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ATI RN MATERNAL NEWBORN PROCTORED Exam Questions And Answers 2025 Update.

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©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM. 1 ATI RN MATERNAL NEWBORN PROCTORED Exam Questions And Answers 2025 Update. A nurse is assessing a client who has gestational diabetes Mellitus and is experiencing hyperglycemia. which of the following findings should the nurse expect? - Answerreports 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? - AnswerReport 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? - Answerdepression 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." ©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM. 2 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? - Answerschedule 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? - Answerplace 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? - AnswerInsert 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? - Answerkleihauer-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? - Answerabruptio placenta ©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM. 3 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. - Answerblurred 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? - AnswerObtain 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? - Answernaloxone 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. 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. - Answer"I should take 600 micrograms of folic acid each day." A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic acid assists with preventing neural tube birth defects. a nurse is assessing a newborn 12hr after birth. which of the following manifestations should the nurse report to the provider? -

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©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.




ATI RN MATERNAL NEWBORN
PROCTORED Exam Questions And
Answers 2025 Update.



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."
1

,©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.




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


2

, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.




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.
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? - Answer✔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? - Answer✔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.
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. -
Answer✔"I should take 600 micrograms of folic acid each day."


A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic acid assists with
preventing neural tube birth defects.
a nurse is assessing a newborn 12hr after birth. which of the following manifestations should
the nurse report to the provider? - Answer✔jaundice.




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