ATI RN INTegRATed NuRsINg exAm
2026/2027 |mATeRNAl ChIld NuRsINg
QuesTIoNs ANd CoRReCT ANsweRs
a nurse is assessing a client who has gestational diabetes Mellitus and is
experiencing hyperglycemia. which of the following findings should the nurse
expect? - Answer-reports increased urinary output.
Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain,
constipation, drowsiness, and headaches are manifestations of hyperglycemia.
Other manifestations include weak rapid pulse, fruity breath odor, urine positive
for sugar and acetone, and a blood glucose level greater than 200 mg/dL.
a nurse is caring for a client who is 22 weeks of gestation and is HIV positive.
which of the following actions should the nurse take? - Answer-Report the client's
condition to the local health department.
The nurse should report the condition to the local health department. HIV is one
of the conditions on the list of Nationally Notifiable Infectious Conditions that is
required to be reported.
a nurse is providing teaching for a client who has a new prescription for combined
oral contraceptives. which of the following findings should the nurse include as an
adverse effect of this medication? - Answer-depression
,The nurse should instruct the client that depression is a common adverse effect of
combined oral contraceptives. Other common adverse effects of the medication
include amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and
breast tenderness.
a nurse is preparing to collect a blood specimen from a newborn via a heel stick.
which of the following techniques should the nurse use to help minimize the pain
of the procedure for the newborn? - Answer-place the newborn skin to skin on
the mother's chest.
Placing the newborn skin to skin on the mother's chest is an effective technique to
significantly decrease a nurse is caring for a prenatal client who has parvovirus
b19(fifth disease) which of the following actions should the nurse take? - Answer-
schedule an ultrasound examination
The nurse should schedule serial ultrasound examinations to monitor the fetus
during the pregnancy to detect the possible development of fetal hydrops. Also,
the virus can cause miscarriage, intrauterine growth restriction, fetal anemia, or
stillbirth.
the newborn's pain level and anxiety. The nurse should implement this technique
before, during, and after the procedure.
a nurse is performing a vag examination on a client who is in labor and observes
the umbilical cord protruding from the vagina. after calling for assistance, which of
the following actions should the nurse take? - Answer-Insert two gloved fingers
into the vagina and apply upward pressure to the presenting part.
, The nurse should quickly apply gloves and insert two fingers into the vagina
toward the cervix, exerting upward pressure onto the presenting part to relieve
umbilical cord compression and increase oxygenation to the fetus
a nurse is providing teaching to a client who is at 40 weeks of gestation and has a
new prescription for misoprostol. Which of the following instructions should the
nurse include in the teaching? - Answer-"I can administer oxytocin 4 hours after
the insertion of the medication."
The nurse can administer oxytocin no sooner than 4 hr after the last dose of
misoprostol. Oxytocin can be administered following misoprostol for clients who
have cervical ripening and have not begun labor.
.
a nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. which of the following lab tests should the nurse expect the
provider to prescribe? - Answer-kleihauer-betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a
client who has suspected placental abruption to determine if fetal blood is in
maternal circulation. This test is useful to determine if Rho-(D) immune globulin
therapy should be administered to a client who is Rh-negative.
2026/2027 |mATeRNAl ChIld NuRsINg
QuesTIoNs ANd CoRReCT ANsweRs
a nurse is assessing a client who has gestational diabetes Mellitus and is
experiencing hyperglycemia. which of the following findings should the nurse
expect? - Answer-reports increased urinary output.
Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain,
constipation, drowsiness, and headaches are manifestations of hyperglycemia.
Other manifestations include weak rapid pulse, fruity breath odor, urine positive
for sugar and acetone, and a blood glucose level greater than 200 mg/dL.
a nurse is caring for a client who is 22 weeks of gestation and is HIV positive.
which of the following actions should the nurse take? - Answer-Report the client's
condition to the local health department.
The nurse should report the condition to the local health department. HIV is one
of the conditions on the list of Nationally Notifiable Infectious Conditions that is
required to be reported.
a nurse is providing teaching for a client who has a new prescription for combined
oral contraceptives. which of the following findings should the nurse include as an
adverse effect of this medication? - Answer-depression
,The nurse should instruct the client that depression is a common adverse effect of
combined oral contraceptives. Other common adverse effects of the medication
include amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and
breast tenderness.
a nurse is preparing to collect a blood specimen from a newborn via a heel stick.
which of the following techniques should the nurse use to help minimize the pain
of the procedure for the newborn? - Answer-place the newborn skin to skin on
the mother's chest.
Placing the newborn skin to skin on the mother's chest is an effective technique to
significantly decrease a nurse is caring for a prenatal client who has parvovirus
b19(fifth disease) which of the following actions should the nurse take? - Answer-
schedule an ultrasound examination
The nurse should schedule serial ultrasound examinations to monitor the fetus
during the pregnancy to detect the possible development of fetal hydrops. Also,
the virus can cause miscarriage, intrauterine growth restriction, fetal anemia, or
stillbirth.
the newborn's pain level and anxiety. The nurse should implement this technique
before, during, and after the procedure.
a nurse is performing a vag examination on a client who is in labor and observes
the umbilical cord protruding from the vagina. after calling for assistance, which of
the following actions should the nurse take? - Answer-Insert two gloved fingers
into the vagina and apply upward pressure to the presenting part.
, The nurse should quickly apply gloves and insert two fingers into the vagina
toward the cervix, exerting upward pressure onto the presenting part to relieve
umbilical cord compression and increase oxygenation to the fetus
a nurse is providing teaching to a client who is at 40 weeks of gestation and has a
new prescription for misoprostol. Which of the following instructions should the
nurse include in the teaching? - Answer-"I can administer oxytocin 4 hours after
the insertion of the medication."
The nurse can administer oxytocin no sooner than 4 hr after the last dose of
misoprostol. Oxytocin can be administered following misoprostol for clients who
have cervical ripening and have not begun labor.
.
a nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. which of the following lab tests should the nurse expect the
provider to prescribe? - Answer-kleihauer-betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a
client who has suspected placental abruption to determine if fetal blood is in
maternal circulation. This test is useful to determine if Rho-(D) immune globulin
therapy should be administered to a client who is Rh-negative.
