ATI MATERNITY PROCTORED EXAM TEST BANK ACTUAL EXAM WITH UPDATED QUESTIONS AND VERIFIED ANSWERS (ALREADY GRADED A+)
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ATI MATERNITY
Institution
ATI MATERNITY
ATI MATERNITY PROCTORED EXAM TEST BANK
ACTUAL EXAM WITH UPDATED QUESTIONS AND VERIFIED
ANSWERS (ALREADY GRADED A+)
A nurse is caring for a client who is 4 hr postpartum following a vaginal
birth. The client has saturated a perineal
pad within 10 min. Which of the following actions should...
A nurse is caring for a client who is 4 hr postpartum following a vaginal
birth. The client has saturated a perineal
pad within 10 min. Which of the following actions should the nurse take
first?
A. Assess client's blood pressure.
B. Assess the bladder for distention.
C. Massage the client's fundus.
D. Prepare to administer a prescribed oxytocic preparation. - ANSWER-A.
Assess client's blood pressure.
Rationale: Blood pressure is not a reliable indicator of impending
shock from hemorrhage because
compensatory mechanisms prevent a significant drop in blood
pressure until the client has lost
30 to 40% of her blood volume.
B. Assess the bladder for distention.
,2|Page
Rationale: While a distended bladder can displace the uterus and
interfere with contractions, this is not
the first action the nurse should take.
-C. Massage the client's fundus.
Rationale: The initial management of excessive uterine bleeding is
firm massage of the uterine fundus.
This action stimulates contraction of the uterine muscles, which
constrict the maternal uterine
blood vessels.
D. Prepare to administer a prescribed oxytocic preparation.
Rationale:
If manual massage of the uterine fundus does not increase
contractility and slow bleeding, it
would then be appropriate to empty the bladder and administer a
continuous IV infusion of
oxytocin.
A nurse in a prenatal clinic is teaching a group of clients about nutrition
requirements during lactation. Which of
the following statements should the nurse make?
A. "Calcium intake should be at least 2,000 mg per day."
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B. "Zinc intake should be at least 12 mg per day."
C. "The recommended intake of folic acid remains the same as for
pregnant women."
D. "The recommended intake of iron increases." - ANSWER-A. "Calcium
intake should be at least 2,000 mg per day."
Rationale: The calcium requirement during lactation for women over
age 19 is 1,000 mg, which is the
same as during pregnancy and for nonpregnant female clients of the
same age.
-B. "Zinc intake should be at least 12 mg per day."
Rationale: Zinc intake should be increased to 12 mg per day during
lactation, which is above the
recommended levels for pregnancy and nonpregnant female clients
over age 19.
C. "The recommended intake of folic acid remains the same as for
pregnant women."
Rationale: Folic acid requirements are 500 mcg per day during
lactation, as compared to a
recommended intake of 600 mcg during pregnancy.
D. "The recommended intake of iron increases."
, 4|Page
Rationale: Iron requirements do not increase during lactation. They
remain 9 mg per day for female
clients over age 19
A nurse on the obstetric unit is caring for a client who experienced abruptio
placentae. The nurse observes
petechiae and bleeding around the IV access site. The nurse should
recognize that this client is at risk for which
of the following complications?
A. Anaphylactoid syndrome of pregnancy
B. Disseminated intravascular coagulation
C. Preeclampsia
D. Puerperal infection - ANSWER-A. Anaphylactoid syndrome of
pregnancy
Rationale: Anaphylactoid syndrome of pregnancy, due to an amniotic
fluid embolism, typically occurs
within 30 min after birth and is manifested by sudden, acute onset of
hypoxia, hypotension,
cardiac arrest, and coagulopathy.
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