Maternal Newborn ATI Proctored Exam

Maternal Newborn ATI Proctored Exam Related

Review Maternal Newborn ATI Proctored Exam related questions and content

A parent is receiving discharge teaching from a nurse regarding caring for their newborn after a circumcision. Which instruction should the nurse include?

  • A. Apply slight pressure with a sterile gauze pad for mild bleeding.
  • B. Inspect the circumcision site every 6 to 8 hours.
  • C. Avoid using baby wipes containing alcohol to cleanse the penis with each diaper change.
  • D. Clean the circumcision site daily using a warm, wet washcloth.
Correct Answer: A

Rationale: The correct answer is A: Apply slight pressure with a sterile gauze pad for mild bleeding. This instruction is crucial because it addresses the immediate post-circumcision care to control bleeding. Applying slight pressure with a sterile gauze pad helps to promote clotting and prevent excessive bleeding. This step is essential to ensure the newborn's safety and prevent complications.

Summary of other choices:
B: Inspecting the circumcision site every 6 to 8 hours is important, but not as critical as addressing bleeding promptly.
C: Avoiding baby wipes containing alcohol is a good practice to prevent irritation, but it is not the most urgent instruction for immediate care.
D: Cleaning the circumcision site daily using a warm, wet washcloth is generally recommended for routine care, but in the immediate post-circumcision period, controlling bleeding takes precedence.

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While assisting with the care of a client in active labor, a nurse observes clear fluid and a loop of pulsating umbilical cord outside the client's vagina. Which of the following actions should the nurse perform first?

  • A. Place the client in the Trendelenburg position
  • B. Apply finger pressure to the presenting part
  • C. Administer oxygen at 10 L/min via a non-rebreather
  • D. Call for assistance
Correct Answer: D

Rationale: The correct answer is D: Call for assistance. This is the first action the nurse should take in this emergency situation. Calling for help ensures that additional support and resources are available to manage the situation effectively. Placing the client in the Trendelenburg position (A) is not recommended as it can worsen the prolapsed cord. Applying finger pressure to the presenting part (B) can lead to further complications. Administering oxygen (C) may be necessary but is not the priority when a prolapsed cord is present.

A healthcare provider is instructing a client who is taking an oral contraceptive about manifestations to report. Which of the following manifestations should the healthcare provider include?

  • A. Reduced menstrual flow
  • B. Breast tenderness
  • C. Shortness of breath
  • D. Increased appetite
Correct Answer: C

Rationale: The correct answer is C: Shortness of breath. This is because shortness of breath can indicate a potentially serious side effect like a blood clot, which is a rare but serious complication associated with oral contraceptives. Reduced menstrual flow (A) is a common side effect and not typically a cause for concern. Breast tenderness (B) is a common but generally benign side effect of oral contraceptives. Increased appetite (D) is also a common side effect but not typically a sign of a serious complication. Therefore, the healthcare provider should emphasize the importance of reporting shortness of breath promptly.

A client who is at 8 weeks of gestation tells the nurse, 'I am not sure I am happy about being pregnant.' Which of the following responses should the nurse make?

  • A. I will inform the provider that you are having these feelings.
  • B. It is normal to have these feelings during the first few months of pregnancy.
  • C. You should be happy that you are going to bring new life into the world.
  • D. I am going to make an appointment with the counselor for you to discuss these thoughts.
Correct Answer: B

Rationale: Rationale for Correct Answer B: It is normal to have these feelings during the first few months of pregnancy.

1. Acknowledges client's emotions without judgment.
2. Validates the client's experience as common and normal.
3. Provides reassurance and support.
4. Encourages open communication.

Summary of Incorrect Choices:
A. Not necessary to escalate without client's consent.
C. Invalidates client's feelings and imposes expectations.
D. Implies assumption of severity and may be seen as intrusive.

What is the most appropriate statement for a nurse to make to a client who has recently experienced a perinatal death?

  • A. It must be a comfort to know you have another child.
  • B. I'm sad for you.
  • C. There is usually something wrong with the baby.
  • D. You will always have an angel in heaven.
Correct Answer: B

Rationale: The correct answer is B: "I'm sad for you." This response shows empathy and acknowledges the client's feelings without making assumptions or providing false reassurance. It validates the client's emotions and offers support.

Incorrect choices:
A: This statement assumes the client's feelings and may not be comforting.
C: This statement is insensitive and can cause unnecessary guilt or blame.
D: While well-intentioned, this statement may not align with the client's beliefs and can be dismissive of their grief.

During a nonstress test for a pregnant client, a nurse uses an acoustic vibration device. The client inquires about its purpose. Which response should the nurse provide?

  • A. It is used to stimulate uterine contractions.
  • B. It will decrease the incidence of uterine contractions.
  • C. It lulls the fetus to sleep.
  • D. It awakens a sleeping fetus.
Correct Answer: D

Rationale: The correct answer is D because the acoustic vibration device is used during a nonstress test to wake up a sleeping fetus, ensuring that the baby is active and responsive during the test. This helps to assess the baby's well-being and monitor its heart rate patterns. Choice A is incorrect as the device does not stimulate uterine contractions. Choice B is incorrect as it does not decrease the incidence of contractions. Choice C is incorrect as the device does not lull the fetus to sleep, but rather ensures the fetus is awake and moving during the test.

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