NGN ATI RN MATERNAL NEWBORN NGN PRACTICE
EXAM FORM A AND FORM B ACTUAL EXAM 140
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
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 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 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.
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 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 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.
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? - ANSWER:
abruptio placenta
cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
a nurse is assessing a client who has severe preeclampsia. which of the following
manifestations should the nurse expect. - ANSWER: blurred vision
The nurse should identify that a client who has severe preeclampsia can have
arteriolar vasospasms and decreased blood flow to the retina which can lead to
visual disturbances, such as blurred vision, double vision, or dark spots in the visual
field.
EXAM FORM A AND FORM B ACTUAL EXAM 140
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
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 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 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.
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 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 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.
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? - ANSWER:
abruptio placenta
cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
a nurse is assessing a client who has severe preeclampsia. which of the following
manifestations should the nurse expect. - ANSWER: blurred vision
The nurse should identify that a client who has severe preeclampsia can have
arteriolar vasospasms and decreased blood flow to the retina which can lead to
visual disturbances, such as blurred vision, double vision, or dark spots in the visual
field.
