Maternal Newborn ATI Proctored Exam

Maternal Newborn ATI Proctored Exam Related

Review Maternal Newborn ATI Proctored Exam related questions and content

A client in a prenatal clinic is pregnant and experiencing episodes of maternal hypotension. The client asks the nurse what causes these episodes. Which of the following responses should the nurse make?

  • A. This is due to an increase in blood volume.
  • B. This is due to pressure from the uterus on the diaphragm.
  • C. This is due to the weight of the uterus on the vena cava.
  • D. This is due to increased cardiac output.
Correct Answer: C

Rationale: The correct answer is C: This is due to the weight of the uterus on the vena cava. Maternal hypotension during pregnancy can occur when the growing uterus compresses the vena cava, reducing blood flow back to the heart and causing a drop in blood pressure. This compression can lead to decreased blood flow to the brain and other vital organs, resulting in symptoms of hypotension. The other choices are incorrect because:
A: An increase in blood volume during pregnancy typically leads to an increase in blood pressure, not hypotension.
B: Pressure from the uterus on the diaphragm may cause discomfort or shortness of breath but is not the primary cause of maternal hypotension.
D: Increased cardiac output is a normal adaptation in pregnancy to meet the demands of the growing fetus and placenta, but it does not directly cause maternal hypotension.

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A client in an obstetrical clinic is discussing using an IUD for contraception with a healthcare provider. Which of the following statements by the client indicates an understanding of the teaching?

  • A. An IUD should be replaced annually during a pelvic exam.
  • B. I cannot get an IUD until after I've had a child.
  • C. I should plan on regaining fertility 5 months after the IUD is removed.
  • D. I will check to ensure the strings of the IUD are still present after my periods.
Correct Answer: D

Rationale: The correct answer is D. Checking the strings of the IUD after periods ensures that the device is in place. This indicates understanding of IUD maintenance. Choice A is incorrect because IUDs usually last 3-10 years and do not need annual replacement. Choice B is incorrect because nulliparous women can also use IUDs. Choice C is incorrect as fertility typically returns quickly after IUD removal, not necessarily after 5 months.

A nurse in a clinic receives a phone call from a client who would like information about pregnancy testing. Which of the following information should the nurse provide to the client?

  • A. You should wait 4 weeks after conception to be tested for pregnancy.
  • B. You should be off any medications for 24 hours prior to the pregnancy test.
  • C. You should not eat or drink for at least 8 hours prior to the pregnancy test.
  • D. You should use your first morning urination specimen for a home pregnancy test.
Correct Answer: D

Rationale: The correct answer is D. Using the first morning urine specimen for a home pregnancy test is recommended because it is more concentrated, increasing the accuracy of the test. This is due to the higher levels of the pregnancy hormone hCG present in the urine after a night of not urinating.

Choice A is incorrect because pregnancy testing can usually be done as early as 1-2 weeks after conception, not necessarily 4 weeks.

Choice B is incorrect as being on medications does not typically affect the accuracy of a pregnancy test.

Choice C is incorrect as there is no need for fasting before a pregnancy test; it does not impact the test results.

A client who is at 8 weeks of gestation tells the nurse, 'I am not sure I am happy about being pregnant.' Which of the following responses should the nurse make?

  • A. I will inform the provider that you are having these feelings.
  • B. It is normal to have these feelings during the first few months of pregnancy.
  • C. You should be happy that you are going to bring new life into the world.
  • D. I am going to make an appointment with the counselor for you to discuss these thoughts.
Correct Answer: B

Rationale: Rationale for Correct Answer B: It is normal to have these feelings during the first few months of pregnancy.

1. Acknowledges client's emotions without judgment.
2. Validates the client's experience as common and normal.
3. Provides reassurance and support.
4. Encourages open communication.

Summary of Incorrect Choices:
A. Not necessary to escalate without client's consent.
C. Invalidates client's feelings and imposes expectations.
D. Implies assumption of severity and may be seen as intrusive.

A healthcare professional is assessing a late preterm newborn. Which of the following clinical manifestations is an indication of hypoglycemia?

  • A. Hypertonia
  • B. Increased feeding
  • C. Hyperthermia
  • D. Respiratory distress
Correct Answer: D

Rationale: The correct answer is D: Respiratory distress. Hypoglycemia in a late preterm newborn can lead to respiratory distress due to inadequate energy supply to respiratory muscles. Hypertonia (choice A) may indicate other issues such as hypocalcemia. Increased feeding (choice B) is not a typical clinical manifestation of hypoglycemia, as the newborn may have poor feeding due to low energy levels. Hyperthermia (choice C) is not directly related to hypoglycemia but may occur in response to infection or other causes. Thus, respiratory distress is the most indicative of hypoglycemia in this scenario.

While assisting with the care of a client in active labor, a nurse observes clear fluid and a loop of pulsating umbilical cord outside the client's vagina. Which of the following actions should the nurse perform first?

  • A. Place the client in the Trendelenburg position
  • B. Apply finger pressure to the presenting part
  • C. Administer oxygen at 10 L/min via a non-rebreather
  • D. Call for assistance
Correct Answer: D

Rationale: The correct answer is D: Call for assistance. This is the first action the nurse should take in this emergency situation. Calling for help ensures that additional support and resources are available to manage the situation effectively. Placing the client in the Trendelenburg position (A) is not recommended as it can worsen the prolapsed cord. Applying finger pressure to the presenting part (B) can lead to further complications. Administering oxygen (C) may be necessary but is not the priority when a prolapsed cord is present.

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