ATI RN MATERNAL NEWBORN OB NEW
UPDATE 2023 EXIT EXAM WITH NGN 200
VERIFIED QUESTIONS AND WELL DETAILED
ANSWERS||ALREADY GRADED A+( VERIFIED
EXAM 2024-2025)
a nurse is assessing a client who has gestational diabetes Mellitus and is
experiencing hyperglycemia. which of the following findings should the nurse
expect?
- CORRECT ANSWERS - 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?
- CORRECT ANSWERS - 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?
,- CORRECT ANSWERS - 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?
- CORRECT ANSWERS - "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?
- CORRECT ANSWERS - 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?
- CORRECT ANSWERS - 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?
- CORRECT ANSWERS - 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?
- CORRECT ANSWERS - 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?
- CORRECT ANSWERS - 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.
- CORRECT ANSWERS - 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.
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 yr old child in accepting the new family member?
- CORRECT ANSWERS - Obtain a gift from the newborn to present to the
sibling.
Presenting a gift from the newborn to the sibling is a strategy to facilitate a
school-age sibling's acceptance of a new family member. This ensures that the
sibling does not feel left out and that they understand their role in the family.
a nurse is assessing a client who is receiving morphine via iv bolus for pain
following a C section. the nurse notes a resp rate of 8 per min. which of the
following medications should the nurse administer?
- CORRECT ANSWERS - naloxone
Morphine is a common opioid analgesic used for postoperative pain
management that can cause central nervous system depression and can cause
respiratory depression. The nurse should administer naloxone, an opioid
antagonist, to reverse the opioid-induced respiratory depression in the client.
UPDATE 2023 EXIT EXAM WITH NGN 200
VERIFIED QUESTIONS AND WELL DETAILED
ANSWERS||ALREADY GRADED A+( VERIFIED
EXAM 2024-2025)
a nurse is assessing a client who has gestational diabetes Mellitus and is
experiencing hyperglycemia. which of the following findings should the nurse
expect?
- CORRECT ANSWERS - 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?
- CORRECT ANSWERS - 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?
,- CORRECT ANSWERS - 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?
- CORRECT ANSWERS - "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?
- CORRECT ANSWERS - 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?
- CORRECT ANSWERS - 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?
- CORRECT ANSWERS - 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?
- CORRECT ANSWERS - 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?
- CORRECT ANSWERS - 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.
- CORRECT ANSWERS - 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.
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 yr old child in accepting the new family member?
- CORRECT ANSWERS - Obtain a gift from the newborn to present to the
sibling.
Presenting a gift from the newborn to the sibling is a strategy to facilitate a
school-age sibling's acceptance of a new family member. This ensures that the
sibling does not feel left out and that they understand their role in the family.
a nurse is assessing a client who is receiving morphine via iv bolus for pain
following a C section. the nurse notes a resp rate of 8 per min. which of the
following medications should the nurse administer?
- CORRECT ANSWERS - naloxone
Morphine is a common opioid analgesic used for postoperative pain
management that can cause central nervous system depression and can cause
respiratory depression. The nurse should administer naloxone, an opioid
antagonist, to reverse the opioid-induced respiratory depression in the client.
