Maternal Newborn ATI Proctored Exam

Maternal Newborn ATI Proctored Exam Related

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A nurse is teaching a client who is at 41 weeks of gestation about a non-stress test. Which of the following information should the nurse include in the teaching?

  • A. "This test will confirm fetal lung maturity ".
  • B. "This test will determine adequacy of placental perfusion".
  • C. "This test will detect fetal infection".
  • D. "This test will predict maternal readiness for labor".
Correct Answer: B

Rationale: The correct answer is B: "This test will determine adequacy of placental perfusion." The non-stress test is used to assess fetal well-being by monitoring fetal heart rate in response to fetal movement. It helps determine if the placenta is providing enough oxygen and nutrients to the fetus. This information is crucial in assessing the overall health and viability of the fetus.

A: "This test will confirm fetal lung maturity" - This statement is incorrect because the non-stress test does not assess fetal lung maturity. That is usually done through tests like amniocentesis.
C: "This test will detect fetal infection" - This statement is incorrect because the non-stress test does not detect fetal infection. Other tests like amniocentesis or blood tests are used for this purpose.
D: "This test will predict maternal readiness for labor" - This statement is incorrect as the non-stress test focuses on fetal well-being and does not predict maternal readiness for labor.

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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.

Which intervention should the nurse prioritize for a pregnant client with placenta previa?

  • A. Monitor the client for contractions
  • B. Prepare for immediate cesarean delivery
  • C. Monitor for signs of fetal distress
  • D. Encourage the client to remain in bed rest
Correct Answer: B

Rationale: The correct answer is B: Prepare for immediate cesarean delivery. Placenta previa is a condition where the placenta partially or completely covers the cervix, which can lead to life-threatening bleeding during labor. Immediate cesarean delivery is the priority to prevent maternal and fetal complications. Monitoring for contractions (A) is important but not the priority. Monitoring for fetal distress (C) is crucial but not the immediate intervention. Encouraging bed rest (D) may be recommended but is not the priority intervention in placenta previa.

A client is to receive Pergonal (menotropins) injections for infertility prior to in-vitro fertilization. Which of the following is the expected action of this medication?

  • A. Stimulation of ovulation
  • B. Prolongation of the luteal phase
  • C. Promotion of cervical mucus production
  • D. Suppression of menstruation fertilization. Which of the following is the expected action of this medication?
Correct Answer: A

Rationale: The correct answer is A: Stimulation of ovulation. Pergonal contains menotropins, which are hormones that stimulate the ovaries to produce eggs. During in-vitro fertilization, the goal is to retrieve multiple eggs for fertilization, making ovulation stimulation crucial.

Explanation for incorrect choices:
B: Prolongation of the luteal phase - Pergonal does not affect the luteal phase, which occurs after ovulation.
C: Promotion of cervical mucus production - Pergonal does not directly influence cervical mucus production.
D: Suppression of menstruation - Pergonal does not suppress menstruation but rather induces ovulation.

The nurse is discussing danger signs during preg- tion procedure. Which statement is appropriate for nancy with a pregnant woman in her first trimester. the nurse to make? Which of the following signs and symptoms would

  • A. A catheter is inserted through the cervix into the be appropriate at this time? Select all that apply.
  • B. Severe headache and visual changes
  • C. Persistent vomiting and nausea
  • D. Sperm or ovarian tissue will be frozen for
Correct Answer: B

Rationale: The correct answer is B. Severe headache and visual changes are potential danger signs during the first trimester of pregnancy, indicating conditions like preeclampsia. This is crucial to monitor as it can lead to serious complications for both the mother and the baby.

Choice A is incorrect because inserting a catheter through the cervix is not a relevant danger sign during the first trimester. Choice C, persistent vomiting and nausea, is commonly experienced in the first trimester as morning sickness and is not typically a sign of immediate danger. Choice D, freezing sperm or ovarian tissue, is unrelated to discussing danger signs during pregnancy and does not indicate any potential issues during the first trimester.

The nurse enters the person's room for the first time. What can the nurse do to show cultural sensitivity?

  • A. Come in and sit on the bed with the person.
  • B. Address the person by their first name.
  • C. Make and hold eye contact.
  • D. Document their preferred language in their chart.
Correct Answer: D

Rationale: The correct answer is D because documenting the person's preferred language in their chart shows cultural sensitivity by ensuring effective communication. This step acknowledges and respects the person's cultural background and language preferences, facilitating better understanding and care provision.

Choices A, B, and C are incorrect:
A: Sitting on the bed may invade personal space and not be culturally appropriate.
B: Addressing the person by their first name may not be respectful in some cultures.
C: Making and holding eye contact may be considered rude or inappropriate in certain cultures.

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