Maternal Newborn ATI Proctored Exam

Maternal Newborn ATI Proctored Exam Related

Review Maternal Newborn ATI Proctored Exam related questions and content

An adolescent is being taught about levonorgestrel contraception by a school nurse. What information should the nurse include in the teaching?

  • A. You should take the medication within 72 hours following unprotected sexual intercourse.
  • B. Do not take this medication if you are on an oral contraceptive.
  • C. If you do not start your period within 5 days of taking this medication, you will need a pregnancy test.
  • D. One dose of this medication will prevent pregnancy for 14 days after taking it.
Correct Answer: A

Rationale: Step 1: Levonorgestrel is a type of emergency contraception that is most effective when taken within 72 hours after unprotected sex.
Step 2: Taking the medication within the specified time frame increases its effectiveness in preventing pregnancy.
Step 3: Thus, the nurse should emphasize to the adolescent the importance of taking the medication promptly after unprotected intercourse.
Step 4: This information is crucial for the adolescent to understand the time-sensitive nature of levonorgestrel contraception.

Summary:
- Choice B is incorrect because it provides contradictory information. Levonorgestrel can be taken even if the individual is on an oral contraceptive.
- Choice C is incorrect as starting a period is not a reliable indicator of pregnancy. A pregnancy test is recommended if there are concerns.
- Choice D is incorrect because levonorgestrel is a single-dose emergency contraception and does not provide protection for 14 days.

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In a prenatal clinic, a client in the first trimester of pregnancy has a health record that includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information? (Select all that apply)

  • A. Client has delivered one newborn at term
  • B. Client has experienced no preterm labor
  • C. Client has had two prior pregnancies
  • D. ALL OF THE ABOVE - has one living child
Correct Answer: D

Rationale: The data "G3 T1 P0 A1 L1" indicates the client has had 3 pregnancies (G3), 1 term delivery (T1), 0 preterm deliveries (P0), 1 living child (A1), and 1 living child currently (L1). Therefore, the correct interpretation is that the client has one living child (A1) from one term delivery (T1). Choice D ("ALL OF THE ABOVE - has one living child") is correct as it summarizes the information accurately. Choices A, B, and C are incorrect because they do not encompass all the aspects of the data provided in the client's health record.

A woman in a women's health clinic is receiving teaching about nutritional intake during her 8th week of gestation. The healthcare provider should advise the woman to increase her daily intake of which of the following nutrients?

  • A. Calcium
  • B. Vitamin E
  • C. Iron
  • D. Vitamin D
Correct Answer: C

Rationale: The correct answer is C: Iron. During pregnancy, the body's demand for iron increases to support the growing fetus and placenta. Iron is essential for the production of hemoglobin, which carries oxygen to the baby. Inadequate iron intake can lead to maternal anemia and complications. Calcium is important for bone health, but the focus in the 8th week of gestation should be on iron. Vitamin E is an antioxidant that is important for overall health but not specifically targeted for increased intake in the 8th week of pregnancy. Vitamin D is crucial for calcium absorption and bone health, but iron takes precedence during this stage of pregnancy.

Which of the following medications should the provider prescribe for a client with gonorrhea?

  • A. Ceftriaxone
  • B. Fluconazole
  • C. Metronidazole
  • D. Zidovudine
Correct Answer: A

Rationale: The correct answer is A: Ceftriaxone. It is the recommended first-line treatment for gonorrhea due to increasing resistance to other antibiotics. Ceftriaxone is a third-generation cephalosporin that effectively treats gonorrhea. Fluconazole (B) is used for fungal infections, not bacterial. Metronidazole (C) is used for anaerobic bacterial infections like bacterial vaginosis, not gonorrhea. Zidovudine (D) is used to treat HIV, not gonorrhea. Therefore, A is the correct choice for treating gonorrhea effectively.

A healthcare provider is assisting with the care for a client who has a prescription for magnesium sulfate. The provider should recognize that which of the following are contraindications for the use of this medication? (Select all that apply)

  • A. Fetal distress
  • B. Cervical dilation greater than 6 cm
  • C. Vaginal bleeding
  • D. All of the Above
Correct Answer: D

Rationale: The correct answer is D: All of the above. Magnesium sulfate is contraindicated in cases of fetal distress, cervical dilation greater than 6 cm, and vaginal bleeding. Fetal distress can be worsened by magnesium sulfate, and it can lead to respiratory depression in the newborn. Cervical dilation greater than 6 cm indicates advanced labor, where the risk of uterine atony and postpartum hemorrhage is increased with magnesium sulfate use. Vaginal bleeding may be a sign of placental abruption or other complications, which can be exacerbated by magnesium sulfate. Therefore, all three options are contraindications for the use of magnesium sulfate in this scenario.

A client who is 12 hours postpartum has a fundus located two fingerbreadths above the umbilicus, deviated to the right of the midline, and less firm than previously noted. Which of the following actions should the nurse take?

  • A. Place the client in a side-lying position.
  • B. Assist the client to the bathroom to void.
  • C. Obtain a prescription for IV oxytocin.
  • D. Administer methylergonovine.
Correct Answer: B

Rationale: The correct answer is B: Assist the client to the bathroom to void. This action can help promote uterine contractions by relieving bladder distention, which can cause the fundus to be displaced. Voiding can help the uterus return to its normal position and firmness. Placing the client in a side-lying position (A) may be helpful for fundal massage but addressing bladder distention is the priority. Obtaining a prescription for IV oxytocin (C) or administering methylergonovine (D) are not indicated as first-line interventions for a fundus located above the umbilicus postpartum.

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