ATI RN MATERNAL NEWBORN PROCTORED ACTUAL EXAM TEST

ATI RN MATERNAL NEWBORN PROCTORED ACTUAL EXAM TEST 1. a nurse is assessing a client who has gestational diabetes Melli- tus and is experiencing hyper- glycemia. which of the following reports increased urinary output. Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain, constipation, drowsiness, and findings should the nurse expect? 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. 2. a nurse is caring for a client who is 22 weeks of gestation and is HIV positive. which of the follow- Report the client's condition to the local health depart- ment. ing actions should the nurse take? 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 depression a client who has a new prescrip- tion for combined oral contracep- The nurse should instruct the client that depression is tives. which of the following find- ings should the nurse include as an adverse effect of this medica- tion? 4. a nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescrip- a common adverse ettect of combined oral contracep- tives. Other common adverse ettects of the medication include amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and breast tenderness. "I can administer oxytocin 4 hours after the insertion of the medication." tion for misoprostol. Which of the The nurse can administer oxytocin no sooner than 4 hr following instructions should the nurse include in the teaching? after the last dose of misoprostol. Oxytocin can be admin- 5. a nurse is caring for a pre- natal client who has parvovirus istered following misoprostol for clients who have cervical ripening and have not begun labor. schedule an ultrasound examination b19(fifth disease) which of the fol- The nurse should schedule serial ultrasound examinations lowing actions should the nurse take? 6. a nurse is preparing to collect a blood specimen from a new- born via a heel stick. which of the following techniques should the nurse use to help minimize the 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. place the newborn skin to skin on the mother's chest. Placing the newborn skin to skin on the mother's chest is an ettective technique to significantly decrease the new- born's pain level and anxiety. The nurse should implement pain of the procedure for the new- this technique before, during, and after the procedure. born? 7. a nurse is performing a vag exam- Insert two gloved fingers into the vagina and apply up- ination on a client who is in labor and observes the umbilical cord protruding from the vagina. af- ward pressure to the presenting part. The nurse should quickly apply gloves and insert two ter calling for assistance, which of fingers into the vagina toward the cervix, exerting upward the following actions should the nurse take? 8. a nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abrup- tion. which of the following lab pressure onto the presenting part to relieve umbilical cord compression and increase oxygenation to the fetus. kleihauer-betke test The nurse should expect the provider to prescribe a Klei- hauer-Betke test for a client who has suspected placental tests should the nurse expect the provider to prescribe? 9. a nurse is admitting a client who is in labor. the client ad- mits to recent cocaine use. for which of the following complica- tions should the nurse assess? 10. a nurse is assessing a client who has severe preeclampsia. which of the following manifestations should the nurse expect. 11. a nurse is providing education about family bonding to parents abruption to determine if fetal blood is in maternal circu- lation. This test is useful to determine if Rho-(D) immune globulin therapy should be administered to a client who is Rh-negative. abruptio placenta cocaine use increases the risk for vasoconstriction and possible abruptio placenta. blurred vision The nurse should identify that a client who has severe preeclampsia can have arteriolar vasospasms and de- creased blood flow to the retina which can lead to visual disturbances, such as blurred vision, double vision, or