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 nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

  • A. Document the findings and continue to monitor the client.
  • B. Notify the client's provider.
  • C. Increase the frequency of fundal massage.
  • D. Encourage the client to empty her bladder.
Correct Answer: A

Rationale: The correct answer is A: Document the findings and continue to monitor the client. This is the appropriate action because the client's fundus is midline and firm, indicating good uterine tone. Lochia rubra and small clots are expected findings in the immediate postpartum period. The nurse should document these findings for future reference and continue to monitor the client's condition.

Choice B (Notify the client's provider) is incorrect because there are no concerning signs that warrant immediate provider notification, as the fundus is firm and midline.

Choice C (Increase the frequency of fundal massage) is unnecessary since the fundus is already firm at the umbilicus, indicating good uterine tone.

Choice D (Encourage the client to empty her bladder) is not the priority in this scenario, as the client's fundal assessment and lochia observations take precedence.

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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.

In a 28-day menstrual cycle, when does ovulation typically occur?

  • A. around day 7
  • B. around day 14
  • C. around day 21
  • D. around day 28
Correct Answer: B

Rationale: The correct answer is B: around day 14. Ovulation typically occurs around day 14 in a 28-day menstrual cycle. This is because ovulation usually happens around 14 days before the start of the next menstrual period. This timing aligns with the midpoint of the menstrual cycle, which is around day 14. Ovulation is the release of an egg from the ovary, marking the most fertile period for conception. Choices A, C, and D are incorrect because ovulation does not typically occur on day 7, day 21, or day 28 in a 28-day menstrual cycle.

The nurse is assessing a client in the second stage of labor. What is the nurse's priority assessment?

  • A. Frequency of contractions.
  • B. Cervical dilation.
  • C. Fetal descent and position.
  • D. Intensity of contractions.
Correct Answer: C

Rationale: The correct answer is C: Fetal descent and position. In the second stage of labor, the priority assessment is to monitor fetal descent and position to ensure the baby is progressing through the birth canal correctly. This assessment helps determine if interventions are needed to prevent complications such as fetal distress or prolonged labor. Assessing the frequency of contractions (A) and cervical dilation (B) are important but not the priority in the second stage. Intensity of contractions (D) is also important but not as crucial as monitoring fetal descent and position.

The nurse is assessing a client in the active stage of labor. Which findings indicate to the nurse that the client is beginning the second stage of labor?

  • A. The membranes have ruptured.
  • B. The cervix is dilated completely.
  • C. The client begins to expel clear vaginal fluid.
  • D. The spontaneous urge to push is initiated from perineal pressure.
Correct Answer: B

Rationale: The correct answer is B because complete dilation of the cervix marks the transition from the first to the second stage of labor. This indicates that the client is ready to start pushing the baby out. Choice A is incorrect as ruptured membranes can occur in any stage of labor. Choice C is incorrect as clear vaginal fluid expulsion is not a specific indicator of the second stage. Choice D is incorrect as the urge to push can be experienced in the first stage as well.

A nurse is caring for a client who is in the transition phase of labor. Which of the following...

  • A. Assist the client to void every 3 hr.
  • B. Monitor contractions every 30 min.
  • C. Place the client into a lithotomy position.
  • D. Encourage the client to use a pant-blow breathing pattern.
Correct Answer: B

Rationale: The correct answer is B: Monitor contractions every 30 min. During the transition phase of labor, contractions are typically intense and frequent. Monitoring contractions every 30 minutes allows the nurse to assess the progress of labor and ensure the safety of both the mother and the baby. This helps in identifying any abnormalities or complications that may arise during this critical stage.

A: Assisting the client to void every 3 hr is important, but it is not specific to the transition phase of labor.
C: Placing the client into a lithotomy position is not recommended during the transition phase as it can restrict blood flow and increase the risk of complications.
D: Encouraging the client to use a pant-blow breathing pattern is a relaxation technique more suited for the earlier stages of labor, not the transition phase.

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