ATI RN MATERNAL NEWBORN PROCTORED 2026-2027 ACTUAL EXAM TEST
BANK-MATERNAL NEWBORN ATI PROCTORED EXAM REAL EXAM QUESTIONS
AND ANSWERS
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
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.
QUESTION : 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
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.
QUESTION : 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 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.
QUESTION : 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
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the nurse include in the teaching? - CORRECT ANSWER "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.
QUESTION : a nurse is caring for a prenatal client who has parvovirus b19(fifth
disease) which of the following actions should the nurse take? - CORRECT
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.
QUESTION : 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 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.
QUESTION : 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 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.
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QUESTION : 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 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.
QUESTION : 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 ANSWER abruptio placenta
cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
QUESTION : a nurse is assessing a client who has severe preeclampsia. which of the
following manifestations should the nurse expect. - CORRECT 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.
QUESTION : 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
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.
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QUESTION : 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 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.
QUESTION : 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. - CORRECT 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.
QUESTION : a nurse is assessing a newborn 12hr after birth. which of the following
manifestations should the nurse report to the provider? - CORRECT ANSWER
jaundice.
Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility,
hemolysis, or Rh-isoimmunization. The nurse should report this manifestation to the
provider.
QUESTION : a nurse is observing a new parent caring for her crying newborn who is
bottle feeding. which of the following actions by the parent should the nurse recognize
as a positive parenting behavior? - CORRECT ANSWER Lays the newborn across
her lap and gently sways
This is a correct technique for quieting a newborn. This tactile stimulation promotes a
sense of security for the newborn.
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