Maternal Newborn ATI Proctored Exam 2023

Maternal Newborn ATI Proctored Exam 2023 Related

Review Maternal Newborn ATI Proctored Exam 2023 related questions and content

A postpartum client is getting ready to receive a Depo-Provera injection. Which statement by the client indicates that further teaching by the nurse is necessary?

  • A. You will give this shot just like the rubella injection I received yesterday.
  • B. I will watch my weight and try to exercise daily after receiving this injection.
  • C. I will need to reschedule a follow-up appointment in 3 months.
  • D. It might take me a year to get pregnant after receiving this type of birth control.
Correct Answer: A

Rationale: The correct answer is A because the client's comparison of receiving a Depo-Provera injection to a rubella injection is incorrect. Depo-Provera is a hormonal contraceptive injection that does not have the same administration process or purpose as a rubella vaccination. This indicates a lack of understanding about the medication.

Choice B is not the correct answer because it shows the client's awareness of the importance of weight management and exercise in conjunction with receiving the injection.

Choice C is not the correct answer because it demonstrates the client's understanding of the need for a follow-up appointment in 3 months which is necessary for monitoring and continuation of the contraceptive method.

Choice D is not the correct answer because it shows the client's understanding of the potential delay in fertility after discontinuing Depo-Provera, which is an important aspect of the contraceptive method that the client should be aware of.

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The nurse is monitoring a client with severe preeclampsia. What finding requires immediate intervention?

  • A. Proteinuria of +1.
  • B. Respiratory rate of 16 breaths per minute.
  • C. Deep tendon reflexes +4.
  • D. Urine output of 50 mL/hour.
Correct Answer: C

Rationale: The correct answer is C: Deep tendon reflexes +4. In severe preeclampsia, increased reflexes indicate possible progression to eclampsia with seizures. Immediate intervention is needed to prevent seizures. Choice A is not urgent unless higher proteinuria levels are present. Choice B is within normal range. Choice D is concerning but not as urgent as managing potential seizures.

The nurse is assessing a client with suspected chorioamnionitis. What is the priority nursing assessment?

  • A. Assess for foul-smelling vaginal discharge.
  • B. Monitor maternal blood pressure.
  • C. Evaluate fetal heart rate.
  • D. Check maternal glucose levels.
Correct Answer: C

Rationale: The correct answer is C: Evaluate fetal heart rate. In chorioamnionitis, fetal distress can occur due to infection and inflammation of the fetal membranes. Monitoring fetal heart rate is crucial to assess the well-being of the baby. Assessing for foul-smelling discharge (A) is important but not the priority. Monitoring maternal blood pressure (B) and checking glucose levels (D) are relevant assessments but do not address the immediate risk of fetal distress in chorioamnionitis.

The nurse provides education to the person undergoing a surgical abortion. What response by the person shows an understanding of the education?

  • A. “It’s good I won’t have any pain after the procedure.”
  • B. “I think I’m sure about my decision.”
  • C. “I should call if I soak a pad in 2 hours.”
  • D. “I should follow up for contraception counseling at my annual exam in 6 months.”
Correct Answer: C

Rationale: The correct answer is C because soaking a pad in 2 hours could indicate excessive bleeding, a potential complication after a surgical abortion. This response shows understanding of the education provided by the nurse about when to seek immediate medical attention.

Choice A is incorrect because it is not true that there will be no pain after a surgical abortion; pain is a common experience post-procedure. Choice B is incorrect because it does not demonstrate an understanding of the key information provided during education. Choice D is incorrect because contraception counseling should be addressed sooner than 6 months post-abortion to prevent unintended pregnancies.

Alaska Natives experience higher levels of violence, poverty, and drug and alcohol use, and fewer resources. How can the nurse help these patients?

  • A. Tell the patient to stop using substances.
  • B. Provide resources that are specific for this population.
  • C. Tell the patient to call the police.
  • D. Report the abuse to the social worker.
Correct Answer: B

Rationale: The correct answer is B because providing resources specific to Alaska Natives addresses the unique challenges they face. This can include culturally sensitive support services, mental health resources, and community programs. Choice A is incorrect as simply telling the patient to stop using substances is not addressing the underlying issues. Choice C is inappropriate as telling the patient to call the police may not be safe or effective in all situations. Choice D is also incorrect as reporting abuse to a social worker may be necessary but does not directly address the patient's immediate needs for support and resources.

The nurse is assessing a client in the second stage of labor. What is the nurse's priority assessment?

  • A. Frequency of contractions.
  • B. Cervical dilation.
  • C. Fetal descent and position.
  • D. Intensity of contractions.
Correct Answer: C

Rationale: The correct answer is C: Fetal descent and position. In the second stage of labor, the priority assessment is to monitor fetal descent and position to ensure the baby is progressing through the birth canal correctly. This assessment helps determine if interventions are needed to prevent complications such as fetal distress or prolonged labor. Assessing the frequency of contractions (A) and cervical dilation (B) are important but not the priority in the second stage. Intensity of contractions (D) is also important but not as crucial as monitoring fetal descent and position.

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