BANK|MATERNAL NEWBORN ATI PROCTORED EXAM 75 REAL EXAM QUES TIONS
AND ANSWERS
1. a nurse is assessing a client who has gestational diabetes Mellitus and is experienci
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ng hyperglycemia. which of the following findings should the nurse expect?>> reports in
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creased urinary output. ke ke
Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain, consti
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ation, drowsiness, and headaches are manifestations of hyperglycemia.
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Other manifestations include weak rapid pulse, fruity breath odor, urine positive for suga
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and acetone, and a blood glucose level greater than 200 mg/dL.
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2. a nurse is caring for a client who is 22 weeks of gestation and is HIV positive. whi
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ch of the following actions should the nurse take?
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>> Report the client's condition to the local health department.
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The nurse should report the condition to the local health department. HIV is one of the c
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onditions on the list of Nationally Notifiable Infectious Conditions that is required to be rep
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orted.
3. a nurse is providing teaching for a client who has a new prescription for combine
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d oral contraceptives. which of the following findings should the nurse include as a
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n adverse effect of this medication? >> depression
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The nurse should instruct the client that depression is a common adverse effect of co
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mbined oral contraceptives. Other common adverse effects of the medication include a
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menorrhea, weight gain, headache, nausea, breakthrough bleeding, and breast tender
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ness.
4. a nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
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,prescription for misoprostol.Which of the following instructions should the nurse incl
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ude in the teaching?
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>> "I can administer oxytocin 4 hours after the insertion of the medication."
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The nurse can administer oxytocin no sooner than 4 hr after the last dose of misoprosto
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Oxytocin can be administered following misoprostol for clients who have cervical ripening a
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d have not begun labor.
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5. a nurse is caring for a prenatal client who has parvovirus b19(fifth disease) which of t
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he following actions should the nurse take? >> schedule an ultrasound examination
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The nurse should schedule serial ultrasound examinations to monitor the fetus
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, during the pregnancy to detect the possible development of fetal hydrops. Also, the virus
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an cause miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth.
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6. a nurse is preparing to collect a blood specimen from a newborn via a heel stick.whic
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h of the following techniques should the nurse use to help minimize the pain of the proce
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dure for the newborn? >> place the newborn skin to skin on the mother's chest.
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Placing the newborn skin to skin on the mother's chest is an effective technique to si
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gnificantly decrease the newborn's pain level and anxiety. The nurse should impleme ke ke ke ke ke ke ke ke ke ke ke
nt this technique before, during, and after the procedure.
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7. a nurse is performing a vag examination on a client who is in labor and observes the
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umbilical cord protruding from the vagina.after calling for assis- ke ke ke ke ke e
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tance, which of the following actions should the nurse take?
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>> Insert two gloved fingers into the vagina and apply upward pressure to the presentin
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g part. ke
The nurse should quickly apply gloves and insert two fingers into the vagina toward the ce
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vix, exerting upward pressure onto the presenting part to relieve umbilical cord compre
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sion and increase oxygenation to the fetus.
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8. a nurse is caring for a client who is at 24 weeks of gestation and has a suspected
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placental abruption. which of the following lab tests should the nurse expect the pr
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ovider to prescribe? >> kleihauer-betke test ke ke ke ke
The nurse should expect the provider to prescribe a Kleihauer-
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Betke test for a client who has suspected placental abruption to determine if fetal blood
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in maternal circulation.This test is useful to determine if Rho-
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(D) immune globulin therapy should be administered to a client who is Rh-negative.
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9. a nurse is admitting a client who is in labor. the client admits to recent cocaine us
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e. for which of the following complications should the nurse as- sess?
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>> abruptio placenta ke ke
cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
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10. a nurse is assessing a client who has severe preeclampsia. which of the following
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manifestations should the nurse expect. >> blurred vision ke ke ke ke ke ke
The nurse should identify that a client who has severe preeclampsia can have arteri
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