Maternal Newborn ATI Proctored Exam 2023

Maternal Newborn ATI Proctored Exam 2023 Related

Review Maternal Newborn ATI Proctored Exam 2023 related questions and content

The nurse is preparing a client for a scheduled cesarean delivery. What is the priority preoperative instruction?

  • A. Eat a high-protein meal before surgery.
  • B. Empty your bladder before the procedure.
  • C. Avoid brushing your teeth on the morning of surgery.
  • D. Refrain from taking prescribed medications.
Correct Answer: B

Rationale: The correct answer is B: Empty your bladder before the procedure. This is the priority preoperative instruction because a full bladder can increase the risk of complications during surgery, such as injury to the bladder or difficulties in catheter insertion. It is essential to ensure the bladder is empty to provide a clear surgical field and prevent urinary retention postoperatively.

Explanation for other choices:
A: Eating a high-protein meal before surgery is not recommended as it can increase the risk of aspiration during anesthesia.
C: Avoiding brushing teeth on the morning of surgery is not a priority instruction. Maintaining oral hygiene is important, but it does not directly impact the surgical procedure.
D: Refraining from taking prescribed medications should be discussed with the healthcare provider, as certain medications may need to be taken even on the day of surgery to prevent complications.

You may also like to solve these questions

The nurse is educating a pregnant client about foods high in iron. Which food should be recommended?

  • A. Milk.
  • B. Chicken.
  • C. Spinach.
  • D. Bananas.
Correct Answer: C

Rationale: The correct answer is C: Spinach.
1. Spinach is high in iron, which is important for pregnant women to prevent anemia.
2. Milk (A) does not contain a significant amount of iron.
3. Chicken (B) is a good source of protein but not as high in iron as spinach.
4. Bananas (D) are rich in potassium but not iron, making them a less suitable choice for iron supplementation during pregnancy.

Which assessment finding indicates uterine rupture?

  • A. Contractions abruptly stop during labor
  • B. Decreased maternal heart rate
  • C. Gradual onset of mild pain during contractions
  • D. Uterus becomes firm between contractions
Correct Answer: A

Rationale: The correct answer is A: Contractions abruptly stop during labor. Uterine rupture is a serious obstetric emergency where the integrity of the uterus is compromised, leading to potential life-threatening complications for both the mother and the fetus. When the uterus ruptures, contractions may abruptly stop due to the loss of muscle tone and coordination. This sudden cessation of contractions is a red flag indicating uterine rupture.

Choice B, decreased maternal heart rate, is not typically associated with uterine rupture. Choice C, gradual onset of mild pain during contractions, is more indicative of a normal labor process rather than uterine rupture. Choice D, uterus becomes firm between contractions, is not a specific sign of uterine rupture as it can occur in normal labor as well.

The nurse provides education to the person undergoing a surgical abortion. What response by the person shows an understanding of the education?

  • A. “It’s good I won’t have any pain after the procedure.”
  • B. “I think I’m sure about my decision.”
  • C. “I should call if I soak a pad in 2 hours.”
  • D. “I should follow up for contraception counseling at my annual exam in 6 months.”
Correct Answer: C

Rationale: The correct answer is C because soaking a pad in 2 hours could indicate excessive bleeding, a potential complication after a surgical abortion. This response shows understanding of the education provided by the nurse about when to seek immediate medical attention.

Choice A is incorrect because it is not true that there will be no pain after a surgical abortion; pain is a common experience post-procedure. Choice B is incorrect because it does not demonstrate an understanding of the key information provided during education. Choice D is incorrect because contraception counseling should be addressed sooner than 6 months post-abortion to prevent unintended pregnancies.

The nurse is caring for a client in labor with ruptured membranes. What finding suggests umbilical cord prolapse?

  • A. Clear amniotic fluid.
  • B. Variable decelerations on the fetal monitor.
  • C. Contractions every 2 minutes.
  • D. Maternal blood pressure of 110/70 mmHg.
Correct Answer: B

Rationale: The correct answer is B: Variable decelerations on the fetal monitor. This finding suggests umbilical cord prolapse because the cord can become compressed during contractions, leading to variable decelerations. It is a serious complication that requires immediate intervention to prevent fetal distress.
A: Clear amniotic fluid is a normal finding after rupture of membranes.
C: Contractions every 2 minutes may indicate tachysystole, but not specifically cord prolapse.
D: Maternal blood pressure is not directly related to cord prolapse.

The nurse is caring for a client in the third trimester reporting severe right upper quadrant pain and nausea. What condition should the nurse suspect?

  • A. Placenta previa.
  • B. HELLP syndrome.
  • C. Hyperemesis gravidarum.
  • D. Abruptio placentae.
Correct Answer: B

Rationale: The correct answer is B: HELLP syndrome. In the third trimester, severe right upper quadrant pain and nausea can indicate HELLP syndrome, a serious pregnancy complication involving hemolysis, elevated liver enzymes, and low platelet count. The pain and nausea are due to liver and gallbladder involvement. Placenta previa typically presents with painless vaginal bleeding, not upper quadrant pain. Hyperemesis gravidarum causes severe nausea and vomiting but not specific upper quadrant pain. Abruptio placentae presents with sudden-onset abdominal pain and vaginal bleeding.

Copyright © 2025 Nokea. All rights reserved.