ATI Maternal Newborn Proctored

ATI Maternal Newborn Proctored Related

Review ATI Maternal Newborn Proctored related questions and content

A nurse is a prenatal clinic is completing a skin assessment for a pregnant client in the second trimester. Which clinical findings should the nurse expect (select all that apply)?

  • A. Eczema
  • B. Psoriasis C.Linea nigra
  • C. Chloasma
  • D. Striae gravidarum C, D, E
Correct Answer: C

Rationale: The correct answer is C: Linea nigra. During the second trimester of pregnancy, hormonal changes can lead to the development of Linea nigra, a dark vertical line that appears on the abdomen. This is a common skin change in pregnant women.

Explanation:
1. Eczema (choice A) and Psoriasis (choice B) are chronic skin conditions that are not typically associated with pregnancy. These conditions are not expected findings during the second trimester.

2. Chloasma (choice C) is also known as the "mask of pregnancy" and presents as dark patches on the face. This is a common skin change during pregnancy, especially in the second trimester.

3. Striae gravidarum (choice D) are stretch marks that may develop on the abdomen, breasts, and thighs during pregnancy. While this is a common skin change in pregnancy, it is not one of the expected findings in the second trimester according to the question.

In summary, the correct

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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.

A client in labor with ruptured membranes is diagnosed with chorioamnionitis. What is the priority nursing action?

  • A. Administer prescribed antibiotics.
  • B. Encourage the client to ambulate.
  • C. Increase the oxytocin infusion rate.
  • D. Perform a sterile vaginal examination.
Correct Answer: A

Rationale: The correct answer is A: Administer prescribed antibiotics. The priority nursing action in a client with chorioamnionitis is to administer antibiotics promptly to prevent infection spread to the fetus and mother. Antibiotics help treat the infection and reduce complications. Encouraging ambulation (B) may not be safe due to the risk of infection. Increasing oxytocin infusion rate (C) could worsen the infection. Performing a sterile vaginal examination (D) is contraindicated as it can introduce more bacteria. Administering antibiotics is the most urgent and effective intervention in this situation.

The nurse would classify a newborn delivered at 39 weeks' gestation, weighing 2400 g ( 5.0 lbs) as being:

  • A. Preterm and immature
  • B. Small-for-gestational age
  • C. Average-for-gestational age
  • D. Average-for-gestational age but pre-term
Correct Answer: B

Rationale: The correct answer is B: Small-for-gestational age. A newborn delivered at 39 weeks' gestation and weighing 2400g is considered small-for-gestational age because the weight is below the 10th percentile for the gestational age. This indicates intrauterine growth restriction. Preterm and immature (choice A) would not apply as the baby was delivered at term. Average-for-gestational age (choice C) would not be accurate as the baby's weight is below the normal range for that gestational age. Choice D is also incorrect as the baby is not within the average weight range for the gestational age.

The nurse is educating a client about postpartum warning signs. Which symptom requires immediate medical attention?

  • A. Increased lochia after breastfeeding.
  • B. Perineal discomfort on day 3 postpartum.
  • C. Fever of 101°F and foul-smelling lochia.
  • D. Mild fatigue and trouble sleeping.
Correct Answer: C

Rationale: The correct answer is C: Fever of 101°F and foul-smelling lochia. This combination indicates a possible infection like endometritis, which can be life-threatening if not promptly treated. Fever is a sign of systemic infection, and foul-smelling lochia suggests an infected uterus. Immediate medical attention is crucial to prevent complications.

A: Increased lochia after breastfeeding is common and not necessarily alarming unless it is excessive or accompanied by other symptoms.
B: Perineal discomfort on day 3 postpartum is expected due to the healing process and does not typically require immediate medical attention.
D: Mild fatigue and trouble sleeping are common postpartum symptoms but do not indicate a medical emergency unless they are severe or persistent.

What is the most critical sign of fetal distress during labor?

  • A. Accelerations in fetal heart rate
  • B. Decreased variability in fetal heart rate
  • C. Early decelerations in fetal heart rate
  • D. Late decelerations in fetal heart rate
Correct Answer: D

Rationale: The correct answer is D: Late decelerations in fetal heart rate. Late decelerations indicate uteroplacental insufficiency, where the fetus is not receiving enough oxygen during contractions. This is critical as it can lead to fetal hypoxia and acidosis, posing a risk to the baby's well-being. Early decelerations (C) are generally benign and result from head compression during contractions. Accelerations (A) are a reassuring sign indicating fetal well-being. Decreased variability (B) can be concerning but is not as critical as late decelerations in indicating fetal distress.

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