ATI Maternal Newborn Proctored

ATI Maternal Newborn Proctored Related

Review ATI Maternal Newborn Proctored related questions and content

A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse?

  • A. Fertilization takes place in the outer third of the fallopian tube.
  • B. Implantation occurs between 6 to 10 days after conception.
  • C. Sperm remain viable in the woman's reproductive tract for 2 to 3 days.
  • D. Bleeding or spotting can accompany implantation.
Correct Answer: B

Rationale: The correct answer is B because implantation actually occurs around 6-10 days after fertilization, not after conception. This is a critical distinction as conception refers to the union of sperm and egg to form a zygote, while fertilization specifically refers to the fusion of the genetic material. Therefore, the statement by the newly licensed nurse is inaccurate and requires intervention.

A: Fertilization typically occurs in the outer third of the fallopian tube, making this statement correct.
C: Sperm can indeed remain viable in the woman's reproductive tract for 2 to 3 days, indicating this statement is accurate.
D: Bleeding or spotting can indeed accompany implantation, making this statement correct.

In summary, choice B is incorrect because implantation occurs around 6-10 days after fertilization, not conception. Choices A, C, and D are all correct statements related to conception and fertilization.

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A woman at 38 weeks of gestation is admitted in early labor with ruptured membranes. The nurse determines that the client's oral temperature is 38.9°C (102°F). Besides notifying the provider, which of the following is an appropriate nursing action?

  • A. Recheck the client's temperature in 4 hours.
  • B. Administer glucocorticoids intramuscularly.
  • C. Assess the odor of the amniotic fluid.
  • D. Prepare the client for emergency cesarean section.
Correct Answer: C

Rationale: The correct answer is C: Assess the odor of the amniotic fluid. This is the appropriate nursing action because the woman is at risk for chorioamnionitis due to the elevated temperature and ruptured membranes. Assessing the odor of the amniotic fluid can help in identifying signs of infection, as foul-smelling amniotic fluid may indicate chorioamnionitis. This can guide further interventions and management, such as initiating antibiotics.

Choice A is incorrect as waiting 4 hours to recheck the temperature can delay necessary interventions for potential infection. Choice B is also incorrect as administering glucocorticoids is not the immediate priority in this situation. Choice D is incorrect as preparing for an emergency cesarean section is not warranted solely based on the client's temperature and ruptured membranes without further assessment for infection.

While observing the electronic fetal heart rate monitor tracing for a client at 40 weeks of gestation in labor, a nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?

  • A. Early decelerations
  • B. Accelerations
  • C. Late decelerations
  • D. Variable decelerations
Correct Answer: D

Rationale: The correct answer is D: Variable decelerations. Variable decelerations are abrupt decreases in the fetal heart rate that coincide with contractions, indicating umbilical cord compression. This pattern can lead to fetal hypoxia and distress. Early decelerations (A) are gradual decreases in heart rate that mirror contractions and are considered benign. Accelerations (B) are increases in heart rate and are a reassuring sign of fetal well-being. Late decelerations (C) are gradual decreases in heart rate that occur after the peak of a contraction, indicating uteroplacental insufficiency.

During an assessment of a client in labor who received epidural anesthesia, which finding should the nurse identify as a complication of the epidural block?

  • A. Vomiting
  • B. Tachycardia
  • C. Respiratory depression
  • D. Hypotension
Correct Answer: D

Rationale: The correct answer is D: Hypotension. Epidural anesthesia can lead to hypotension due to vasodilation and sympathetic blockade, resulting in decreased blood pressure. This is a common complication that nurses should monitor for and manage promptly. Vomiting (A) is not a direct complication of epidural anesthesia. Tachycardia (B) is not typically associated with epidural anesthesia but may indicate other issues. Respiratory depression (C) is more commonly seen with opioids and not a typical complication of epidural anesthesia.

A client who is at 6 weeks of gestation with her first pregnancy asks the nurse when she can expect to experience quickening. Which of the following responses should the nurse make?

  • A. This will occur during the last trimester of pregnancy.
  • B. This will happen by the end of the first trimester of pregnancy.
  • C. This will occur between the fourth and fifth months of pregnancy.
  • D. This will happen once the uterus begins to rise out of the pelvis.
Correct Answer: C

Rationale: The correct answer is C: This will occur between the fourth and fifth months of pregnancy. Quickening typically happens around 18-20 weeks, which falls between the fourth and fifth months of pregnancy. During this time, the fetus's movements become more pronounced and can be felt by the pregnant person. Choices A, B, and D are incorrect because quickening does not occur in the last trimester, end of the first trimester, or when the uterus rises out of the pelvis. These options do not align with the typical timing of quickening in pregnancy.

A client is 1 hour postpartum and the nurse observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

  • A. Notify the healthcare provider.
  • B. Increase the frequency of fundal massage.
  • C. Encourage the client to empty their bladder.
  • D. Document the findings and continue to monitor the client.
Correct Answer: D

Rationale: Rationale:
1. Lochia rubra and small clots are expected postpartum.
2. The firm, midline fundus indicates normal involution.
3. No signs of excessive bleeding or fundus displacement.
4. Documenting and monitoring is appropriate for normal postpartum assessment.
Summary:
A: Not necessary as no complications present.
B: Unnecessary and could cause discomfort.
C: Bladder emptying may help fundal position but not urgent.
D: Correct option for normal postpartum assessment and monitoring.

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