Maternal Newborn ATI Proctored Exam 2023

Maternal Newborn ATI Proctored Exam 2023 Related

Review Maternal Newborn ATI Proctored Exam 2023 related questions and content

A couple comes in for an infertility workup, having attempted to get pregnant for 2 years. The woman, 37, has always had irregular menstrual cycles but is otherwise healthy. The man has fathered two children from a previous marriage and had a vasectomy reversal 2 years ago. The man has had two normal semen analyses, but the sperm seem to be clumped together. What additional test is needed?

  • A. FSH level
  • B. Antisperm antibodies
  • C. Testicular biopsy
  • D. Test of testicular infection
Correct Answer: B

Rationale: The correct answer is B: Antisperm antibodies. In this case, the man's history of vasectomy reversal and normal semen analyses with clumped sperm suggest a possible presence of antisperm antibodies. These antibodies can cause sperm agglutination, affecting fertility. Testing for antisperm antibodies can provide valuable information on potential immune-related infertility issues.

A: FSH level is not the most appropriate test in this scenario as the man's semen analyses were normal, indicating potential issues with sperm-egg interaction rather than hormonal imbalances.
C: Testicular biopsy is invasive and not necessary at this stage when the issue seems to be related to sperm clumping rather than a structural problem within the testes.
D: Test of testicular infection is unlikely as the man's semen analyses were normal, and there are no indications of infection based on the information provided.

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What is the best nursing action for a newborn experiencing hypothermia?

  • A. Place the newborn in skin-to-skin contact with the mother
  • B. Provide a warm blanket and monitor temperature
  • C. Administer IV fluids to stabilize temperature
  • D. Monitor glucose levels for hypoglycemia
Correct Answer: A

Rationale: The correct answer is A: Place the newborn in skin-to-skin contact with the mother. This is the best nursing action for a newborn experiencing hypothermia because it provides immediate and effective warmth transfer from the mother to the baby. Skin-to-skin contact helps regulate the newborn's body temperature, promotes bonding, and enhances breastfeeding initiation.

Choice B is incorrect because while providing a warm blanket is important, skin-to-skin contact with the mother is more effective in quickly raising the newborn's temperature. Choice C is incorrect because administering IV fluids is not the first-line treatment for hypothermia in newborns. Choice D is incorrect because monitoring glucose levels for hypoglycemia is important but addressing the hypothermia should take precedence.

A nurse is teaching a prenatal class about immunizations that newborns receive following birth. Which of the following immunizations should the nurse include in the teaching?

  • A. Hepatitis B
  • B. Rotavirus
  • C. Pneumococcal
  • D. Varicella
Correct Answer: A

Rationale: The correct answer is A: Hepatitis B. Newborns typically receive the Hepatitis B vaccine shortly after birth to provide protection against the virus. This is important because newborns are at risk of contracting Hepatitis B from infected mothers during childbirth. The vaccine helps prevent chronic liver infections and liver cancer later in life.

Why other choices are incorrect:
B: Rotavirus - Rotavirus vaccine is typically given to infants starting at 2 months of age, not immediately after birth.
C: Pneumococcal - Pneumococcal vaccines are usually given later in infancy, not right after birth.
D: Varicella - Varicella vaccine is typically given around 12-15 months of age, not immediately after birth.

A client at 12 weeks' gestation reports nausea and vomiting. What is the best dietary advice?

  • A. Eat three large meals a day.
  • B. Drink fluids with meals.
  • C. Consume small, frequent meals throughout the day.
  • D. Avoid protein-rich foods.
Correct Answer: C

Rationale: The correct answer is C: Consume small, frequent meals throughout the day. This advice helps manage nausea and vomiting during pregnancy by preventing an empty stomach, which can worsen symptoms. Eating small, frequent meals helps stabilize blood sugar levels and provides a steady source of nutrients for the developing fetus. It also reduces the likelihood of triggering nausea by avoiding large meals. Drinking fluids with meals (choice B) may exacerbate symptoms by filling up the stomach too quickly. Eating three large meals a day (choice A) can lead to overeating and may worsen nausea. Avoiding protein-rich foods (choice D) is not recommended as protein is essential for fetal development and overall health during pregnancy.

The nurse is monitoring a client with severe preeclampsia. What finding requires immediate intervention?

  • A. Proteinuria of +1.
  • B. Respiratory rate of 16 breaths per minute.
  • C. Deep tendon reflexes +4.
  • D. Urine output of 50 mL/hour.
Correct Answer: C

Rationale: The correct answer is C: Deep tendon reflexes +4. In severe preeclampsia, increased reflexes indicate possible progression to eclampsia with seizures. Immediate intervention is needed to prevent seizures. Choice A is not urgent unless higher proteinuria levels are present. Choice B is within normal range. Choice D is concerning but not as urgent as managing potential seizures.

A nurse is caring for a client who is in labor and has a diagnosis of group B streptococcus B-hemolytic infection. Which of the following medications should the nurse plan to administer?

  • A. Ampicill in
  • B. Azithro mycin
  • C. Ceftriax one
  • D. Acyclov ir
Correct Answer: A

Rationale: The correct answer is A: Ampicillin. Group B Streptococcus (GBS) infection during labor is typically treated with intravenous antibiotics like ampicillin to prevent transmission to the newborn. Ampicillin is the first-line treatment for GBS during labor due to its effectiveness in eradicating the bacteria and reducing the risk of neonatal infection. Azithromycin (B) is not typically used for GBS infection during labor. Ceftriaxone (C) is not the preferred antibiotic for GBS during labor. Acyclovir (D) is used to treat viral infections, not bacterial infections like GBS.

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