ATI RN MATERNAL NEWBORN PROCTORED 2024-2025
ACTUAL EXAM TEST BANK MATERNAL NEWBORN ATI
PROCTORED EXAM 75 REAL EXAM QUESTIONS AND
ANSWERS
Maternity Nursing: Key Concepts and Clinical Applications
1. Gestational Diabetes Mellitus & Hyperglycemia
Scenario: A nurse is assessing a client with gestational diabetes mellitus
experiencing hyperglycemia.
Expected Findings: The nurse should expect the client to report:
o Increased urinary output (polyuria)
o Nausea and vomiting
o Reports of thirst (polydipsia)
o Abdominal pain
o Constipation
o Drowsiness
o Headaches
Additional Manifestations of Hyperglycemia:
o Weak, rapid pulse
o Fruity breath odor
o Urine positive for sugar (glucosuria) and acetone (ketonuria)
o Blood glucose level greater than 200 mg/dL
2. HIV Positive Client at 22 Weeks Gestation
Nursing Action: The nurse should report the client's condition to the
local health department.
Rationale: HIV is a Nationally Notifiable Infectious Condition requiring
mandatory reporting.
3. Combined Oral Contraceptives: Adverse Effects
Client Teaching: When teaching a client about a new prescription for
combined oral contraceptives, the nurse should include depression as a
potential adverse effect.
Other Common Adverse Effects:
, o Amenorrhea
o Weight gain
o Headache
o Nausea
o Breakthrough bleeding
o Breast tenderness
4. Misoprostol Administration at 40 Weeks Gestation
Nursing Instruction: The nurse should instruct the client that "I can
administer oxytocin 4 hours after the insertion of the medication."
Rationale: Oxytocin should be administered no sooner than 4 hours after
the last dose of misoprostol to clients with cervical ripening who have not
yet begun labor.
5. Parvovirus B19 (Fifth Disease) in Pregnancy
Nursing Action: The nurse should schedule an ultrasound examination.
Rationale: Serial ultrasound examinations are necessary to monitor the fetus
for potential complications such as:
o Fetal hydrops
o Miscarriage
o Intrauterine growth restriction (IUGR)
o Fetal anemia
o Stillbirth
6. Minimizing Pain During Newborn Heel Stick
Technique: To minimize pain, the nurse should place the newborn skin to
skin on the mother's chest.
Rationale: Skin-to-skin contact is an effective technique to significantly
decrease the newborn's pain level and anxiety before, during, and after the
procedure.
7. Umbilical Cord Prolapse During Labor
Immediate Nursing Action (after calling for assistance): Insert two
gloved fingers into the vagina and apply upward pressure to the
presenting part.
Rationale: This action relieves umbilical cord compression and increases
oxygenation to the fetus.
ACTUAL EXAM TEST BANK MATERNAL NEWBORN ATI
PROCTORED EXAM 75 REAL EXAM QUESTIONS AND
ANSWERS
Maternity Nursing: Key Concepts and Clinical Applications
1. Gestational Diabetes Mellitus & Hyperglycemia
Scenario: A nurse is assessing a client with gestational diabetes mellitus
experiencing hyperglycemia.
Expected Findings: The nurse should expect the client to report:
o Increased urinary output (polyuria)
o Nausea and vomiting
o Reports of thirst (polydipsia)
o Abdominal pain
o Constipation
o Drowsiness
o Headaches
Additional Manifestations of Hyperglycemia:
o Weak, rapid pulse
o Fruity breath odor
o Urine positive for sugar (glucosuria) and acetone (ketonuria)
o Blood glucose level greater than 200 mg/dL
2. HIV Positive Client at 22 Weeks Gestation
Nursing Action: The nurse should report the client's condition to the
local health department.
Rationale: HIV is a Nationally Notifiable Infectious Condition requiring
mandatory reporting.
3. Combined Oral Contraceptives: Adverse Effects
Client Teaching: When teaching a client about a new prescription for
combined oral contraceptives, the nurse should include depression as a
potential adverse effect.
Other Common Adverse Effects:
, o Amenorrhea
o Weight gain
o Headache
o Nausea
o Breakthrough bleeding
o Breast tenderness
4. Misoprostol Administration at 40 Weeks Gestation
Nursing Instruction: The nurse should instruct the client that "I can
administer oxytocin 4 hours after the insertion of the medication."
Rationale: Oxytocin should be administered no sooner than 4 hours after
the last dose of misoprostol to clients with cervical ripening who have not
yet begun labor.
5. Parvovirus B19 (Fifth Disease) in Pregnancy
Nursing Action: The nurse should schedule an ultrasound examination.
Rationale: Serial ultrasound examinations are necessary to monitor the fetus
for potential complications such as:
o Fetal hydrops
o Miscarriage
o Intrauterine growth restriction (IUGR)
o Fetal anemia
o Stillbirth
6. Minimizing Pain During Newborn Heel Stick
Technique: To minimize pain, the nurse should place the newborn skin to
skin on the mother's chest.
Rationale: Skin-to-skin contact is an effective technique to significantly
decrease the newborn's pain level and anxiety before, during, and after the
procedure.
7. Umbilical Cord Prolapse During Labor
Immediate Nursing Action (after calling for assistance): Insert two
gloved fingers into the vagina and apply upward pressure to the
presenting part.
Rationale: This action relieves umbilical cord compression and increases
oxygenation to the fetus.
