ATI Maternal Newborn Proctored Exam

ATI Maternal Newborn Proctored Exam Related

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Which data in the patient's history should the nurse recognize as being pertinent to a possible diagnosis of postpartum depression?

  • A. Previous depressive episode
  • B. Unexpected operative birth
  • C. Ambivalence during the first trimester
  • D. Second pregnancy in a 3-year period
Correct Answer: A

Rationale: A previous history of depression is a significant risk factor for postpartum depression. Women who have experienced a depressive episode in the past are more likely to develop postpartum depression compared to those without such a history. Recognizing this pertinent data in the patient's history can help the nurse identify individuals at higher risk for postpartum depression and provide appropriate support and intervention. The other options mentioned (B. Unexpected operative birth, C. Ambivalence during the first trimester, D. Second pregnancy in a 3-year period) may also contribute to emotional distress but are not as directly linked to postpartum depression as a previous depressive episode.

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The menstrual phase of the menstrual cycle is characterized by what?

  • A. shedding of the endometrial lining
  • B. ovulation
  • C. fertilization
  • D. implantation
Correct Answer: A

Rationale:

A client with chronic kidney disease has arterial blood gas values being reviewed by a nurse. Which of the following sets of values should the nurse expect?

  • A. pH 7.25, HCO3- 19 mEq/L, PaCO2 30 mm Hg
  • B. pH 7.30, HCO3- 26 mEq/L, PaCO2 50 mm Hg
  • C. pH 7.50, HCO3- 20 mEq/L, PaCO2 32 mm Hg
  • D. pH 7.55, HCO3- 30 mEq/L, PaCO2 31 mm Hg
Correct Answer: A

Rationale: In chronic kidney disease, metabolic acidosis is common due to impaired kidney function leading to reduced bicarbonate excretion. The correct values indicating metabolic acidosis in this scenario are a low pH (acidosis), low bicarbonate (HCO3-) level, and low PaCO2 (compensation through respiratory alkalosis). Therefore, the expected values for a client with chronic kidney disease would be pH 7.25, HCO3- 19 mEq/L, PaCO2 30 mm Hg, as depicted in choice A.

A client with acute respiratory failure (ARF) may present with which of the following manifestations? (Select one that doesn't apply.)

  • A. Severe dyspnea
  • B. Decreased level of consciousness
  • C. Headache
  • D. Nausea
Correct Answer: D

Rationale: In acute respiratory failure (ARF), the body is not getting enough oxygen, leading to respiratory distress. Symptoms of ARF typically include severe dyspnea (difficulty breathing), decreased level of consciousness due to hypoxia, and headache from inadequate oxygenation to the brain. Nausea is not a typical manifestation of ARF and would not be expected in this condition.

A nurse is caring for a client who is in labor and has an epidural for pain control. Which of the following clinical ... effect of epidural anesthesia?

  • A. Polyuria
  • B. Hypertensi on
  • C. Pruritus
  • D. Dry mouth
Correct Answer: C

Rationale: Epidural anesthesia can result in some common side effects, one of which is pruritus (itching). Pruritus is a known side effect of the local anesthetics used in epidural anesthesia and is due to their effects on specialized receptors in the nervous system. Patients may experience itching, especially in the face, neck, and upper chest areas. Polyuria (increased urine output), hypertension (high blood pressure), and dry mouth are not typically associated side effects of epidural anesthesia.

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.

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