ATI Maternal Proctored Actual Exam 1
VERIFIED QUESTIONS AND ANSWERS Test
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A nurse is reviewing the laboratory report of a newborn he was 24 hours old which of the
following results should the nurse expect to report to the provider
Hgb 20 g/dL
Total bilirubin 5 mg/dL
Blood glucose 30 mg/dL
WBC count 20,000/mm3
Blood glucose 30 mg/dL
Newborns less than 24 hr old should have a blood glucose of 40 to 60 mg/dL. Newborns who
are greater than 24 hr old should have a blood glucose of 50 to 90 mg/dL. A blood glucose
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, ATI Maternal Proctored Actual Exam
level of 30 mg/dL is below the expected reference range for a newborn who is 24 hr old and
should be reported to the provider.
A nurse is speaking with a client who is trying to make a decision about tubal ligation the
client asks what effect will this procedure have on my sex life which of the following
responses should the nurse make
"I think that is something you should discuss with your doctor."
"This procedure should have no effect on your sexual performance or adequacy."
"You'll be fine. I can't imagine you and your partner will have any problems with sexual
function."
"If this concerns you, perhaps you should reconsider and use another form of contraception."
This procedure should have no effect on your sexual performance or adequacy
The nurse is giving the client the information she is seeking. Sexual function depends on
various hormonal and psychological factors. Therefore, tubal occlusion should have no
physiological effect on sexual function.
A nurse is reviewing the medical record of a client who has postpartum and has preeclampsia
which of the following laboratory results should the nurse report to the provider
Hct 39%
Serum albumin 4.5 g/dL
WBC 9,000/mm3
Platelets 50,000/mm3
Platelets 50,000/mm3
A platelet count of 50,000/mm3 is below the expected reference range, which can indicate
disseminated intravascular coagulation. The nurse should report this result to the provider.
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A nurse is teaching a client who is Rh negative about Rh0(D) immune globulin which of the
following statements by the client indicated understanding of the teaching
"I will receive this medication if my baby is Rh-negative."
"I will receive this medication when I am in labor."
"I will need a second dose of this medication when my baby is 6 weeks old."
"I will need this medication if I have an amniocentesis."
I will need this medication if I have an amniocentesis
Rho(D) immune globulin is given to clients who are Rh negative following an amniocentesis
because of the potential of fetal RBCs entering the maternal circulation.
A nurse is teaching a client who has a new prescription for combined oral contraceptives
about potential adverse effects of the medication for which of the following findings should
the nurse instruct the client to notify the provider
Shortness of breath
Breakthrough bleeding
Vomiting
Breast tenderness
Shortness of breath
The nurse should instruct the client to notify the provider immediately of any shortness of
breath. Shortness of breath and chest pain can indicate a pulmonary embolus or myocardial
infarction. Also, the nurse should instruct the client to notify the provider of other adverse
effects that can indicate potential complications, including abdominal pain, sudden or
persistent headaches, blurred vision, and severe leg pain.
A nurse is teaching a client who is at 24 weeks of gestation regarding a one hour glucose
tolerance test which of the following statements should the nurse include in the teaching
"You will need to drink the glucose solution 2 hours prior to the test."
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"Limit your carbohydrate intake for 3 days prior to the test."
"A blood glucose of 130 to 140 is considered a positive screening result."
"You will need to fast for 12 hours prior to the test."
Blood glucose of 130 to 140 is considered a positive screening result
The nurse should instruct the client that a blood glucose level of 130 to 140 mg/dL is
considered a positive screening. If the client receives a positive result, she will need to
undergo a 3-hr glucose tolerance test to confirm if she has gestational diabetes mellitus.
A nurse is assessing a client who gave birth vaginally 12 hours ago and palpate her uterus to
the right above the umbilicus which of the following interventions should the nurse perform
Reassess the client in 2 hr.
Administer simethicone.
Assist the client to empty her bladder.
Instruct the client to lie on her right side.
Assist the client to empty her bladder
The nurse should assist the client to empty her bladder because the assessment findings
indicate that the client's bladder is distended. This can prevent the uterus from contracting,
resulting in increased vaginal bleeding or postpartum hemorrhage.
A nurse is caring for a client who is in labor and who's fetus is in the right occiput posterior
position the client is dilated to 8 cm and reports back pain which of the following actions
should the nurse take
Apply sacral counterpressure.
Perform transcutaneous electrical nerve stimulation (TENS).
Initiate slow-paced breathing.
Assist with biofeedback.
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