ATI RN MATERNAL NEWBORN 2023 PROCTORED EXAM
COMPLETE 70 QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
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 glucose level greater than 200 mg/dL.
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.
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.
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental aburption. Which of the following laboratory tests should the nurse
expect the provider to prescribe?
A) Kleihauer-Betke test
B) Progesterone serum level
C) Lecithin/sphingomyelin (L/S) ratio
D) Maternal Alpha-fetoprotein (AFP)
A) 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.
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?
A) Abruptio placenta
B) Placenta previa
C) Preeclampsia
D) Maternal bradycardia
A) Abruptio placenta
Cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
A nurse is assessing client who has severe preenclampsia. Which of the
following manifestations should the nurse expect?
A) 2+ deep tendon reflexes
B) Proteinuria of 200 mg in a 24-hr specimen
C) Polyuria
D) Blurred vision
D) 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.
A nurse is providing edu about family bonding to parents who recently adopted
a newborn. The nurse should make which of the following suggestions to aide
the family's 7 year old into accepting the newborn?
A) Allow the sibling to hold the newborn during a bath.
B) Make sure the sibling kisses the newborn each night.
C) Obtain a gift from the newborn to present to the sibling.
D) Switch the sibling's room with the nursery
C) 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.
A nurse is assessing a client who is receiving morphine via IV bolus for pain
following a c-section. The nurse notes RR of 8 breaths/min. Which of the
following meds should the nurse adminster?
A) Fentanyl
B) Butorphanol
C) Naloxone
D) Meperidine
C) 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.
A nurse is teaching a client who is at 10 weeks gestation about nutrition during
pregnancy. Which of the following statements by the client indicates an
understanding of the teaching?
, "I should increase my protein intake to 60 grams each day."
"I should drink 2 liters of water each day."
"I should increase my overall daily caloric intake by 300 calories."
"I should take 600 micrograms of folic acid each day."
"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.
A nurse is assessing a newborn 12 hr after birth. Which of the following
manifestations should the nurse report to the provider?
Acrocyanosis
Transient strabismus
Jaundice
Caput succedaneum
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.
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?
A) Lays the newborn across her lap and gently sways
B) Places the newborn in the crib in a prone position
C) Offers the newborn a pacifier dipped in formula
D) Prepares a bottle of formula mixed with rice cereal
A) 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.
COMPLETE 70 QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
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 glucose level greater than 200 mg/dL.
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.
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.
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental aburption. Which of the following laboratory tests should the nurse
expect the provider to prescribe?
A) Kleihauer-Betke test
B) Progesterone serum level
C) Lecithin/sphingomyelin (L/S) ratio
D) Maternal Alpha-fetoprotein (AFP)
A) 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.
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?
A) Abruptio placenta
B) Placenta previa
C) Preeclampsia
D) Maternal bradycardia
A) Abruptio placenta
Cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
A nurse is assessing client who has severe preenclampsia. Which of the
following manifestations should the nurse expect?
A) 2+ deep tendon reflexes
B) Proteinuria of 200 mg in a 24-hr specimen
C) Polyuria
D) Blurred vision
D) 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.
A nurse is providing edu about family bonding to parents who recently adopted
a newborn. The nurse should make which of the following suggestions to aide
the family's 7 year old into accepting the newborn?
A) Allow the sibling to hold the newborn during a bath.
B) Make sure the sibling kisses the newborn each night.
C) Obtain a gift from the newborn to present to the sibling.
D) Switch the sibling's room with the nursery
C) 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.
A nurse is assessing a client who is receiving morphine via IV bolus for pain
following a c-section. The nurse notes RR of 8 breaths/min. Which of the
following meds should the nurse adminster?
A) Fentanyl
B) Butorphanol
C) Naloxone
D) Meperidine
C) 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.
A nurse is teaching a client who is at 10 weeks gestation about nutrition during
pregnancy. Which of the following statements by the client indicates an
understanding of the teaching?
, "I should increase my protein intake to 60 grams each day."
"I should drink 2 liters of water each day."
"I should increase my overall daily caloric intake by 300 calories."
"I should take 600 micrograms of folic acid each day."
"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.
A nurse is assessing a newborn 12 hr after birth. Which of the following
manifestations should the nurse report to the provider?
Acrocyanosis
Transient strabismus
Jaundice
Caput succedaneum
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.
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?
A) Lays the newborn across her lap and gently sways
B) Places the newborn in the crib in a prone position
C) Offers the newborn a pacifier dipped in formula
D) Prepares a bottle of formula mixed with rice cereal
A) 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.
