ATI Maternal Newborn Proctored

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Preexisting medical conditions like diabetes, hypertension, and autoimmune diseases can impact pregnancy outcomes. What education can the nurse provide?

  • A. Your medical condition always gets worse during pregnancy.
  • B. Nutrition changes cannot help with fertility.
  • C. Maintaining glucose control can increase chances of conceiving.
  • D. Autoimmune diseases only affect pregnancy, not infertility.
Correct Answer: C

Rationale: The correct answer is C: Maintaining glucose control can increase chances of conceiving. This is because uncontrolled diabetes can lead to complications during pregnancy, affecting both the mother and the baby. By educating the patient on the importance of managing their glucose levels, the nurse can help improve fertility outcomes.

A: Your medical condition always gets worse during pregnancy - Incorrect. Medical conditions may not always worsen during pregnancy, and managing them properly can lead to positive outcomes.

B: Nutrition changes cannot help with fertility - Incorrect. Nutrition plays a crucial role in fertility, and making appropriate dietary changes can improve the chances of conception.

D: Autoimmune diseases only affect pregnancy, not infertility - Incorrect. Autoimmune diseases can impact fertility as well as pregnancy outcomes, so it is important to address these conditions when trying to conceive.

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In addition to the bolus of fluid which medication should she be given to increase blood pressure?

  • A. Ephedrine
  • B. Terbutaline
  • C. Epinephrine
  • D. Epifoam
Correct Answer: A

Rationale: The correct answer is A: Ephedrine. Ephedrine is a sympathomimetic amine that acts on alpha and beta adrenergic receptors to increase blood pressure. It is commonly used to treat hypotension. Terbutaline (B) and Epinephrine (C) are bronchodilators that can lower blood pressure. Epifoam (D) is a topical medication for skin conditions and does not affect blood pressure. Therefore, Ephedrine is the most appropriate choice to increase blood pressure in this scenario.

Which teaching is most critical for a mother with gestational diabetes?

  • A. Encourage a high-protein diet
  • B. Teach the importance of blood glucose monitoring
  • C. Advise on the importance of physical activity
  • D. Monitor for preterm labor signs
Correct Answer: B

Rationale: The correct answer is B because monitoring blood glucose levels is crucial in managing gestational diabetes to prevent complications for both the mother and baby. By regularly monitoring blood glucose levels, the mother can adjust her diet and insulin intake accordingly to maintain optimal blood sugar levels. This helps in reducing the risk of adverse outcomes such as macrosomia and neonatal hypoglycemia.

Choice A is incorrect because while a balanced diet is important, focusing solely on high-protein intake may not address the specific needs of gestational diabetes management.

Choice C is also important for overall health, but blood glucose monitoring takes precedence in managing gestational diabetes.

Choice D is incorrect as monitoring for preterm labor signs is important in pregnancy but is not directly related to managing gestational diabetes.

Who created the Mongan Method?

  • A. physician
  • B. midwife
  • C. hypnotherapist
  • D. organization
Correct Answer: C

Rationale: The correct answer is C: hypnotherapist. The Mongan Method was created by Marie Mongan, who is a hypnotherapist. She developed this method as a childbirth education program that incorporates hypnosis techniques to help women have a more positive and empowering birthing experience. The other choices are incorrect because a physician, midwife, or organization did not create the Mongan Method. Marie Mongan's background in hypnotherapy is the key factor in why choice C is the correct answer.

One goal of Healthy People 2030 is to improve pregnancy planning and prevent unintended pregnancy. What is a negative outcome related to unintended pregnancy that is related to this HP goal?

  • A. lost jobs related to inabilities to continue to work
  • B. depression and anxiety
  • C. increased BMI and unintentional weight gain
  • D. increased health-care costs in the United States
Correct Answer: B

Rationale: The correct answer is B: depression and anxiety. Unintended pregnancies can lead to mental health issues like depression and anxiety due to the emotional, financial, and social stress associated with unplanned parenthood. This aligns with the goal of Healthy People 2030 to improve pregnancy planning. Choice A is incorrect because while lost jobs can be a consequence of unintended pregnancy, it is not directly related to the mental health aspect targeted by this HP goal. Choice C is incorrect as increased BMI and weight gain are not typically cited as negative outcomes directly related to unintended pregnancy prevention. Choice D is incorrect as while unintended pregnancies can lead to increased healthcare costs, it does not specifically address the mental health aspect targeted by the HP goal.

The nurse is assessing a client in labor with ruptured membranes. What finding indicates the need for immediate intervention?

  • A. Temperature of 100.6°F.
  • B. Clear amniotic fluid.
  • C. Green, foul-smelling fluid.
  • D. Client reports contractions every 5 minutes.
Correct Answer: C

Rationale: The correct answer is C: Green, foul-smelling fluid. This indicates meconium-stained amniotic fluid, which can be a sign of fetal distress and possible meconium aspiration. Immediate intervention is needed to prevent potential complications for the baby.

A: Temperature of 100.6°F could indicate maternal infection but does not require immediate intervention unless other signs are present.

B: Clear amniotic fluid is a normal finding.

D: Contractions every 5 minutes may indicate active labor, but it is not an immediate concern unless coupled with other signs of distress.

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