ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has gestational diabetes and is experiencing hyperglycemia. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Reports increased urinary output. In hyperglycemia, the body tries to eliminate excess glucose through urine, leading to increased urinary output. This is known as osmotic diuresis. Diaphoresis (
B) is sweating, which is not typically associated with hyperglycemia. Blurred vision (
C) is a symptom of prolonged hyperglycemia affecting the eyes but not an immediate finding. Shallow respirations (
D) are not directly related to hyperglycemia.
Question 2 of 5
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Rationale: Reporting the client's HIV positive status to the local health department is crucial for monitoring and preventing the spread of the infection. This action ensures proper follow-up care, contact tracing, and support services for the client and at-risk individuals. Administering penicillin G (choice
A) is not indicated for HIV positive status. Instructing the client to schedule a pelvic examination (choice
B) is unrelated to the client's HIV status. Delaying HIV medication until after delivery (choice
C) can pose risks to both the mother and the baby.
Question 3 of 5
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?
Correct Answer: A
Rationale: The correct answer is A: Depression. Combined oral contraceptives are known to potentially cause mood changes, including depression, in some individuals due to hormonal fluctuations. This adverse effect is important for the nurse to include in teaching to monitor the client's mental health. Polyuria (
B) is excessive urination, which is not typically associated with oral contraceptives. Hypotension (
C) is low blood pressure, which is not a common side effect of this medication. Urticaria (
D) is hives or skin rash, which is not a typical adverse effect of combined oral contraceptives.
Question 4 of 5
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Remain in a side-lying position for 15 minutes after the medication is inserted. This instruction is important because misoprostol can cause uterine contractions leading to potential discomfort or cramping. By remaining in a side-lying position, the client can help the medication remain in the desired location near the cervix, enhancing its effectiveness. This position also helps reduce the risk of the medication leaking out prematurely and ensures optimal absorption.
Choice A is incorrect because oxytocin is not typically administered shortly after misoprostol due to the potential for excessive uterine stimulation.
Choice B is incorrect as a full bladder is not necessary for the insertion of misoprostol.
Choice D is incorrect as an antacid is not typically required prior to the insertion of misoprostol.
Question 5 of 5
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Schedule an ultrasound examination. Parvovirus B19 in pregnancy can lead to complications such as fetal hydrops. An ultrasound can monitor fetal well-being and detect any abnormalities. Administering antiviral medication (
A) is not typically recommended for parvovirus B19. Administering the Haemophilus influenza type b vaccine (
C) is unrelated to this condition. Performing an indirect Coombs' test (
D) is used to detect maternal antibodies in Rh incompatibility, not related to parvovirus B19.