ATI Maternal Newborn Proctored Exam 2024

ATI Maternal Newborn Proctored Exam 2024 Related

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A nurse is providing dietary teaching for a client who is at 29 weeks of gestation and has phenylketonuria. Which of the following suggested foods should the nurse include in the teaching?

  • A. A peanut butter sandwich on wheat bread.
  • B. A sliced apple and red grapes.
  • C. A chocolate chip cookie with a glass of skim milk.
  • D. A scrambled egg with cheddar cheese.
Correct Answer: B

Rationale: Phenylketonuria (PKU) is a genetic disorder where the body cannot metabolize phenylalanine, an amino acid found in protein-containing foods. Patients with PKU need to follow a strict low-phenylalanine diet to prevent the buildup of phenylalanine in the body. Fruits like apples and grapes are low in protein and contain minimal phenylalanine, making them suitable choices for individuals with PKU. The other options listed contain higher amounts of protein and phenylalanine, such as peanut butter, chocolate chip cookies, milk, scrambled eggs, and cheese, which should be avoided by individuals with PKU.

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A pregnant woman tells the nurse-midwife, 'I've heard that if I eat certain foods during my pregnancy, the baby will be a boy.' The nurse-midwife should explain that this is a myth, and that the sex of the baby is determined at what time?

  • A. At the time of ejaculation
  • B. At the time of fertilization
  • C. At the time of implantation
  • D. At the time of differentiation
Correct Answer: B

Rationale: The sex of a baby is determined at fertilization. Sperm cells carry either an X or Y chromosome, while the ovum only carries an X chromosome. If the sperm contributes an X chromosome, the baby will be female, and if it contributes a Y chromosome, the baby will be male.

The nurse suspects that a client has an early sign of ectopic

  • B. Abdominal pain
  • C. Vaginal spotting or light bleeding
  • D. Pelvic pain
Correct Answer: C

Rationale: Vaginal spotting or light bleeding is one of the early signs of an ectopic pregnancy. Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, most commonly in the fallopian tube. The presence of vaginal spotting or light bleeding may indicate the implantation of the fertilized egg in a location other than the uterus, leading to the suspicion of an ectopic pregnancy. It is essential for the nurse to recognize this early sign and promptly assess the client for further evaluation and intervention to prevent complications such as rupture and severe bleeding that can be life-threatening.

Which of the following serve as maternal risk factors juice to having a baby who may suffer from birth trauma?

  • A. Take her supplement after a meal Select all that apply.
  • B. Take her supplement with full glass of tea
  • C. Term delivery
  • D. Scheduled cesarean delivery
Correct Answer: D

Rationale: Scheduled cesarean delivery serves as a maternal risk factor juice to having a baby who may suffer from birth trauma. Cesarean deliveries, especially scheduled ones without a medical indication, can increase the risk of birth trauma for the baby compared to a vaginal delivery. Birth trauma in infants can include injuries like bruises, fractures, and head trauma due to various factors during the delivery process. It is important to weigh the risks and benefits of delivery methods in consultation with healthcare providers to minimize the chances of birth trauma.

What is the priority nursing action for a newborn with a temperature of 35.5°C (95.9°F)?

  • A. Place the newborn under a radiant warmer
  • B. Administer warm IV fluids
  • C. Swaddle the newborn in warm blankets
  • D. Provide glucose supplementation
Correct Answer: A

Rationale: Placing the newborn under a radiant warmer helps raise body temperature and prevent complications.

A client at 28 weeks' gestation reports regular uterine contractions. What is the nurse's priority intervention?

  • A. Administer tocolytic medication.
  • B. Perform a sterile vaginal examination.
  • C. Assess fetal heart rate and contraction pattern.
  • D. Encourage ambulation to relieve discomfort.
Correct Answer: C

Rationale: Assessing fetal heart rate and contraction patterns is critical to evaluate the risk of preterm labor.

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