MATERNAL NEWBORN ATI PROCTORED EXAM QUES TIONS AN
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?: 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 gluco
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?: 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.
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?: 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?: "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.
5. a nurse is caring for a prenatal client who has parvovirus b19(fifth disease) which of the following actions
should the nurse take?: 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, intrauteri
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?: 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?: 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?: kleihauer-betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who has suspected placental abruptio
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?: 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 gluco
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?: 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.
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?: 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?: "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.
5. a nurse is caring for a prenatal client who has parvovirus b19(fifth disease) which of the following actions
should the nurse take?: 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, intrauteri
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?: 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?: 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?: kleihauer-betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who has suspected placental abruptio
