NEWBORN ATI PROCTORED EXAM 75
REAL EXAM QUESTIONS AND
ANSWERS
a nurse is assessing a client who has gestational diabetes MellitusJand isJexperiencingJhyperglycemi
a. which of the following findings should the nurseexpect? - CORRECT ANSWER-
reports increased urinary output.
Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain, constipation, dro
wsiness, and headaches are manifestations of hyperglycemia. Other manifestations include weak r
apid pulse, fruity breath odor, urine positive for sugar and acetone, and a blood glucose level greate
r than 200 mg/dL.
a nurse is caring for a client who is 22 weeks of gestation and is HIV positive. which of theJfollowing a
ctions should the nurse take? - CORRECT ANSWER-
Report the client'sJcondition to the local health department.
The nurse should report the condition to the local health department. HIV isJone of the conditions o
n the list of Nationally Notifiable Infectious Conditions that isJrequired to beJreported.
a nurse is providing teaching for a client who hasJa new prescription for combined oral contraceptiv
es. which of the following findings should the nurse include as an adverse effectJof thisJmedication?
- CORRECT ANSWER-depression
The nurse should instruct the client that depression is a common adverse effect of combined oral co
ntraceptives. Other common adverse effects of the medication include amenorrhea, weight gain, h
eadache, nausea, breakthrough bleeding, and breast tenderness.
, a nurse is providing teaching to a client whoJisJat 40Jweeks of gestation and has a new prescription f
or misoprostol. Which of the following instructions should the nurse include in the teaching? -
CORRECT ANSWER-"I can administer oxytocin 4 hours after theJinsertion of the medication."
The nurse can administer oxytocin no sooner than 4 hr after the lastJdose of misoprostol. Oxytocin c
an be administered following misoprostol for clients whoJhave cervical ripening and have not begu
n labor.
a nurse is caring for a prenatal client who has parvovirus b19(fifth disease) which of the following ac
tions should the nurse take? - CORRECT ANSWER-schedule an ultrasound examination
The nurse should schedule serial ultrasound examinations toJmonitor the fetus during the pregnan
cy to detect the possible development of fetal hydrops. Also, the virus can cause miscarriage, intrau
terine growth restriction, fetal anemia, or stillbirth.
a nurse is preparingJto collect a blood specimen from a newborn via a heel stick. which of the followi
ng techniques should the nurse use toJhelp minimize the pain of the procedure for the newborn? -
CORRECT ANSWER-placethe newborn skin to skin on the mother'sJchest.
PlacingJthe newborn skin toJskin on the mother's chest is an effective technique to significantly decr
ease the newborn's pain level and anxiety. The nurse should implement this technique before, duri
ng, and after the procedure.
a nurse is performing a vagJexamination on a client who is in labor and observes the umbilical cord p
rotruding from the vagina. after calling for assistance, which of the following actions should the nur
se take? - CORRECT ANSWER-
Insert twoJgloved fingers into the vagina and applyupward pressure to the presentingpart.
The nurse should quickly apply gloves and insert two fingers into the vagina toward the cervix, exert
ing upward pressure onto the presenting partJto relieve umbilical cord compression and increase ox
ygenation to the fetus.
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 testsJshould the nurse expectJthe provider to prescribe? -
CORRECT ANSWER-kleihauer-betke test