ATI Maternal Newborn Proctored

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What is the term for nonmedical factors that influence health outcomes, including conditions in which people are born, grow, work, live, and age, and the wider sets of forces and systems shaping the conditions of daily life?

  • A. environmental influences
  • B. life circumstances
  • C. situational occurrences
  • D. social determinants of health
Correct Answer: D

Rationale: The correct answer is D: social determinants of health. Social determinants of health refer to the external factors that impact health outcomes. These factors include socioeconomic status, education, employment, social support networks, access to healthcare, and the physical environment. The term encompasses a broad range of influences beyond individual behaviors or genetics.

A: Environmental influences focus more on physical factors like pollution or climate, rather than the broader societal factors.
B: Life circumstances may include individual factors like personal choices or experiences, but do not encompass the societal influences.
C: Situational occurrences imply random events or temporary situations, rather than the persistent societal factors that shape health outcomes.

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How can a nurse support a mother who has chosen not to breastfeed?

  • A. Provide resources on breastfeeding benefits
  • B. Provide formula samples for feeding
  • C. Discuss the risks of formula feeding
  • D. Support the mother’s feeding choice without judgment
Correct Answer: D

Rationale: The correct answer is D because it promotes non-judgmental support for the mother's decision. As a nurse, it is crucial to respect the mother's autonomy and decision-making. Providing resources on breastfeeding benefits (choice A) may come off as pressuring or judgmental. Offering formula samples (choice B) may not align with the mother's choice. Discussing risks of formula feeding (choice C) may create guilt or shame. Supporting the mother's feeding choice without judgment (choice D) encourages a positive and supportive environment for the mother.

The nurse is assessing a client in the third trimester with suspected placental abruption. What finding supports this diagnosis?

  • A. Painless bright red bleeding.
  • B. Boardlike abdomen and severe pain.
  • C. Soft, relaxed uterus.
  • D. Increased fetal movement.
Correct Answer: B

Rationale: The correct answer is B: Boardlike abdomen and severe pain. This finding supports the diagnosis of placental abruption because it indicates a significant and sudden separation of the placenta from the uterine wall, leading to intense pain and rigidity of the abdomen due to internal bleeding. Painless bright red bleeding (choice A) is more indicative of placenta previa, not placental abruption. A soft, relaxed uterus (choice C) is not typical in placental abruption, which usually presents with uterine tenderness and rigidity. Increased fetal movement (choice D) is not specific to placental abruption and can occur in various pregnancy conditions.

What is disordered eating?

  • A. an occasional overeating episode
  • B. a normal variation in eating patterns
  • C. a range of abnormal eating behaviors and attitudes
  • D. a preference for specific types of foods
Correct Answer: C

Rationale: The correct answer is C because disordered eating refers to a range of abnormal eating behaviors and attitudes that may indicate a potential eating disorder. This includes behaviors such as restrictive dieting, binge eating, purging, or obsessively controlling food intake. Option A is incorrect because an occasional overeating episode does not necessarily indicate disordered eating. Option B is incorrect as disordered eating is not considered a normal variation in eating patterns. Option D is incorrect as having a preference for specific types of foods does not classify as disordered eating unless it leads to serious negative consequences.

The nurse is assessing a client in labor with ruptured membranes. What finding indicates the need for immediate intervention?

  • A. Temperature of 100.6°F.
  • B. Clear amniotic fluid.
  • C. Green, foul-smelling fluid.
  • D. Client reports contractions every 5 minutes.
Correct Answer: C

Rationale: The correct answer is C: Green, foul-smelling fluid. This indicates meconium-stained amniotic fluid, which can be a sign of fetal distress and possible meconium aspiration. Immediate intervention is needed to prevent potential complications for the baby.

A: Temperature of 100.6°F could indicate maternal infection but does not require immediate intervention unless other signs are present.

B: Clear amniotic fluid is a normal finding.

D: Contractions every 5 minutes may indicate active labor, but it is not an immediate concern unless coupled with other signs of distress.

The nurse would classify a newborn delivered at 39 weeks' gestation, weighing 2400 g ( 5.0 lbs) as being:

  • A. Preterm and immature
  • B. Small-for-gestational age
  • C. Average-for-gestational age
  • D. Average-for-gestational age but pre-term
Correct Answer: B

Rationale: The correct answer is B: Small-for-gestational age. A newborn delivered at 39 weeks' gestation and weighing 2400g is considered small-for-gestational age because the weight is below the 10th percentile for the gestational age. This indicates intrauterine growth restriction. Preterm and immature (choice A) would not apply as the baby was delivered at term. Average-for-gestational age (choice C) would not be accurate as the baby's weight is below the normal range for that gestational age. Choice D is also incorrect as the baby is not within the average weight range for the gestational age.

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