Maternal Newborn ATI Proctored Exam

Maternal Newborn ATI Proctored Exam Related

Review Maternal Newborn ATI Proctored Exam related questions and content

A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have natural childbirth. Which of the following responses should the nurse make?

  • A. "It sounds like you are feeling sad that things didn't go as planned."
  • B. "At least you know you have a healthy baby."
  • C. "Maybe next time you can have a vaginal delivery."
  • D. "You can resume sexual relations sooner than if you had delivered vaginally."
Correct Answer: A

Rationale: Step 1: Empathy - The nurse acknowledges the client's feelings of disappointment, showing empathy and understanding.
Step 2: Validation - By stating "It sounds like you are feeling sad that things didn't go as planned," the nurse validates the client's emotions, making her feel heard and supported.
Step 3: Therapeutic Communication - This response encourages the client to express her feelings further, promoting open communication and trust in the nurse-client relationship.

Summary:
Choice B is incorrect as it dismisses the client's emotional concerns and focuses solely on the baby's health. Choice C is incorrect as it minimizes the client's current experience and may increase feelings of inadequacy. Choice D is incorrect as it is not relevant to the client's emotional needs and may be perceived as insensitive.

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A client at 20 weeks' gestation asks about fetal movements. What is the nurse's best response?

  • A. Fetal movements are rarely felt before 24 weeks.
  • B. You should feel strong, regular movements at this stage.
  • C. You may feel fluttering movements, known as quickening.
  • D. It is too early to feel any fetal movements.
Correct Answer: C

Rationale: The correct answer is C because quickening, described as fluttering movements, is typically felt by pregnant individuals around 18-20 weeks of gestation. This indicates fetal movement and is an important milestone in pregnancy. Choices A and D are incorrect as fetal movements can be felt as early as 18-20 weeks. Choice B is incorrect as feeling strong, regular movements is not expected until later in the pregnancy.

What is a common preconception risk factor that can impact pregnancy outcomes?

  • A. lack of exercise prior to pregnancy
  • B. chronic caffeine intake
  • C. high fat diet
  • D. lack of immunizations
Correct Answer: D

Rationale: The correct answer is D, lack of immunizations. Immunizations protect pregnant individuals from serious infections that can harm both the mother and the baby. Infections like influenza and pertussis can lead to complications such as preterm birth, low birth weight, and even fetal death. Ensuring that pregnant individuals are up to date on their immunizations helps safeguard their health and the health of their unborn child.

Choice A, lack of exercise, may impact pregnancy outcomes, but it is not as significant as the risk posed by lack of immunizations in terms of preventing serious complications. Chronic caffeine intake (Choice B) and high-fat diet (Choice C) can also have negative effects on pregnancy outcomes, but they are not as directly linked to potential harm for the mother and baby as the lack of immunizations.

The nurse is teaching a client about morning sickness. What recommendation should the nurse provide?

  • A. Eat large meals three times a day.
  • B. Drink fluids with meals.
  • C. Consume dry crackers before getting out of bed.
  • D. Avoid eating before bedtime.
Correct Answer: C

Rationale: The correct answer is C: Consume dry crackers before getting out of bed. This recommendation helps alleviate morning sickness by providing a bland and easily digestible snack to settle the stomach before getting up. By consuming dry crackers, the client can avoid an empty stomach, which can contribute to nausea. Eating large meals three times a day (A) can worsen morning sickness due to heavy digestion, while drinking fluids with meals (B) may exacerbate nausea. Avoiding eating before bedtime (D) is generally recommended, but it does not specifically address morning sickness.

A pregnant patient who abuses cocaine admits to exchanging sex for her drug habit. This behavior puts her at a greater risk for

  • A. postmature birth.
  • B. sexually transmitted diseases.
  • C. hypotension and vasodilation.
  • D. depression of the central nervous system.
Correct Answer: B

Rationale: The correct answer is B: sexually transmitted diseases. Exchanging sex for drugs increases the risk of acquiring STDs due to engaging in unprotected sex with multiple partners. This behavior exposes the patient to infections such as HIV, syphilis, gonorrhea, and others. STDs can have serious consequences for both the pregnant patient and the fetus, including transmission of infections during childbirth or pregnancy complications.

A: postmature birth is incorrect as it is not directly related to the behavior described.
C: hypotension and vasodilation are potential effects of cocaine abuse, but not directly related to the increased risk of STDs in this scenario.
D: depression of the central nervous system is a potential effect of cocaine abuse but is not the primary concern in this situation.

A client in the second stage of labor reports intense rectal pressure. What does this finding indicate?

  • A. The baby is in a breech position.
  • B. Cervical dilation is incomplete.
  • C. The baby is descending into the birth canal.
  • D. Labor contractions are ineffective.
Correct Answer: C

Rationale: Step 1: In the second stage of labor, the baby is descending into the birth canal for delivery.
Step 2: Intense rectal pressure is a common sensation as the baby moves down.
Step 3: This indicates progress in labor as the baby is descending.
Step 4: Choice A is incorrect as breech position presents differently.
Step 5: Choice B is incorrect as incomplete cervical dilation may not cause rectal pressure.
Step 6: Choice D is incorrect as effective labor contractions are needed for descent.

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