Maternal Newborn Proctored ATI

Maternal Newborn Proctored ATI Related

Review Maternal Newborn Proctored ATI related questions and content

A community health nurse is providing education on gestational diabetes mellitus (GDM) to a group of clients who are pregnant when discussing risk factors, which of the following ethnicities should the nurse identify as having the lowest incidence of GDM?

  • A. Asian
  • B. Non-Hispanic White American
  • C. Hispanic
  • D. African American
Correct Answer: B

Rationale: Non-Hispanic White Americans have been reported to have the lowest incidence of gestational diabetes mellitus (GDM) compared to other ethnicities. Studies have shown that Asian, Hispanic, and African American populations have higher rates of developing GDM during pregnancy. This may be due to genetic predispositions, lifestyle factors, and varying degrees of insulin resistance among different ethnic groups. Therefore, when discussing risk factors for GDM, the community health nurse should identify Non-Hispanic White Americans as having the lowest incidence of GDM.

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The nurse is assessing a client at 20 weeks' gestation with suspected anemia. What lab finding supports this diagnosis?

  • A. Hemoglobin of 10 g/dL.
  • B. Platelet count of 150,000 mm3.
  • C. Hematocrit of 40%.
  • D. White blood cell count of 8,000 mm3.
Correct Answer: A

Rationale: A hemoglobin level of 10 g/dL is below normal during pregnancy and indicates anemia.

Early PPH is defined as blood loss greater than ____ 24h after delivery

  • A. 500 mL 24h after normal delivery
  • B. 1000 48h after c/s (lat
  • C. 1500 mL after 48hr
  • D. 750 mL after 24h vaginal delivery
Correct Answer: D

Rationale: Early postpartum hemorrhage (PPH) is defined as blood loss greater than 500 mL within the first 24 hours after vaginal delivery. This definition is crucial because it helps healthcare providers identify and promptly address any excessive bleeding that may occur in the immediate postpartum period. Monitoring postpartum bleeding is essential to prevent complications related to PPH, such as maternal anemia, hypovolemic shock, and even maternal death. By knowing the definition of early PPH, healthcare providers can take timely interventions to manage and treat postpartum hemorrhage effectively.

A client is experiencing uterine atony after delivery. What is the nurse's first action?

  • A. Massage the fundus until firm.
  • B. Increase IV fluid rate.
  • C. Notify the healthcare provider.
  • D. Administer prescribed oxytocin.
Correct Answer: A

Rationale: Fundal massage stimulates uterine contraction and is the initial response to uterine atony to prevent hemorrhage.

A nurse is caring for a client who experienced a vaginal delivery 12 hr ago. When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?

  • A. At the level of the umbilicus
  • B. 2 cm above the umbilicus
  • C. One fingerbreadth above the symphysis pubis
  • D. To the right of the umbilicus
Correct Answer: C

Rationale: After a vaginal delivery, the uterus typically undergoes involution, which is the process of the uterus returning to its pre-pregnancy size and position. At 12 hours postpartum, the uterine fundus should be palpated approximately one fingerbreadth above the symphysis pubis. This position indicates proper contraction of the uterus and helps prevent postpartum hemorrhage. As time progresses, the uterine fundus will gradually descend back into the pelvis.

The nurse is assessing a client in labor with variable decelerations on the fetal monitor. What is the priority intervention?

  • A. Increase oxytocin infusion.
  • B. Reposition the client.
  • C. Administer oxygen at 10 L/min.
  • D. Notify the healthcare provider.
Correct Answer: B

Rationale: Repositioning the client can alleviate umbilical cord compression, the most common cause of variable decelerations.

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