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ATI MATERNAL NEWBORN PROCTORED EXAM
WITH NGN QUESTIONS & DETAILED VERIFIED ANSWERS
100% Guarantee Pass
This Test Consists of 70 Questions with Detailed Answers
1. A nurse is assessing a client who is at 35 weeks of gestation and has
preeclampsia without severe features.Which of the following findings should the nurse
identify as the priority?
A. 480 mL urine output in 24 hr.
B. Blood pressure 144/92 mm Hg
C. +2 edema of the feet
D. 1+ protein in the urine
Ans: A. because, when using the urgent vs. non urgent approach to client care, the nurse
should determine that the priority finding is 480 mL or urine 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.
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2. A nurse is reviewing the medical record of a client who is at 33 weeks of
gestation and has placenta previa and bleeding. Which if the following
prescriptions should the nurse clarify with the provider?
A. Perform a vaginal examination
B. Perform continuous external fetal monitoring
C. Insert a large-bore IV catheter
D. Obtain a blood sample for laboratory testing
Ans: A. because, what 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 bleed- ing.
3. A nurse is assessing a client who is at 35 weeks of gestation and is receiving magnesium
sulfate via continuous IV infusion for severe pre-eclampsia. Which of the following
findings should the nurse report to the provider.
A. Deep tendon reflexes 2+
B. Blood pressure 150/96 mm Hg
C. Urinary output 20 mL/hr
D. Respiratory rate 16/min
Ans: C. because, the nurse should report a urinary output of 20 mL/hr because this can
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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.
4. A nurse is assessing a client who is at 12 weeks of gestation and has a hydatidiform
mole. Which of the following findings should the nurse expect?
A. Hypothermia
B. Dark brown vaginal discharge
C. Decreased urinary output
D. Fetal heart tones
Ans: B. because, 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 grape
like clusters.
5. A nurse is caring for a client who is at 37 weeks of gestation and is undergoing a non
stress test. The fetal heart rate (FHR) is 130/min without accelerations for the past
10 min. Which of the following actions should the nurse take?
A. Use vibroacoustic stimulation on the client's abdomen for 3 seconds
B. Report the nonreactive test result to the provider immediately.
C. Request a prescription for an internal fetal scalp electrode
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D. Auscultate the FHR with a Doppler transducer
Ans: A. because, the nurse should use a vibroacoustic stimulator on the client's abdomen
to elicit fetal activity because the fetus us most likely sleeping. Fetal movement should
cause accelerations in the FHR.
6. A nurse is caring for a client who is at 26 weeks of gestation and reports
constipation. Which of the following responses by the nurse is appropriate?
A. "You should drink 1 ounce of mineral oil every morning."
B. "You should walk for at least 30 minutes every day."
C. "You should eat at least 3 ounces of red meat per day."
D. "You should stop taking your prenatal vitamin."
Ans: B. because, the nurse should encourage the client to participate in moderate physical
activity, such as walking or swimming, every day. This activity increases intestinal
peristalsis, which will help alleviate constipation.
7. A nurse is teaching a client who is at 12 weeks of gestation about manifesta- tions of
potential complications that she should report to her provider. Which of the following
information should the nurse include in the teaching?
A. Swelling of the face
B. Urinary frequency
C. White vaginal discharge
D. Intermittent nausea
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Ans: A. because, the nurse should instruct the client to report swelling of the face because
this can indicate hypertensive disorder or preeclampsia.
8. A nurse is caring for a client who is at 35 weeks of gestation and has
severe pre-eclampsia,Which of the following assessments provides the most accurate
information regarding the client's fluid and electrolyte status?
A. Blood pressure
B. Intake and output
C. Daily weight
D. Severity of edema
Ans: C. because, evidence-based practice indicates that daily weight is the most accurate
assessment to determine a client's fluid and electrolyte status.
9. A nurse is providing teaching to a client who is at 8 weeks of gestation about
manifestations to report to the provider during pregnancy.Which of the following
should the nurse include in the teaching?
A. Nausea upon awakening
B. Leg cramps when sleeping
C. Increase in white vaginal discharge
D. Blurred or double vision
Ans: D. because, a client who is pregnant should report experiencing blurred or double
vision as these could be a manifestation of gestation hypertension or pre-eclampsia.
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10. A nurse is caring for a client who believes she may be pregnant. Which of the
following findings should the nurse identify as a positive sign of pregnancy?
A. Palpable fetal movement
B. Chadwick's sign
C. Positive pregnancy test
D. Amenorrhea
Ans: A. because, palpable fetal movements are a positive sign of preg- nancy. Quickening,
the client's report of fetal movement, is a presumptive sign of pregnancy.
11. A nurse is teaching a client who is at 8 weeks of gestation and has a uterine fibroid
about potential effects of the fibroid during pregnancy. Which of the following
information should the nurse include in the teaching?
A. "The fibroid will shrink during the pregnancy."
B. "The fibroid can increase the risk for postpartum hemorrhage.
C. "You will receive an injection of medroxyprogesterone acetate to shrink the fibroid."
D. "You will have to undergo a cesarean birth because of the fibroid."
Ans: B.
because, uterine fibroids can increase the risk for postpartum hemorrhage due to
the increase in blood supply to the uterus, which supports the fibroid.
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12. A nurse is caring for a client whose last menstrual period (LMP) began July
8. Using Nagele's rule, the nurse should identify the client's estimated date of birth (EDB)
as which of the following?
A. October 1
B. April 1
C. October 15
D. April 15
Ans: D. because, using Nagele's rule, the nurse determines the EDB by counting back
3 months from the first day of LMP and adding 7 days.
13. A nurse at a prenatal clinic is caring fir 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 which of the following laboratory tests will be used to
confirm her pregnancy?
A. A blood test for the presence of estrogen
B. A blood test for the amount of circulating progesterone
C. A urine test for the presence of human chorionic somatomammotropin
D. A urine test for the presence of human chorionic gonadotropin
Ans: D. because, human chorionic gonadotropin is excreted by the placenta and promotes
the excretion of progesterone and estrogen. This hormone is the basis for pregnancy
testing.
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14. A nurse is caring for a client who is at 32 weeks of gestation and is
experiencing preterm labor.Which of the following medications should the
nurse plan to administer?
A. Betamethasone
B. Misoprostol
C. Methylergonovine
D. Poractant alfa
Ans: A. because, the nurse should plan to administer Betamethasone IM, a glucocorticoid,
to stimulate fetal lung maturity and thereby prevent respiratory depression.
15. A nurse is caring for a client who is in the latent phase of labor and is
experiencing low back pain. Which of the following actions should the nurse
take?
A. Instruct the client to pant during contractions
B. Position the client supine with legs elevated
C. Encourage the client to soak in a warm bath