ATI Maternal Newborn

ATI Maternal Newborn Related

Review ATI Maternal Newborn related questions and content

The nurse is educating a prenatal client about weight dysphoric disorder. Which statement by the client gain during pregnancy. Which statement by the would require immediate follow-up? client indicates effective understanding?

  • A. I have been crying the week of my period.
  • B. I should gain 2 to 4 pounds in the first trimester
  • C. I am experiencing suicidal thoughts. and half a pound per week in the last two
  • D. My menstrual cycle is 1 week late. trimesters.
Correct Answer: C

Rationale: Correct Answer: C. "I am experiencing suicidal thoughts."

Rationale: This statement indicates a serious mental health concern that requires immediate follow-up. Suicidal thoughts during pregnancy can be a sign of depression or other mental health issues that need to be addressed promptly to ensure the safety and well-being of the client and the baby.

Summary of Other Choices:
A: "I have been crying the week of my period." - This statement suggests premenstrual symptoms which are common and not necessarily alarming during pregnancy.
B: "I should gain 2 to 4 pounds in the first trimester and half a pound per week in the last two trimesters." - This statement reflects a correct understanding of weight gain recommendations during pregnancy and does not raise immediate concerns.
D: "My menstrual cycle is 1 week late." - This statement is not concerning during pregnancy as menstrual cycles typically stop during pregnancy.

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What are signs of neonatal sepsis that a nurse should monitor for?

  • A. Tachypnea, poor feeding, and temperature instability
  • B. Increased alertness, reduced crying, and stable vitals
  • C. Lethargy, poor perfusion, and apnea
  • D. Hyperthermia, bradycardia, and cyanosis
Correct Answer: C

Rationale: The correct answer is C because lethargy, poor perfusion, and apnea are classic signs of neonatal sepsis. Lethargy indicates decreased activity and responsiveness, poor perfusion suggests inadequate blood circulation, and apnea is a serious respiratory issue. These signs indicate a systemic infection affecting multiple organs. Choices A, B, and D do not align with typical symptoms of neonatal sepsis. Tachypnea, poor feeding, and temperature instability (Choice A) are more general and can be seen in various conditions. Increased alertness, reduced crying, and stable vitals (Choice B) are not indicative of sepsis, as sepsis typically causes the opposite. Hyperthermia, bradycardia, and cyanosis (Choice D) can be present in sepsis, but they are not as specific or as common as the signs in Choice C.

A patient is seen in the primary care clinic for a sinus infection and is prescribed antibiotics. The only other medication that this patient currently takes is an oral contraceptive. What is the most important education the nurse must give to the patient regarding her medications?

  • A. If you have nausea with this combination of medication, make sure to take them with food.
  • B. You must use a backup method for contraception while taking antibiotics.
  • C. Oral contraceptives are contraindicated with many antibiotics.
  • D. No education is necessary; these medications do not interact.
Correct Answer: B

Rationale: Step 1: Antibiotics can reduce the effectiveness of oral contraceptives by altering gut flora.
Step 2: Failure to use a backup method can lead to unintended pregnancy.
Step 3: Therefore, it is crucial for the nurse to educate the patient on using a backup method to prevent pregnancy.
Summary: Choice A is incorrect as nausea is not the main concern. Choice C is incorrect as not all antibiotics interact with oral contraceptives. Choice D is incorrect as there is a potential interaction between antibiotics and oral contraceptives.

A nurse is caring for a client who is in active labor and notes late decelerations in the FRH on the external fetal.... Which of the following actions should the nurse take first?

  • A. Change the client's position.
  • B. Palpate the uterus to assess for tachysystole.
  • C. Increase the client's IV infusion rate.
  • D. Administer oxygen at 10 L/min via nonrebreather mask.
Correct Answer: A

Rationale: The correct answer is A: Change the client's position. Late decelerations indicate uteroplacental insufficiency, which can be caused by pressure on the vena cava from the uterus. Changing the client's position can alleviate this pressure, improving fetal oxygenation. Palpating the uterus or increasing IV infusion rate may not address the underlying issue. Administering oxygen is important but should come after addressing the positional issue to ensure optimal oxygen delivery to the fetus.

A client at 37 weeks' gestation reports swollen feet and hands. What assessment finding requires immediate intervention?

  • A. Blood pressure of 150/95 mmHg.
  • B. Weight gain of 1 pound in a week.
  • C. Mild nausea after eating.
  • D. Fetal movements are regular.
Correct Answer: A

Rationale: The correct answer is A: Blood pressure of 150/95 mmHg. This finding indicates gestational hypertension, which can progress to preeclampsia, a serious condition that requires immediate intervention to prevent complications for both the mother and baby. High blood pressure can lead to organ damage and placental insufficiency.

B: Weight gain of 1 pound in a week is within the normal range for late pregnancy and may not require immediate intervention.

C: Mild nausea after eating is a common pregnancy symptom and does not indicate an urgent issue.

D: Regular fetal movements are a positive sign of fetal well-being and do not require immediate intervention.

Developing a plan to achieve patient outcomes is included in which step of the CJMM?

  • A. prioritizing hypotheses
  • B. generating solutions
  • C. taking action
  • D. evaluating outcomes
Correct Answer: B

Rationale: The correct answer is B: generating solutions. In the CJMM (Clinical Judgment Model in Nursing), developing a plan to achieve patient outcomes falls under the step of generating solutions. This step involves identifying and implementing interventions to address the patient's needs and achieve the desired outcomes. Prioritizing hypotheses (A) is about identifying potential issues, not developing a plan. Taking action (C) is about implementing the plan, not developing it. Evaluating outcomes (D) is the final step where the effectiveness of the plan is assessed, not where the plan is developed. Therefore, B is the correct choice as it specifically focuses on the process of creating a plan to achieve patient outcomes within the CJMM.

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