ATI Proctored Exam Maternal Newborn CMS || ReviSed and Upgraded Question and answers
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Course
Maternal Newborn ATI
Institution
Maternal Newborn ATI
ATI Proctored Exam Maternal Newborn CMS || ReviSed and Upgraded Question and answers
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?
Difficult delivery, with or...
ATI Proctored Exam Maternal Newborn CMS || Revied
and Upgraded Question and answers
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."{Correct answer}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{Correct answer}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."{Correct
answer}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.{Correct answer}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{Correct answer}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{Correct answer}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{Correct answer}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{Correct answer}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{Correct
answer}D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
Measure at nipple line 2-3 cm (0.8-1.2 in) less than head circumference; average 30-33
cm (11.8-13 in) ≤ 30 cm.
A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which
of the following interventions should the nurse include in the plan of care?
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