ATI Maternal Newborn Proctored

ATI Maternal Newborn Proctored Related

Review ATI Maternal Newborn Proctored related questions and content

A nurse is developing an educational program about hemolytic diseases in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?

  • A. The mother is Rh positive, and the father is Rh negative
  • B. The mother is Rh negative, and the father is Rh positive
  • C. The mother and the father are both Rh positive
  • D. The mother and the father are both Rh negative
Correct Answer: B

Rationale: The correct answer is B: The mother is Rh negative, and the father is Rh positive. This combination can lead to hemolytic disease in newborns due to Rh incompatibility. If the mother is Rh negative and the father is Rh positive, there is a chance that the fetus may inherit the Rh-positive factor from the father, causing the mother's immune system to produce antibodies against the Rh factor in subsequent pregnancies, potentially leading to hemolytic disease in newborns.

Incorrect choices:
A: The mother is Rh positive, and the father is Rh negative - This combination does not result in Rh incompatibility as the fetus will not inherit the Rh-negative factor from the father.
C: The mother and the father are both Rh positive - Rh incompatibility occurs when the mother is Rh negative and the father is Rh positive, so this choice is incorrect.
D: The mother and the father are both Rh negative - In this case, there is no Rh incompatibility present,

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In addition to the bolus of fluid which medication should she be given to increase blood pressure?

  • A. Ephedrine
  • B. Terbutaline
  • C. Epinephrine
  • D. Epifoam
Correct Answer: A

Rationale: The correct answer is A: Ephedrine. Ephedrine is a sympathomimetic amine that acts on alpha and beta adrenergic receptors to increase blood pressure. It is commonly used to treat hypotension. Terbutaline (B) and Epinephrine (C) are bronchodilators that can lower blood pressure. Epifoam (D) is a topical medication for skin conditions and does not affect blood pressure. Therefore, Ephedrine is the most appropriate choice to increase blood pressure in this scenario.

The nurse is educating a client about Braxton Hicks contractions. Which statement indicates proper understanding?

  • A. They are regular and increase in intensity over time.
  • B. They are irregular and usually painless.
  • C. They indicate that labor is starting.
  • D. They require immediate medical attention.
Correct Answer: B

Rationale: The correct answer is B because Braxton Hicks contractions are indeed irregular and typically painless contractions that occur throughout pregnancy. They are considered practice contractions and do not indicate the onset of labor. Choice A is incorrect as Braxton Hicks contractions are not regular or increasing in intensity. Choice C is incorrect because Braxton Hicks contractions do not signal the start of labor. Choice D is also incorrect as Braxton Hicks contractions are a normal part of pregnancy and do not require immediate medical attention.

A client in her third trimester complains of Braxton

  • A. Report any stools that appear to have milk Hicks contractions. Which of the following interven- curds immediately to the infant's health care tions would help with this type of pain? Select all that provider. apply.
  • B. Stools will change from green to yellowish brown
  • C. Drink four to six glasses of water per day. to golden yellow over the next several days.
  • D. Rest until the contractions subside.
Correct Answer: D

Rationale: The correct answer is D: Rest until the contractions subside. During Braxton Hicks contractions, rest can help alleviate the discomfort. It allows the body to relax and reduces the intensity of the contractions. Other options are incorrect because:
A: Reporting stools with milk curds to the infant's healthcare provider is unrelated to Braxton Hicks contractions.
B: Stool color changes are irrelevant to managing Braxton Hicks contractions.
C: Drinking water is important for overall health during pregnancy but does not directly address Braxton Hicks contractions.

The nurse is educating a client about postpartum warning signs. Which symptom requires immediate medical attention?

  • A. Increased lochia after breastfeeding.
  • B. Perineal discomfort on day 3 postpartum.
  • C. Fever of 101°F and foul-smelling lochia.
  • D. Mild fatigue and trouble sleeping.
Correct Answer: C

Rationale: The correct answer is C: Fever of 101°F and foul-smelling lochia. This combination indicates a possible infection like endometritis, which can be life-threatening if not promptly treated. Fever is a sign of systemic infection, and foul-smelling lochia suggests an infected uterus. Immediate medical attention is crucial to prevent complications.

A: Increased lochia after breastfeeding is common and not necessarily alarming unless it is excessive or accompanied by other symptoms.
B: Perineal discomfort on day 3 postpartum is expected due to the healing process and does not typically require immediate medical attention.
D: Mild fatigue and trouble sleeping are common postpartum symptoms but do not indicate a medical emergency unless they are severe or persistent.

A client at 28 weeks' gestation with gestational diabetes is undergoing a nonstress test. What is a reassuring result?

  • A. Two accelerations in 20 minutes.
  • B. Fetal heart rate of 170 beats/minute.
  • C. Decreased fetal movement.
  • D. Variable decelerations.
Correct Answer: A

Rationale: The correct answer is A: Two accelerations in 20 minutes. Accelerations in fetal heart rate during a nonstress test indicate fetal well-being and adequate oxygenation. Two accelerations in 20 minutes are reassuring as they show a normal response to fetal movement and suggest a healthy fetal nervous system.

Option B is incorrect because a fetal heart rate of 170 beats/minute may indicate fetal distress or tachycardia. Option C is incorrect as decreased fetal movement can be a sign of fetal compromise. Option D is incorrect as variable decelerations can indicate umbilical cord compression and require further evaluation.

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