Maternal newborn ati proctored exam 2019
1. 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
2. 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
3. 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
4. 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
5. 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.
6. 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.
7. 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.