ATI Maternal Newborn Proctored Exam 2024

ATI Maternal Newborn Proctored Exam 2024 Related

Review ATI Maternal Newborn Proctored Exam 2024 related questions and content

A nurse is providing dietary teaching for a client who is at 29 weeks of gestation and has phenylketonuria. Which of the following suggested foods should the nurse include in the teaching?

  • A. A peanut butter sandwich on wheat bread.
  • B. A sliced apple and red grapes.
  • C. A chocolate chip cookie with a glass of skim milk.
  • D. A scrambled egg with cheddar cheese.
Correct Answer: B

Rationale: Phenylketonuria (PKU) is a genetic disorder where the body cannot metabolize phenylalanine, an amino acid found in protein-containing foods. Patients with PKU need to follow a strict low-phenylalanine diet to prevent the buildup of phenylalanine in the body. Fruits like apples and grapes are low in protein and contain minimal phenylalanine, making them suitable choices for individuals with PKU. The other options listed contain higher amounts of protein and phenylalanine, such as peanut butter, chocolate chip cookies, milk, scrambled eggs, and cheese, which should be avoided by individuals with PKU.

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The nurse is caring for a client at 38 weeks' gestation reporting decreased fetal movement. What is the priority action?

  • A. Perform a nonstress test.
  • B. Instruct the client to drink orange juice.
  • C. Schedule an ultrasound.
  • D. Notify the healthcare provider immediately.
Correct Answer: A

Rationale: A nonstress test is the first step to assess fetal well-being in cases of decreased fetal movement.

A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?

  • A. Observe color and consistency of fluid.
  • B. Assess the fetal heart rate pattern.
  • C. Assess the client's temperature.
  • D. Evaluate client for the presence of chills and increased uterine tenderness using palpation.
Correct Answer: B

Rationale: The priority nursing action following an amniotomy (rupture of the amniotic sac) is to assess the fetal heart rate pattern. This is crucial to monitor for any signs of fetal distress or complications that may arise after the procedure. Changes in the fetal heart rate pattern can indicate the need for interventions to ensure the well-being of the fetus. Observing the color and consistency of the amniotic fluid, assessing the client's temperature, and evaluating for the presence of chills and increased uterine tenderness are also important assessments following amniotomy, but assessing the fetal heart rate takes precedence in this situation to ensure the safety of the fetus.

What blood test is important for potential blood type incompatibility issues during pregnancy?

  • A. complete blood count (CBC)
  • B. blood glucose
  • C. blood type and Rh factor
  • D. blood lipid profile
Correct Answer: C

Rationale:

A patient who is older than 35 years may have difficulty achieving pregnancy because

  • A. prepregnancy medical attention is lacking.
  • B. personal risk behaviors influence fertility.
  • C. contraceptives have been used for an extended period of time.
  • D. the ovaries may be affected by the normal aging process.
Correct Answer: D

Rationale: As women age, their ovarian reserve decreases and the quality of their eggs declines, making it more difficult to conceive. This is due to the normal aging process of the ovaries, which can lead to decreased fertility and an increased risk of chromosomal abnormalities in the embryos. Therefore, a patient who is older than 35 years may have difficulty achieving pregnancy because the ovaries may be affected by the normal aging process.

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

  • A. I will call my doctor if I have a fever.
  • B. It is normal to have heavy bleeding for two weeks.
  • C. I will avoid lifting heavy objects.
  • D. Breast tenderness is common when my milk comes in.
Correct Answer: B

Rationale: Heavy bleeding for two weeks is not normal and may indicate postpartum complications.

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