
incompetent cervix with cervical cerclage. What statement by the client indicates an
understanding of teaching?
a. I should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in place
c. I am sad that I won't be able to get pregnant again
d. I can resume having sex as soon as I feel up to it - ANSWERS-a. I should go to the
hospital if I think I may be in labor
Cervical cerclage prevents premature opening of the cervix during pregnancy. The
client should immediately go to a facility for evaluation if she experiences any
manifestations of labor while the cerclage is in place. If the client experiences preterm
uterine contractions she might require tocolytic therapy.
A nurse is admitting a client who is in labor and experiencing moderate bright red
vaginal bleeding. What action should the nurse take?
a. obtain blood samples for baseline lab values
b. place a spiral electrode on the fetal presenting part
c. prepare the client for a transvaginal ultrasound
d. perform a vaginal exam to determine cervical dilation - ANSWERS-a. obtain blood
samples for baseline lab values
The nurse should obtain samples of the client's blood for baseline testing of hemoglobin
and hematocrit levels.
A nurse is caring for a client who is at 38 wks of gestation and reports no fetal
movement for 24 hr. What action should the nurse take?
a. auscultate for a FHR
b. reassure the client that a term fetus is less active
c. have the client drink orange juice
d. palpate the uterus for fetal movement - ANSWERS-a. auscultate for a FHR
Presence of a fetal heart rate is a reassuring manifestation of fetal well-being. The
nurse should auscultate for the fetal heart rate using a Doppler device or an external
fetal monitor. This is the priority nursing action.
A nurse is caring for a client who is at 35 wks gestation and has severe pre-eclampsia.
What assessment provides the most accurate info regarding the client's fluid and
electrolyte status.
a. daily wt
b. bp
c. severity of edema
d. I&O - ANSWERS-a. daily wt