ATI Maternal Newborn Proctored Exam

ATI Maternal Newborn Proctored Exam Related

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A woman's temperature has just risen 0.4°F and will remain elevated during the remainder of her cycle. She expects to menstruate in about 2 weeks. Which of the following hormones is responsible for the change?

  • A. Progesterone
  • B. Follicle stimulating hormone
  • C. Luteinizing hormone
  • D. Estrogen
Correct Answer: D

Rationale: The hormone responsible for the increase in body temperature prior to menstruation is estrogen. Estrogen is the primary female sex hormone that plays a key role in regulating the menstrual cycle. Around the time of ovulation, estrogen levels peak, which can lead to a slight rise in body temperature. This increase in temperature is known as the "estrogenic temperature shift" and is a normal part of the menstrual cycle. The rise in body temperature indicates that ovulation has occurred and that a woman is approaching her fertile window. Estrogen also helps prepare the uterine lining for pregnancy and plays a role in many other reproductive functions.

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The physician has determined the need for forceps. The nurse should explain to the patient that the need for forceps is indicated because

  • A. Premature placental separation (also used for prolapsed cord and nonreasoning fetal HR)
  • B. Her support person is exhausted
  • C. To shorten the first stage of labor
  • D. To prevent fetal distress
Correct Answer: A

Rationale: Forceps delivery is indicated in situations where there is fetal distress due to premature placental separation or nonreassuring fetal heart rate. Forceps are used to facilitate a quicker delivery and reduce the risk to the baby during such emergency situations. Forces are also used in cases of fetal distress due to a prolapsed cord where a quick delivery is necessary to relieve pressure on the umbilical cord.

A client at 39 weeks' gestation is in labor and reports intense back pain. What is the likely cause?

  • A. Occiput posterior fetal position.
  • B. Placental abruption.
  • C. Breech presentation.
  • D. Uterine rupture.
Correct Answer: A

Rationale: Intense back pain during labor is commonly associated with the occiput posterior fetal position.

Which of the following is an abnormal finding upon

  • A. To monitor hydration status physical examination of an infant?
  • B. To reduce the risk of bladder injury
  • C. Anterior fontanel that has a diamond-shaped open
  • D. To prevent the patient from urinating during space surgery
Correct Answer: D

Rationale: The abnormal finding listed in option D, "To prevent the patient from urinating during space surgery," stands out from the rest of the options provided. This is because during space surgery, it is not necessary or appropriate to prevent the patient from urinating; rather, it is essential to focus on the surgical procedure and the patient's safety in a space environment. The other options focus on normal or abnormal physical examination findings in infants, such as the hydration status, fontanel appearance, suture line spacing, ear positioning, and uterus displacement.

A client at 35 weeks' gestation reports mild vaginal bleeding and no pain. What condition should the nurse suspect?

  • A. Abruptio placentae.
  • B. Placenta previa.
  • C. Preterm labor.
  • D. Urinary tract infection.
Correct Answer: B

Rationale: Painless vaginal bleeding in late pregnancy is a classic sign of placenta previa.

A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing. The client says she feels lightheaded and her fingers are tingling. Which of the following actions should the nurse take?

  • A. Administer oxygen via nasal cannula.
  • B. Assist the client to breathe into a paper bag.
  • C. Have the client tuck her chin to her chest.
  • D. Instruct the client to increase her respiratory rate to more than 42 breaths per min.
Correct Answer: A

Rationale: The client is exhibiting signs of hyperventilation, which can occur as a result of rapid breathing techniques such as pattern-paced breathing during labor. Administering oxygen via nasal cannula can help the client rebalance her oxygen and carbon dioxide levels, which will alleviate the lightheadedness and tingling sensations she is experiencing. Oxygen therapy is the appropriate intervention for respiratory alkalosis caused by hyperventilation. Assisting the client to breathe into a paper bag or instructing her to increase her respiratory rate would exacerbate the hyperventilation and should be avoided. Tucking her chin to her chest is not an appropriate intervention in this situation.

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