Maternal Newborn ATI Proctored Exam 2023

Maternal Newborn ATI Proctored Exam 2023 Related

Review Maternal Newborn ATI Proctored Exam 2023 related questions and content

Which of the following should be implemented in is experiencing increased oral mucus should provide management of hypovolemic shock due to postpar- parent education on which of the following? tum hemorrhage? Select all that apply.

  • A. Correctly positioning the infant for feedings
  • B. IV fluid replacement with 5% dextrose
  • C. Initiating cardiopulmonary resuscitation
  • D. Administration of oxygen with a nonrebreather
Correct Answer: A

Rationale: The correct answer is A: Correctly positioning the infant for feedings. This is the most appropriate intervention as it addresses the specific issue of increased oral mucus in an infant, which can be a sign of difficulty feeding and potential aspiration. Positioning the infant correctly can help facilitate safe and effective feeding, reducing the risk of complications.

Summary of why other choices are incorrect:
B: IV fluid replacement with 5% dextrose - This choice does not directly address the issue of increased oral mucus and hypovolemic shock due to postpartum hemorrhage.
C: Initiating cardiopulmonary resuscitation - This choice is not indicated for the given scenario and is more appropriate for a life-threatening emergency situation.
D: Administration of oxygen with a nonrebreather - While oxygen may be necessary in certain cases, it does not address the specific issue of increased oral mucus and hypovolemic shock due to postpartum hemorrhage.

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A nurse in a prenatal clinic is caring for a client who is at 39 weeks of gestation and who asks about the signs that precede the onset of labor. Which of the following should the nurse identify as a sign that precedes labor?

  • A. Decreased vaginal discharge
  • B. A surge of energy
  • C. Urinary retention
  • D. Weight gain of 0.5 to 1.5 kg
Correct Answer: B

Rationale: The correct answer is B: A surge of energy. This is because an increase in energy is often seen in pregnant women shortly before labor begins, known as the "nesting instinct." This burst of energy can indicate that the body is preparing for labor.

A: Decreased vaginal discharge is not a sign that precedes labor. In fact, an increase in vaginal discharge is more common as labor approaches.

C: Urinary retention is not a sign of labor onset. In late pregnancy, pressure on the bladder may cause frequent urination, but retention is not typical.

D: Weight gain of 0.5 to 1.5 kg is not a specific sign of labor onset. Weight gain can fluctuate throughout pregnancy and is not a reliable indicator of impending labor.

The nurse encourages the patient to begin taking folate prior to trying to conceive. Why would the nurse encourage folate intake?

  • A. Taking folate increases the chances of conceiving.
  • B. Folate helps prevent neural tube defects.
  • C. The nurse is preparing the patient to take vitamins during pregnancy.
  • D. Folate decreases miscarriage.
Correct Answer: B

Rationale: The correct answer is B: Folate helps prevent neural tube defects. Folate is crucial for fetal development, particularly in preventing neural tube defects like spina bifida. It should be taken before conception to ensure adequate levels early in pregnancy. A: Taking folate does not directly increase the chances of conceiving. C: The nurse is not preparing the patient to take vitamins during pregnancy, but to prevent birth defects. D: Folate may reduce the risk of certain pregnancy complications but does not directly decrease miscarriage rates.

A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

  • A. Document the findings and continue to monitor the client.
  • B. Notify the client's provider.
  • C. Increase the frequency of fundal massage.
  • D. Encourage the client to empty her bladder.
Correct Answer: A

Rationale: The correct answer is A: Document the findings and continue to monitor the client. This is the appropriate action because the client's fundus is midline and firm, indicating good uterine tone. Lochia rubra and small clots are expected findings in the immediate postpartum period. The nurse should document these findings for future reference and continue to monitor the client's condition.

Choice B (Notify the client's provider) is incorrect because there are no concerning signs that warrant immediate provider notification, as the fundus is firm and midline.

Choice C (Increase the frequency of fundal massage) is unnecessary since the fundus is already firm at the umbilicus, indicating good uterine tone.

Choice D (Encourage the client to empty her bladder) is not the priority in this scenario, as the client's fundal assessment and lochia observations take precedence.

What is the best nursing action for a newborn experiencing hypothermia?

  • A. Place the newborn in skin-to-skin contact with the mother
  • B. Provide a warm blanket and monitor temperature
  • C. Administer IV fluids to stabilize temperature
  • D. Monitor glucose levels for hypoglycemia
Correct Answer: A

Rationale: The correct answer is A: Place the newborn in skin-to-skin contact with the mother. This is the best nursing action for a newborn experiencing hypothermia because it provides immediate and effective warmth transfer from the mother to the baby. Skin-to-skin contact helps regulate the newborn's body temperature, promotes bonding, and enhances breastfeeding initiation.

Choice B is incorrect because while providing a warm blanket is important, skin-to-skin contact with the mother is more effective in quickly raising the newborn's temperature. Choice C is incorrect because administering IV fluids is not the first-line treatment for hypothermia in newborns. Choice D is incorrect because monitoring glucose levels for hypoglycemia is important but addressing the hypothermia should take precedence.

During the assessment of a newborn, it is most important for the nurse to report a:

  • A. Temperature of 97.7 degrees Fahrenheit
  • B. Pale pink, rust-colored stain in the diaper
  • C. Heart rate that drops to 120 beats/min
  • D. Breathing pattern that is diaphragmatic with sternal retractions
Correct Answer: D

Rationale: The correct answer is D because a breathing pattern that is diaphragmatic with sternal retractions indicates respiratory distress in a newborn, which is a critical condition requiring immediate attention. Staying logical, let's assess the other choices:
A: Temperature of 97.7 degrees Fahrenheit is within the normal range for a newborn and does not indicate an urgent issue.
B: A pale pink, rust-colored stain in the diaper could be due to various factors such as diet and is not an immediate concern.
C: A heart rate dropping to 120 beats/min in a newborn is generally within the normal range and does not signify a critical issue.

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