Exam (elaborations)

OB MATERNAL NEWBORN ATI PROCTORED 2024/MATERNAL NEWBORN OB TEST BANK EXAMS WITH ACTUAL ACCURATE QUESTIONS AND VERIFIED DETAILED RATIONALES ANSWERS LATEST 2024 [NEWEST] ALREADY GRADED A+

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OB MATERNAL NEWBORN ATI

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OB MATERNAL NEWBORN ATI

A medic is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level. Which of the following actions should the medic take? D. Use a photometer to monitor the lamp's energy The medic should monitor the lamp's energy throughout the therapy to ensure the newborn is r...

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ob maternal newborn ati proctored 2024
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Course OB MATERNAL NEWBORN ATI

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OB MATERNAL NEWBORN ATI PROCTORED
2024/MATERNAL NEWBORN OB TEST BANK EXAMS WITH
ACTUAL ACCURATE QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS LATEST 2024
[NEWEST] ALREADY GRADED A+

A medic is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level. Which of the following
actions should the medic take?

D. Use a photometer to monitor the lamp's energy

The medic should monitor the lamp's energy throughout the therapy to ensure the newborn is receiving the appropriate
amount to be effective.

A medic is assessing a patient at 34 weeks gestation who has a mild placental abruption. Which of the following findings should
the medic expect?

Dark red vaginal bleeding

The medic should expect this patient with a mild placental abruption to have minimal dark red vaginal bleeding.

A medic is assessing a newborn and notes an axillary temperature of 96.9°F (36°C). Which of the following actions should the
medic perform?

Accurate Answer: 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.

Inaccurate Answers:
A. The medic should not obtain a rectal temperature from a newborn due to the risk of rectal perforation. Instead, the medic
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 medic is caring for a patient who is in preterm labor and is receiving magnesium sulfate. The patient begins to show
indications of magnesium sulfate toxicity. Which of the following medications should the medic prepare to administer?

Accurate Answer: Calcium gluconate
The medic 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.

Inaccurate 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 medic is providing postpartum discharge teaching to a patient who is non-lactating about breast discomfort relief measures.
Which of the following pieces of information should the medic include?

Accurate Answer: "Place fresh cabbage leaves on your breasts."

After 3 days postpartum, the patient'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.

Inaccurate Answers:
A. The patient 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 medic is educating a patient who is at 10 weeks gestation and reports frequent nausea and vomiting. Which of the following
statements should the medic include in the teaching?

Accurate Answer: "You should eat dry foods that are high in carbohydrates when you wake up."

The medic should instruct the patient to eat foods that are high in carbohydrates such as dry toast or crackers upon waking or
when nausea occurs.

In Accurate Answers:
A. The medic should instruct the patient to eat foods served at cool temperatures to decrease nausea and vomiting.

B. The medic should instruct the patient to avoid brushing her teeth immediately after eating to decrease vomiting.

C. The medic should instruct the patient to eat salty and tart foods during periods of nausea.

A medic is providing postpartum discharge teaching for a patient who is breastfeeding. The patient states, "I've heard that I
can't use any birth control until I stop breastfeeding." Which of the following responses should the medic make?

Accurate Answer: "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 patients who are breastfeeding, although
some experts recommend waiting until 6 weeks postpartum to initiate the medication.

, Inaccurate Answers:
A. Breastfeeding can inhibit ovulation or prolong menstruation; however, it is not a reliable and effective means of birth
control. The patient 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 patients 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 patients who are breastfeeding;
however, there are other methods that are also appropriate.

A medic is assessing a patient who is receiving morphine via a patient-controlled analgesia (PCA) pump following a cesarean
birth. Which of the following findings should the medic report to the provider?

Accurate Answer: Urine output 20 mL/hr

Opioid analgesics such as morphine can cause urinary retention. The patient should have a urinary output of at least 30
mL/hr. The medic should report this finding to the provider. Inaccurate 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 medic should instruct the patient to sit on the side
of the bed before getting up, assist the patient with ambulation, and implement general safety measures. However, it is
not necessary to report this finding to the provider.

A medic in a clinic is providing teaching to a patient who is at 37 weeks of gestation and is scheduled for an external cephalic
version. Which of the following statements should the medic make?

Accurate Answer: "You will receive a medication to relax your uterus prior to the procedure."

A patient 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.

Inaccurate 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 medic also monitors the fetal heart rate for at least 60 minutes following the
procedure.

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Exam (elaborations)

OB MATERNAL NEWBORN ATI PROCTORED 2024/MATERNAL NEWBORN OB TEST BANK EXAMS WITH ACTUAL ACCURATE QUESTIONS AND VERIFIED DETAILED RATIONALES ANSWERS LATEST 2024 [NEWEST] ALREADY GRADED A+

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