ATI Maternal Newborn Proctored Exam

ATI Maternal Newborn Proctored Exam Related

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Platypelloid pelvis

  • A. Places the client as risk for dystocia
  • B. Has an increased probability of cesarean section
  • C. Has a flat shape that may impede fetal descent
  • D. A Gynecoid pelvis is roomy and ideal for vaginal birth. An Anthropoid pelvis has an oval shape, and an android pelvis is heart shape.
Correct Answer: A

Rationale: A platypelloid pelvis is characterized by a flat shape with a shortened anteroposterior diameter, which can impede fetal descent during labor. This pelvic type is associated with an increased risk of dystocia, which is difficulty in childbirth due to inadequate progress of labor. The flat shape of the pelvis may lead to improper positioning of the baby, making it challenging for the fetus to navigate through the birth canal. This can result in prolonged labor, increased risk of birth injuries, and potential complications for both the mother and the baby. In some cases, it may necessitate interventions such as labor induction or cesarean delivery to ensure a safe outcome for the mother and the baby.

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The APGAR is performed at what minutes?

  • A. 1 and 5
  • B. 2 and 4
  • C. 5 and 10
  • D. At birth and 5 minutes
Correct Answer: A

Rationale: The APGAR score is a quick assessment tool used to evaluate a newborn's health and overall condition immediately after birth and again at 5 minutes after birth. The five categories evaluated in the APGAR score are Appearance, Pulse, Grimace, Activity, and Respiration. The assessment is typically done at 1 minute and 5 minutes after birth to quickly determine if the baby needs any immediate medical attention or interventions. The scores at both time points provide valuable information about the baby's well-being and can guide healthcare providers in deciding on appropriate next steps for care.

The nurse is teaching a client about signs of postpartum hemorrhage. What statement indicates understanding?

  • A. Passing a few clots is normal.
  • B. Soaking one pad in an hour is concerning.
  • C. Heavy bleeding stops within 48 hours.
  • D. I should ignore mild cramping.
Correct Answer: B

Rationale: Soaking a pad in an hour may indicate postpartum hemorrhage and should be reported immediately.

The nurse assess that a newborn is in respiratory distress when the infant exhibits:

  • A. Apnea, grunting, wheezing, and crackles
  • B. Wheezing, cyanosis, hiccups, and crackles
  • C. Cyanosis, retraction, wheezing, and hiccups
  • D. Tachypnea, retraction, grunting, and cyanosis
Correct Answer: D

Rationale: In newborns, respiratory distress can present with various signs and symptoms. The combination of tachypnea (rapid breathing), chest retractions (visible sinking of the skin in between or below the ribs with each breath), grunting (sound made during expiration), and cyanosis (blue discoloration of the skin and mucous membranes) are indicative of respiratory distress in a newborn. These signs suggest that the newborn is having difficulty breathing and may require immediate medical attention. It is essential to recognize and address respiratory distress promptly to ensure the well-being of the newborn.

The nurse is educating a patient on what constitutes IPV. What is an example of an act of IPV?

  • A. child endangerment
  • B. stalking
  • C. workplace harassment
  • D. legal allegations
Correct Answer: B

Rationale: Stalking is a deliberate act where the perpetrator repeatedly follows, harasses, or intimidates the victim, which can instill fear or threaten safety. It is recognized as a specific form of intimate partner violence (IPV).

The menstrual phase of the menstrual cycle is characterized by what?

  • A. shedding of the endometrial lining
  • B. ovulation
  • C. fertilization
  • D. implantation
Correct Answer: A

Rationale:

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