Maternal Newborn ATI Proctored Exam

Maternal Newborn ATI Proctored Exam Related

Review Maternal Newborn ATI Proctored Exam related questions and content

How can a nurse best prevent heat loss in a newborn during the first hour of life?

  • A. Place the newborn under a radiant warmer
  • B. Dry the newborn and cover with a warm blanket
  • C. Place the newborn in a skin-to-skin position with the mother
  • D. Keep the newborn wrapped in a wet blanket
Correct Answer: A

Rationale: The correct answer is A: Place the newborn under a radiant warmer. This method is the most effective in preventing heat loss in a newborn as radiant warmers provide a consistent heat source to maintain the newborn's body temperature. This is crucial during the first hour of life when newborns are at a higher risk of hypothermia.

Choice B is not as effective as using a radiant warmer as it may not provide enough warmth to prevent heat loss. Choice C, placing the newborn in a skin-to-skin position with the mother, is beneficial for bonding and regulating the newborn's temperature in the long term but may not be as effective as a radiant warmer in the immediate post-birth period.

Choice D, keeping the newborn wrapped in a wet blanket, is incorrect as wet blankets can further contribute to heat loss through evaporative cooling. In summary, using a radiant warmer is the best option for preventing heat loss in a newborn during the critical first hour of life.

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A patient has had four vaginal deliveries. What barrier contraceptive method’s efficacy is affected by this history?

  • A. internal condom
  • B. external condom
  • C. cervical cap
  • D. contraceptive gel
Correct Answer: C

Rationale: The correct answer is C: cervical cap. This barrier contraceptive method's efficacy is affected by the patient's history of four vaginal deliveries due to changes in the cervix and vaginal canal post-deliveries. The cervical cap relies on proper placement over the cervix to prevent sperm from entering the uterus. However, after multiple vaginal deliveries, the cervix may become less firm and may have altered shape or size, leading to reduced effectiveness of the cervical cap.

A: Internal condom and B: external condom are not affected by the history of vaginal deliveries as they do not rely on cervical fit for efficacy.

D: Contraceptive gel is not directly affected by the number of vaginal deliveries as it is applied externally and does not rely on cervical anatomy for effectiveness.

After several hours of labor, the fetal heart monitor shows

  • A. The nurse would interpret this deceleration to be consistent with which presentation?
  • B. Umbilical cord compression
  • C. Uteroplacental insufficiency
  • D. Compression of fetal head
Correct Answer: B

Rationale: The correct answer is B: Umbilical cord compression. When the fetal heart monitor shows deceleration after several hours of labor, it indicates reduced oxygen supply to the fetus. Umbilical cord compression can restrict blood flow and oxygen delivery to the fetus, leading to decelerations. This is a common cause during labor. Choices A, C, and D do not directly relate to the decreased oxygen supply indicated by decelerations on the fetal heart monitor.

A client at 34 weeks' gestation reports decreased fetal movements. What should the nurse advise first?

  • A. Drink a glass of juice and lie down.
  • B. Come to the clinic immediately.
  • C. Monitor fetal movements for 24 hours.
  • D. Call the healthcare provider tomorrow.
Correct Answer: A

Rationale: The correct answer is A: Drink a glass of juice and lie down. This advice is based on the concept that consuming juice can stimulate fetal movements due to the increase in blood sugar levels. Lying down also helps the client focus on feeling the movements. This initial step is non-invasive and can potentially address the decreased fetal movements promptly. Choices B and D delay action, which can be dangerous if there is a significant issue with the baby. Choice C might lead to unnecessary waiting and potential risks if the fetus is in distress.

Which statement by the client would alert the nurse that she should not take oral contraceptives?

  • A. I drink one to two alcohol drinks a few times a week.
  • B. I am slightly overweight and have a difficult time fitting exercise into my schedule.
  • C. I am trying to limit cigarettes to one pack a week.
  • D. I try to have my boyfriend wear a condom every time we have sex.
Correct Answer: C

Rationale: The correct answer is C because smoking while taking oral contraceptives increases the risk of blood clots, stroke, and heart attack. Smoking and oral contraceptives together pose a higher risk than either alone. Choices A, B, and D are not direct contraindications for taking oral contraceptives. A: Moderate alcohol consumption is generally not contraindicated. B: Being slightly overweight and having difficulty with exercise are not absolute contraindications. D: Using condoms is a good practice but does not specifically indicate a reason not to take oral contraceptives.

The nurse enters the person's room for the first time. What can the nurse do to show cultural sensitivity?

  • A. Come in and sit on the bed with the person.
  • B. Address the person by their first name.
  • C. Make and hold eye contact.
  • D. Document their preferred language in their chart.
Correct Answer: D

Rationale: The correct answer is D because documenting the person's preferred language in their chart shows cultural sensitivity by ensuring effective communication. This step acknowledges and respects the person's cultural background and language preferences, facilitating better understanding and care provision.

Choices A, B, and C are incorrect:
A: Sitting on the bed may invade personal space and not be culturally appropriate.
B: Addressing the person by their first name may not be respectful in some cultures.
C: Making and holding eye contact may be considered rude or inappropriate in certain cultures.

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