Maternal Newborn Proctored ATI

Maternal Newborn Proctored ATI Related

Review Maternal Newborn Proctored ATI related questions and content

A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors paces the client at risk for infection.

  • A. Meconium "“ start fluid
  • B. Placenta previa
  • C. Midline episiotomy
  • D. Gestational hypertension
Correct Answer: C

Rationale: A midline episiotomy increases the risk for infection in postpartum clients due to the incision made in the perineum during childbirth. This incision can serve as a portal of entry for microorganisms, leading to an increased risk of infection. Meconium-stained amniotic fluid (choice A) can increase the risk of respiratory distress in the newborn but is not directly related to infection in the postpartum client. Placenta previa (choice B) is a condition during pregnancy where the placenta partially or completely covers the cervix, which poses risks related to bleeding rather than infection postpartum. Gestational hypertension (choice D) is a risk factor for developing preeclampsia or eclampsia during pregnancy but does not directly increase the risk of infection in the postpartum period.

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A nurse educator is teaching a class to nursing developing cervical cancer. Which client is at students about the incidence of sexually transmitted highest risk? infections (STIs) and their impact on public health.

  • A. Client with a Pap test and an HPV screen positive Which is the most commonly reported STI in the for type 12 United States?
  • B. Client who is 40 years old and stopped smoking
  • C. Syphilis
  • D. Gonorrhea
Correct Answer: A

Rationale: Human papillomavirus (HPV) is the most commonly reported sexually transmitted infection (STI) in the United States. HPV infection, especially high-risk types such as HPV-16, is strongly associated with cervical cancer. Therefore, a client who is positive for HPV type 16 on an HPV screen is at the highest risk for developing cervical cancer among the given choices. The nurse educator would need to emphasize the importance of regular screening, follow-up, and prevention strategies for this client to reduce the risk of cervical cancer development.

The woman with the lowest risk for sexually trans-

  • A. Red swollen area around distal suture repair of mitted pelvic inflammatory disease is one who uses episiotomy site which of the following?
  • B. Oral contraceptives
  • C. A barrier method of contraception
  • D. An intrauterine device for contraception
Correct Answer: C

Rationale: The lowest risk for sexually transmitted pelvic inflammatory disease is associated with using a barrier method of contraception, such as condoms. Barrier methods create a physical barrier that helps prevent the exchange of bodily fluids, reducing the risk of transmission of sexually transmitted infections, including pelvic inflammatory disease. Oral contraceptives, intrauterine devices, and birth control patches do not provide the same level of protection against sexually transmitted infections as barrier methods like condoms.

A client, who is in the second trimester of pregnancy, gestation. The client is receiving magnesium sulfate tells the nurse that she has developed a reddish-pink intravenously for pre-eclampsia. Which assessment skin color on the palm of her hands. Which of the fol- requires immediate intervention?

  • A. Blood pressure of 130/90 mm Hg
  • B. Urine output of 20 mL in past hour
  • C. Facial flushing
  • D. Patellar reflexes 2+
Correct Answer: C

Rationale: Facial flushing in a pregnant client receiving magnesium sulfate for pre-eclampsia can be a sign of magnesium toxicity. Magnesium sulfate is a tocolytic agent used to prevent seizures in pre-eclamptic patients; however, excessive levels of magnesium can cause symptoms such as flushing, lethargy, blurred vision, slurred speech, and muscle weakness. In severe cases, magnesium toxicity can progress to respiratory depression, cardiac arrest, and death. Therefore, immediate intervention is required to prevent further complications. The other options do not present immediate concerning signs related to magnesium toxicity.

The nurse is performing an assessment on a client who is at 38 weeks' gestation and notes that the fetal heart rate is 174 beats/minute. What is the priority nursing action?

  • A. Document the finding.
  • B. Check the mother's heart rate.
  • C. Notify the health care provider (HCP).
  • D. Tell the client that the fetal heart rate is normal.
Correct Answer: C

Rationale: A fetal heart rate above 160 bpm at term may indicate fetal distress, requiring immediate notification of the HCP.

What technique is used for visualization and deepening in HypnoBirthing?

  • A. counting contractions
  • B. the on-off” switch
  • C. visualizing the instruments used to assist with birth
  • D. deepening into hypnosis to help push harder
Correct Answer: B

Rationale: The 'on-off' switch is a visualization technique used in HypnoBirthing to deepen relaxation.

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