ATI Maternal Newborn Proctored Exam

ATI Maternal Newborn Proctored Exam Related

Review ATI Maternal Newborn Proctored Exam related questions and content

A woman delivered a baby 9lbs 10oz 1 hour ago. When you
arrive to perform a 15-minute assessment she tells you that she feels
all wet underneath. You discover that both pads are completely
saturated and that she’s lying in a 6-inch diameter of blood. What
does nurse do first

  • A. Assess the fundus for firmness
  • B. Change the patient's pads
  • C. Notify the provider
  • D. Document the findings
Correct Answer: A

Rationale: In this scenario, the priority action for the nurse to take is to assess the source of the woman's feeling of wetness underneath her. This could indicate a significant amount of postpartum bleeding, also known as hemorrhage. It is crucial to determine if she is experiencing excessive bleeding as this can be life-threatening if not addressed promptly. By identifying the source of the wetness, the nurse can assess the situation and take appropriate actions to address any potential complications. Once the severity of bleeding is determined, further assessments and interventions can be initiated accordingly.

You may also like to solve these questions

A nurse is admitting a client who is at 33 weeks of gestation and has preeclampsia with severe features. Which of the following actions should the nurse take?

  • A. Restrict protein intake to less than 40 g/day.
  • B. Initiate seizure precautions for the client.
  • C. Initiate an infusion of 0.9% sodium chloride at 150 mL/hr.
  • D. Encourage the client to ambulate twice per day.
Correct Answer: B

Rationale: In a client with preeclampsia with severe features at 33 weeks of gestation, initiating seizure precautions is a priority nursing action. Preeclampsia with severe features places the client at an increased risk for seizures. Therefore, the nurse should ensure that seizure precautions are in place, such as maintaining a safe environment, pad the side rails of the bed, and have emergency medications and equipment readily available. Monitoring for signs and symptoms of worsening preeclampsia and impending seizures is crucial for the client's safety and well-being.

The nurse is providing education on a medical abortion. How would she describe the action of the medications?

  • A. Medications thicken the lining of the uterus and decrease uterine contractions.
  • B. Medications stop the fetal heart and induce contractions.
  • C. Medications soften the cervix, cause uterine lining necrosis, and induce contractions.
  • D. Medications thicken the cervix and the uterine lining.
Correct Answer: C

Rationale: Medications used in a medical abortion typically consist of a combination of Mifepristone and Misoprostol. The action of these medications involves three main effects: softening the cervix to facilitate the expulsion of the pregnancy tissue, causing necrosis of the uterine lining to disrupt the pregnancy, and inducing contractions to expel the contents of the uterus. This process is different from a surgical abortion, which involves a procedure to remove the pregnancy tissue from the uterus.

What nutrient is particularly important for individuals during preconception to reduce the risk of neural tube defects in their fetus?

  • A. iron
  • B. calcium
  • C. folate
  • D. vitamin C
Correct Answer: C

Rationale:

A client at 39 weeks' gestation is in labor and reports intense back pain. What is the likely cause?

  • A. Occiput posterior fetal position.
  • B. Placental abruption.
  • C. Breech presentation.
  • D. Uterine rupture.
Correct Answer: A

Rationale: Intense back pain during labor is commonly associated with the occiput posterior fetal position.

A woman is being treated for preterm labor with magnesium

  • A. The nurse is concerned that the patient is experiencing early drug toxicity. Which assessment finding by the nurse indicates early toxicity?
  • B. Patellar reflexes are weak and absent
  • C. RR 16
  • D. Fetal HR 120
Correct Answer: E

Rationale: The correct assessment finding that indicates early toxicity related to magnesium sulfate administration is the patient complaining of feeling flushed and warm. These symptoms could indicate that the patient is experiencing magnesium toxicity, which can lead to vasodilation and hypotension. Other signs of magnesium toxicity include decreased deep tendon reflexes, respiratory depression, and loss of consciousness. It's essential for the nurse to recognize these early signs of toxicity and intervene promptly to prevent further complications.

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