ATI Proctored Exam - Maternal Newborn questions and well explained answers
ATI Proctored Exam - Maternal Newborn questions and well explained answers
ATI Proctored Exam - Maternal Newborn questions and well explained answers
ATI Proctored Exam - Maternal Newborn questions and well explained answ...
ATI Proctored Exam - Maternal Newborn
questions and well explained answers
A nurse is planning care for a newborn who is receiving phototherapy for an elevated
bilirubin level. Which of the following actions should the nurse take?
D. Use a photometer to monitor the lamp's energy
The nurse should monitor the lamp's energy throughout the therapy to ensure the newborn is
receiving the appropriate amount to be effective.
A nurse is assessing a client at 34 weeks gestation who has a mild placental abruption. Which
of the following findings should the nurse expect?
Dark red vaginal bleeding
The nurse should expect this client with a mild placental abruption to have minimal dark red
vaginal bleeding.
A nurse is assessing a newborn and notes an axillary temperature of 96.9°F (36°C). Which of
the following actions should the nurse perform?
Correct Answer:
B.
Assess the newborn's blood glucose level
Infants who become cold attempt to generate heat through increased muscular and metabolic
activity. This process increases glucose consumption and puts the newborn at risk of
hypoglycemia.
Incorrect Answers:
A. The nurse should not obtain a rectal temperature from a newborn due to the risk of rectal
perforation. Instead, the nurse should obtain an axillary temperature.
C. Bathing a newborn will increase heat loss. The infant should not be bathed until the
temperature has stabilized within the normal range.
D. Placing the infant in front of a heater vent can incur heat loss through convection.
Additionally, there is a potential fire risk from the bassinet linens and the vent.
A nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate. The
client begins to show indications of magnesium sulfate toxicity. Which of the following
medications should the nurse prepare to administer?
,Correct Answer:
C. Calcium gluconate
The nurse should discontinue the magnesium sulfate infusion immediately and prepare to
administer calcium gluconate IV to reverse the effects of magnesium sulfate and to prevent
cardiac and respiratory arrest.
Incorrect Answers:
A. Protamine sulfate helps reverse the effects of heparin, not magnesium sulfate.
B. Naloxone is an opioid reversal agent. It does not reverse the effects of magnesium sulfate.
D. Flumazenil reverses the effects of benzodiazepines such as lorazepam and alprazolam, not
magnesium sulfate.
A nurse is providing postpartum discharge teaching to a client who is non-lactating about
breast discomfort relief measures. Which of the following pieces of information should the
nurse include?
Correct Answer:
"Place fresh cabbage leaves on your breasts."
After 3 days postpartum, the client's breasts can become swollen and distended because of
congestion of the vascular structures of the breasts.
Fresh cabbage leaves can be applied to engorged breasts to help relieve breast discomfort.
The coolness of the leaves and the phytoestrogens exert a therapeutic effect on engorged
breasts.
Leaves should be replaced when they become wilted.
Incorrect Answers:
A. The client should be instructed to wear a tight-fitting bra or breast binders to alleviate
engorgement and swelling.
C. Application of warmth to the breasts should be avoided because heat can stimulate milk
production. An ice pack should be used to relieve engorged breasts.
D. Milk should not be expressed from the breasts. This intervention would increase milk
production rather than decrease it.
A nurse is educating a client who is at 10 weeks gestation and reports frequent nausea and
vomiting. Which of the following statements should the nurse include in the teaching?
Correct Answer:
,D.
"You should eat dry foods that are high in carbohydrates when you wake up."
The nurse should instruct the client to eat foods that are high in carbohydrates such as dry
toast or crackers upon waking or when nausea occurs.
Incorrect Answers:
A. The nurse should instruct the client to eat foods served at cool temperatures to decrease
nausea and vomiting.
B. The nurse should instruct the client to avoid brushing her teeth immediately after eating to
decrease vomiting.
C. The nurse should instruct the client to eat salty and tart foods during periods of nausea.
A nurse is providing postpartum discharge teaching for a client who is breastfeeding. The
client states, "I've heard that I can't use any birth control until I stop breastfeeding." Which of
the following responses should the nurse make?
Correct Answer:
D.
"A progestin-only pill or injection is available for use while you are breastfeeding."
Progestin-only injections, implants, and birth control pills are acceptable options for clients who
are breastfeeding, although some experts recommend waiting until 6 weeks postpartum to
initiate the medication.
Incorrect Answers:
A. Breastfeeding can inhibit ovulation or prolong menstruation; however, it is not a reliable and
effective means of birth control. The client may experience an unplanned pregnancy if she
waits until her periods resume before considering birth control options.
B. Estrogen-containing birth control pills, implants, patches, and vaginal rings are not
recommended for clients who are breastfeeding due to the risk of inhibiting breast milk
production and supply.
C. Condoms and other non-hormonal birth control methods are appropriate for clients who are
breastfeeding; however, there are other methods that are also appropriate.
A nurse is assessing a client who is receiving morphine via a patient-controlled analgesia
(PCA) pump following a cesarean birth. Which of the following findings should the nurse
report to the provider?
Correct Answer:
, D.
Urine output 20 mL/hr
Opioid analgesics such as morphine can cause urinary retention. The client should have a
urinary output of at least 30 mL/hr. The nurse should report this finding to the provider.
Incorrect Answers:
A. Opioid analgesics can cause respiratory depression. However, this respiratory rate is within
the expected reference range.
B. This temperature is within the expected reference range.
C. Dizziness is a common adverse effect of receiving opioid analgesics. The nurse should instruct
the client to sit on the side of the bed before getting up, assist the client with ambulation, and
implement general safety measures. However, it is not necessary to report this finding to the
provider.
A nurse in a clinic is providing teaching to a client who is at 37 weeks of gestation and is
scheduled for an external cephalic version. Which of the following statements should the
nurse make?
Correct Answer:
B."You will receive a medication to relax your uterus prior to the procedure."
A client who is scheduled to undergo an external cephalic version often receives a tocolytic
prior to the procedure to allow the uterus to relax. A relaxed uterus allows an easier version by
the provider.
Incorrect Answers:
A. This action is appropriate for internal version. With external version, the provider attempts
to turn the fetus around externally and not internally.
C. External version is a high-risk procedure that is performed in a hospital setting in the event of
an emergency.
D. During the external version, the fetal heart-rate pattern is monitored continuously because
the fetus is at risk of bradycardia and variable decelerations. The nurse also monitors the fetal
heart rate for at least 60 minutes following the procedure.
A postpartum nurse is caring for a client who reports excessive sweating during the first night
after delivery. Which of the following statements should the nurse make?
Correct Answer:
D.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Killey. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
