ATI MATERNAL NEWBORN EXAM 1 & 2

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1) A nurse is assessing a client who is at 34 weeks gestation and has a mild placental

abruption. Which finding should the nurse expect?

- Dark red vaginal bleeding

2) 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?

- Betamethasone (to stimulate fetal lung maturity and prevent respiratory

depression)

3) A nurse is teaching a client who is at 30 weeks of gestation about warning signs of

complications that she should report to her provider. Which finding should the nurse

include in the teaching?

- Vaginal bleeding

4) A nurse is reviewing the medical record of a client who is at 39 weeks of gestation and

has polyhydramnios. Which finding should the nurse expect?

- Fetal gastrointestinal anomaly

5) A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate

via continuous IV infusion about expected adverse effects. Which adverse effect should

the nurse include in the teaching?

- Feeling of warmth

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6) A nurse is assessing a client who is at 35 weeks of gestation and has mild gestational

hypertension. Which finding should the nurse identify as priority?

- Low urine output (<30mL per hour) 

7) A nurse is teaching a client who is at 12 weeks of gestation about the manifestations of

potential complications that she should report to her provider. Which information

should the nurse include in the teaching?

- Swelling of the face

8) A nurse is reviewing lab results for a client who is at 37 weeks of gestation. The nurse

notes that the client is rubella non-immune, positive for group A beta-hemolytic strep,

and has a blood type of O negative. Which action should the nurse take?

- Instruct the client to obtain a rubella immunization after delivery

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9) A nurse is caring for a client who has oligohydramnios. Which fetal anomaly should the

nurse expect?

- Renal agenesis

10) A nurse is caring for a client who believes she may be pregnant. Which finding should

the nurse identify as a positive sign of pregnancy?

- Palpable fetal movement

11) A nurse is assessing a client who is at 37 weeks of gestation and has a suspected pelvic

fracture due to blunt abdominal trauma. What finding should the nurse expect?

- Uterine contractions

12) A nurse is caring for a client at 26 weeks of gestation and reports constipation. How

should the nurse respond?

- "You should walk for at least 30 min/day"

13) A nurse is caring for a client who is in the latent phase of labor and is experiencing low

back pain. Which action should the nurse take?

- Apply pressure to the client's sacral area during contractions 

14) 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 finding

should the nurse report to the provider?

- Urinary output 20mL/hour

15) A nurse is teaching a client who is at 10 weeks of gestation about an abdominal

ultrasound in the first trimester. What should the nurse include in the teaching?

- "You will need to have a full bladder during the ultrasound"

16) A nurse is caring for a client who is at 35 weeks of gestation and has severe preeclampsia. Which assessment provides the most accurate reading of fluid and

electrolyte status?

- Daily weight

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17) Which lab test confirms pregnancy (edited question)?

- A urine test for human chorionic gonadotropin

18) A nurse is caring for a client whose LMP began July 8. What is her EDB?

- April 15

19) A nurse is caring for a client who is at 38 weeks of gestation and reports no fetal

movement for 24hr. What should the nurse do?

- Auscultate for an FHR

20) A nurse is assessing a client who is at 12 weeks of gestation and has a hydatidiform

mole. What finding should the nurse expect?

- Dark brown vaginal discharge

21) A nurse is caring for a client in their latent phase of labor and is receiving oxytocin via

continuous IV infusion. The client is having contractions every 2 min which last 100 to

110 seconds and the FHR is reassuring. What should the nurse do?

- Decrease the dose of oxytocin by half 

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