ATI Maternal Newborn Proctored

ATI Maternal Newborn Proctored Related

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A 28-year-old G1 P0 client tells the nurse that she medication cabergoline, which is effective in reducing has a craving for chalk. What is the nurse's best prolactin levels. What are possible side effects of this response to her?

  • A. That is not normal for anyone. We need to refer
  • B. Hypotension you to a therapist.
  • C. Nasal congestion
  • D. Tell me more about why you have a craving for it.
Correct Answer: D

Rationale: Step 1: The nurse should engage the client to gather more information about the craving for chalk. This helps in understanding the underlying cause.
Step 2: By asking the client to elaborate on the reason for the craving, the nurse can assess if it's related to a medical condition or nutritional deficiency.
Step 3: Understanding the client's perspective can guide the nurse in providing appropriate support and interventions.
Step 4: Referring the client to a therapist (option A) without first exploring the issue may not address the root cause effectively.
Step 5: Hypotension (option B) and nasal congestion (option C) are not directly related to the issue of chalk craving, making them incorrect choices.

In summary, option D is correct as it promotes client-centered care by exploring the client's concerns before considering further interventions.

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The nurse is teaching a client about preterm labor prevention. What instruction is most appropriate?

  • A. Drink at least 8–10 glasses of water daily.
  • B. Avoid lying down during the day.
  • C. Increase physical activity levels.
  • D. Reduce protein intake.
Correct Answer: A

Rationale: The correct answer is A because adequate hydration helps prevent preterm labor by maintaining amniotic fluid levels and preventing dehydration-induced contractions. Drinking 8-10 glasses of water daily ensures proper hydration.

B is incorrect because lying down during the day does not have a direct impact on preterm labor prevention.

C is incorrect as excessive physical activity can sometimes trigger preterm labor instead of preventing it.

D is incorrect as protein intake is important for fetal development and reducing it can lead to nutritional deficiencies, but it is not a direct factor in preventing preterm labor.

Who created the Mongan Method?

  • A. physician
  • B. midwife
  • C. hypnotherapist
  • D. organization
Correct Answer: C

Rationale: The correct answer is C: hypnotherapist. The Mongan Method was created by Marie Mongan, who is a hypnotherapist. She developed this method as a childbirth education program that incorporates hypnosis techniques to help women have a more positive and empowering birthing experience. The other choices are incorrect because a physician, midwife, or organization did not create the Mongan Method. Marie Mongan's background in hypnotherapy is the key factor in why choice C is the correct answer.

The nurse is teaching a client about postpartum care. Which statement indicates a need for further teaching?

  • A. I will avoid heavy lifting for 6 weeks.
  • B. It’s normal to have heavy bleeding for 4 weeks.
  • C. I will call my doctor if I develop a fever.
  • D. I should continue taking my prenatal vitamins.
Correct Answer: B

Rationale: The correct answer is B because heavy bleeding for 4 weeks postpartum is abnormal and could indicate a complication. The client should seek medical attention if experiencing heavy bleeding beyond the normal range. Choices A, C, and D are all correct statements for postpartum care. A - avoiding heavy lifting helps prevent strain on healing tissues, C - fever could indicate infection, and D - continuing prenatal vitamins supports postpartum recovery.

The nurse is reviewing lab results for a pregnant client. Which finding is most concerning?

  • A. Hemoglobin of 11 g/dL.
  • B. WBC count of 14,000 mm3.
  • C. Platelet count of 90,000 mm3.
  • D. Fasting blood glucose of 90 mg/dL.
Correct Answer: C

Rationale: The correct answer is C: Platelet count of 90,000 mm3. A low platelet count (thrombocytopenia) in pregnancy can lead to serious complications like bleeding disorders or preeclampsia. Hemoglobin level of 11 g/dL is within normal range for pregnancy. WBC count of 14,000 mm3 may indicate infection but is not as concerning as thrombocytopenia. Fasting blood glucose of 90 mg/dL is also normal in pregnancy.

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.

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