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 patient's newborn is neurologically impaired. The most important nursing action should be:

  • A. Assist the patient and her family with the grieving process.
  • B. Perform neurological assessments of the newborn every four hours.
  • C. Arrange for social services to discuss possible placement of the newborn
  • D. Obtain an order for an antidepressant to help the patient cope with the depressing news.
Correct Answer: A

Rationale: The most important nursing action when a patient's newborn is neurologically impaired is to assist the patient and her family with the grieving process. This situation can be extremely emotionally challenging for the parents and family as they come to terms with the newborn's condition. Providing support, empathy, and resources for coping with the grief is essential in helping the family navigate this difficult time. By being present, listening, and offering comfort, the nurse can help the family process their emotions and begin to cope with the situation. This support is crucial in promoting the overall well-being of the family as they adjust to the new reality of caring for a neurologically impaired newborn.

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A patient has just been prescribed birth control pills and asks about possible side effects. Which of the following should be discussed with the patient?

  • A. Increase in menstrual flow
  • B. Headaches or nausea
  • C. Decrease in libido
  • D. Increased risk of breast cancer
Correct Answer: B

Rationale: Headaches and nausea are common side effects of oral contraceptives. Choice A is incorrect because birth control pills typically decrease the menstrual flow. Choice C is not commonly reported with oral contraceptives, and many women report no change in libido. Choice D is incorrect because while oral contraceptives may slightly increase the risk of certain cancers, breast cancer risk is not significantly elevated compared to the general population.

What is the theory that supports HypnoBirthing?

  • A. the fear-tension-pain theory
  • B. the theory that pain is productive in labor
  • C. the idea that self-hypnosis always works if you try hard enough
  • D. the theory that when hypnotized during labor, the environment does not matter because the person is not aware of the surroundings
Correct Answer: A

Rationale: HypnoBirthing is based on the fear-tension-pain theory, which links fear to increased tension and pain.

A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?

  • A. Urine Ketones
  • B. Rapid plasma regain
  • C. Prothrombin time
  • D. Urine culture
Correct Answer: A

Rationale: Hyperemesis gravidarum is a severe form of nausea and vomiting during pregnancy that can lead to dehydration and electrolyte imbalances. One important laboratory test that the nurse should anticipate for a client with hyperemesis gravidarum is the urine ketones test. Ketones in the urine can indicate that the body is breaking down fat for energy instead of using glucose, which can occur during prolonged fasting or in conditions like hyperemesis gravidarum where there is severe vomiting leading to inadequate intake of nutrients. Monitoring urine ketones levels helps healthcare providers assess the severity of dehydration and metabolic derangement in these patients. It guides the management of fluid and electrolyte replacement to prevent complications like ketosis and metabolic acidosis.

Which order should the nurse implement first?

  • A. Give 1L LR IV (VS indicate hypovolemia from dehydration,
  • B. LR will reestablish vascular volume and bring BP up)
  • C. Weigh the client
  • D. Administer Maalox orally
Correct Answer: A

Rationale: The correct order of implementation in this scenario should focus on addressing the immediate physiological needs of the patient. The vital signs indicating hypovolemia from dehydration require prompt action to stabilize the patient's condition. Giving 1L of LR IV will help reestablish vascular volume, improve blood pressure, and address the underlying issue of dehydration. By addressing the hypovolemia first, the nurse can effectively start the process of stabilizing the patient before moving on to other interventions such as weighing the client, administering Maalox orally, or encouraging liquid intake.

What is the priority nursing action for a newborn with a temperature of 35.5°C (95.9°F)?

  • A. Place the newborn under a radiant warmer
  • B. Administer warm IV fluids
  • C. Swaddle the newborn in warm blankets
  • D. Provide glucose supplementation
Correct Answer: A

Rationale: Placing the newborn under a radiant warmer helps raise body temperature and prevent complications.

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