ATI RN MATERNAL NEWBORN PROCTORED 2024-2025
ACTUAL EXAM TEST BANK|MATERNAL NEWBORN ATI
PROCTORED EXAM 75 REAL EXAM QUESTIONS AND
ANSWERS
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?
Answer: reports increased urinary output.
RATIONALE 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.
2. 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.
RATIONALE 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.
,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?
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.
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?
Answer: "I can administer oxytocin 4 hours after the insertion of the
medication."
RATIONALE 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.
5. 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.
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?
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.
7. 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 assis-
tance, 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.
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 lab tests should the
nurse expect the provider to prescribe?
Answer: kleihauer-betke test
RATIONALE The nurse should expect the provider to prescribe a Kleihauer-Betke te
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.
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 as-
ACTUAL EXAM TEST BANK|MATERNAL NEWBORN ATI
PROCTORED EXAM 75 REAL EXAM QUESTIONS AND
ANSWERS
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?
Answer: reports increased urinary output.
RATIONALE 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.
2. 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.
RATIONALE 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.
,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?
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.
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?
Answer: "I can administer oxytocin 4 hours after the insertion of the
medication."
RATIONALE 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.
5. 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.
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?
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.
7. 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 assis-
tance, 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.
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 lab tests should the
nurse expect the provider to prescribe?
Answer: kleihauer-betke test
RATIONALE The nurse should expect the provider to prescribe a Kleihauer-Betke te
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.
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 as-
