Maternal Newborn Proctored ATI

Maternal Newborn Proctored ATI Related

Review Maternal Newborn Proctored ATI related questions and content

A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching?

  • A. Vaginal intercourse can be resumed after 2 weeks.
  • B. Products of conception will be present in vaginal bleeding.
  • C. Increased intake of zinc-rich foods is recommended.
  • D. Aspirin may be taken for cramps.
Correct Answer: B

Rationale: Following a dilation and curettage (D&C) procedure for a miscarriage, it is important to inform the client that they may experience vaginal bleeding containing products of conception. This is a normal part of the recovery process after this type of procedure. The presence of these products of conception in the vaginal bleeding should be monitored and reported to the healthcare provider if there are any unusual symptoms or excessive bleeding. It is essential for the nurse to provide appropriate information and guidance to the client about what to expect post-procedure to ensure they can differentiate between normal and abnormal symptoms.

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A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the following.....

  • A. A client who gave a birth 1 day ago and needs Rh˳(D) immune globulin.
  • B. A client who gave a birth 3 days ago and reports breath fullness.
  • C. A client who gave a birth 12 hr. ago and reports and increase in urinary output.
  • D. A client who gave a birth 8 hr. ago and is saturating a perineal pad every hour.
Correct Answer: B

Rationale: The client who gave birth 3 days ago and reports breath fullness is showing signs of potential postpartum complications, such as a pulmonary embolism. Pulmonary embolism is a serious condition that can occur postpartum due to blood clot formation. Symptoms like breath fullness, chest pain, and shortness of breath should never be ignored in postpartum clients. This client requires immediate assessment and intervention to prevent further complications. The other options are concerning but do not indicate as urgent of a situation as breath fullness, which could be a life-threatening issue.

The nurse is educating a client about kick counts. When should the client contact the healthcare provider?

  • A. Fewer than 10 movements in 2 hours.
  • B. Fewer than 5 movements in 1 hour.
  • C. No movements after drinking juice.
  • D. No movements for 12 hours.
Correct Answer: A

Rationale: Fewer than 10 movements in 2 hours is concerning and warrants further evaluation.

A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort?

  • A. Assisting the client into squatting position
  • B. Having the client lie in a supine position
  • C. Applying fundal pressure during contractions
  • D. Encouraging the client to void every 6 hr.
Correct Answer: A

Rationale: Assisting the client into a squatting position can help relieve pain and discomfort during labor. Squatting can open up the pelvis, allowing the baby to descend and progress through the birth canal more effectively. This position can also help with gravity-assisted delivery, decreasing the pressure on the mother's back and helping to reduce labor pains. Encouraging various positions during labor can provide comfort and promote optimal positioning for delivery.

A community health nurse is providing education on gestational diabetes mellitus (GDM) to a group of clients who are pregnant when discussing risk factors, which of the following ethnicities should the nurse identify as having the lowest incidence of GDM?

  • A. Asian
  • B. Non-Hispanic White American
  • C. Hispanic
  • D. African American
Correct Answer: B

Rationale: Non-Hispanic White Americans have been reported to have the lowest incidence of gestational diabetes mellitus (GDM) compared to other ethnicities. Studies have shown that Asian, Hispanic, and African American populations have higher rates of developing GDM during pregnancy. This may be due to genetic predispositions, lifestyle factors, and varying degrees of insulin resistance among different ethnic groups. Therefore, when discussing risk factors for GDM, the community health nurse should identify Non-Hispanic White Americans as having the lowest incidence of GDM.

The nurse is caring for a client with preeclampsia. What is the most important assessment?

  • A. Daily weight.
  • B. Urine protein levels.
  • C. Fetal heart rate.
  • D. Blood pressure.
Correct Answer: D

Rationale: Blood pressure monitoring is critical to prevent complications such as eclampsia and placental issues in preeclampsia.

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