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ATI Proctored Exam Maternal Newborn CMS/66 Complete Questions and Answers/A+ Scores!!
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ATI Proctored Exam Maternal NewbornCMS/66 Complete Questions and Answers/A+
Scores!!
A nurse is providing discharge teaching to a client following tubal ligation
(occlusion). Which of the following statement by the client indicates an
understanding of the teaching?
A. "premenstrual tension will no longer be present."
B. "Ovulation will remain the same."
C. "Hormone replacements will be needed following this procedure."
D. "My monthly menstrual period will be shorter." - -B. "Ovulation will remain
the same."
Ovulation (egg release from the ovaries) will remain the same. Tubal ligation
also known as having your tubes tied or tubal sterilization is a type of
permanent birth control. During tubal ligation, the fallopian tubes are cut,
tied or blocked to permanently prevent pregnancy. Tubal ligation prevents
an egg from traveling from the ovaries through the fallopian tubes and
blocks sperm from traveling up the fallopian tubes to the egg. The procedure
doesn't affect your menstrual cycle it just prevents fertilization.
-A nurse is assessing a newborn following forceps-assisted birth. Which of
the following clinical manifestations should the nurse identify as a
complication of the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia - -C. Facial Palsy
Difficult delivery, with or without the use of an instrument called forceps,
may lead to facial palsy. Facial paralysis 15 minutes after forceps birth or
absence of movement on affected side is especially noticeable when infant
cries.
-A nurse is providing teaching about terbutaline to a client who is
experiencing preterm labor. Which of the following statements by the client
indicates understanding of the teaching?
A. "This medication could cause me to experience heart palpitations."
B. "This medication could cause me to experience blurred vision."
C. "This medication could cause me to experience ringing in my ears."
,D. "This medication could cause me to experience frequent urination." - -A.
"This medication could cause me to experience heart palpitations."
Beta-adrenergic agents such as terbutaline (Brethine) are associated with
various side effects, including tachycardia, irregular pulse, myocardial
ischemia, and pulmonary edema. Therefore, these medications should not be
used in women with known or suspected heart disease
-A nurse is caring for a client who is in labor and requests
nonpharmacological pain management. Which of the following nursing
actions promotes client comfort?
A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hrs. - -C. Applying fundal pressure
during contractions
Applying fundal pressure by pushing on the mother's abdomen in the
direction of the birth canal is often used to assist spontaneous vaginal birth,
shorten the length of the second stage and reduce the need for instrumental
birth (forceps- or vacuum-assisted) or caesarean section.
-A nurse caring for a client who is at 20 weeks of gestation and has
trichomoniasis. Which of the following findings should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge - -D. Malodorous Discharge
Although trichomoniasis may be asymptomatic, women commonly
experience characteristically yellowish-to-greenish, frothy, mucopurulent,
copious, malodorous discharge. Inflammation of the vulva, vagina, or both
may be present; and the woman may complain of irritation and pruritus.
Dysuria and dyspareunia are often present.
-A nurse is caring for a client who is at 14 weeks of gestation. At which of
the following locations should the nurse place the doppler device when
assessing the fetal heart rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process - -A. Midline 2 to 3 cm (0.8 to 1.2 in) above
the symphysis pubis
, Toward the end of the first trimester, before the uterus is an abdominal
organ, the fetal heart tones (FHTs) can be heard with an ultrasound
fetoscope or an ultrasound stethoscope (Fig. 8-8). To hear the FHTs, place
the instrument in the midline just above the symphysis pubis and apply firm
pressure. The woman and her family should be offered the opportunity to
listen to the FHTs. The health status of the fetus is assessed at each visit for
the remainder of the pregnancy.
-A nurse is assessing a client who is at 27 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse report to the
provider?
A. Urine protein concentration 200 mg/24 hr.
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60,000/ mm3 - -D. Platelet Count 60,000/ mm3
Platelets < 100,000/mm3 (60,000/mm3) is below the expected reference
range, which can indicate DIC. The nurse should report this result to the
provider. In a 24-hour specimen proteinuria is defined as a concentration at
or > 300 mg/24 hours.
-A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility. Which of the following adverse effect should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills - -C. Breast Tenderness
The adverse effects of clomiphene citrate are stomach upset, bloating,
abdominal/pelvic fullness, flushing ("hot flashes"), breast tenderness,
headache, or dizziness may occur. If any of these effects last or get worse,
tell your doctor or pharmacist promptly.
-A nurse is assessing a newborn upon admission to the nursery. Which of the
following should the nurse expect?
A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference -
-D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
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