ATI Maternal Newborn Practice Exam 2019 A

1. A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect? - Reports increased urinary output 2. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take? - Report the client's condition to the local health department 3. 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? - Depression 4. 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? - "I can administer oxytocin 4 hours after the insertion of the medication" 5. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? - Schedule an ultrasound examination 6. 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 - Place the newborn skin to skin on the mothers chest 7. A nurse is performing a vaginal exam 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? - Insert two gloved fingers into the vagina and apply upward pressure to the presenting part 8. A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption. Which of the following laboratory tests should the nurse expect the provider to prescribe? - Kleihauer-Betke test 9. A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess? - Abruptio placenta 10. A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect? - Blurred Vision 11. A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old in accepting the new family memeber? - Obtain an gift from the newborn to present to the sibling 12. A nurse is assessing a client who is receiving morphine via IV bolus for pain following a C-section. The nurse notes a respiratory rate of 8/min. Which of the following medications should be administered? - Naloxone 13. A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? - "I should take 600 micrograms of folic acid every day" 14. A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider? - Jaundice 15. A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which of the following actions by the parent should the nurse recognize as a positive parenting behavior? - Lays the newborn across her lap and gently sways 16. A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching? - "Ensure that the newborn has been receiving feeding for 24 hours prior to obtaining the specimen" 17. A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse priority? - Massage the client's fundus 18. A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the following manifestations should the nurse expect? - Acrocyanosis Positive Babinski reflex Two umbilical arteries visible is correct 19. A nurse is demonstrating to a client how to bathe their newborn. In which order should the nurse perform the following actions? - Wipe eyes Wash Neck Cleanse skin around umbilical cord stump Wash legs and feet Clean diaper area 20. A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication? - Hypertension