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ATI Maternity Proctored Exam – Questions With Detailed Solutions
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ATI Maternity Proctored Exam – Questions WithDetailed Solutions
Discharge teaching with the parents of a newborn about how to care for their
child's uncircumcised penis. Right Ans - cleanse the newborn's penis daily
with soap and water.
The foreskin adheres to the glans and should not be retracted until
approximately 3 years of age.
(do not attempt to clean under the foreskin
avoid applying creams or lotion to penis
These findings indicate the transition phase ? Right Ans - first stage ends
with the transition phase, with the cervix dilating to 8 to 10 cm.
Uterine contractions are strong, occurring every 2 to 3 minutes and lasting 45
to 90 seconds.
Latent phase Right Ans - some cervical effacement and dilation from 0 to 3
cm and
with little progress in the descent of the presenting part.
The active phase is characterized by? Right Ans - cervical dilation from 4 to
7 cm and significant descent of the presenting part.
In this phase, the client has moderate to strong uterine contractions every 3 to
5 minutes that last 40 to 70 seconds
The second stage begins with? Right Ans - complete cervical dilation and
ends with the birth of the newborn.
The nurse should identify that clients who have preeclampsia? Right Ans -
with severe features are at risk for seizures.
The nurse should keep the side rails of the client's bed up and ensure oxygen
and suction are readily available.
,restrict fluid intake no more 125ml and head up
second stage nursing interventions Right Ans - encourage client to
frequently change postilion
nurse should assess vital sign every 5 to 30 min
remain during bed rest
( do not tell patient hold breath while pushing decrease oxygen)
discharge teaching about bathing newborn Right Ans - the face should be
washed first before the eye , ears , nose
last genital are last
avoid use cornstarch or baby powder
The parent should wash around the umbilical cord with warm water and
avoid soaking. Soap is not recommended because it causes drying of the cord
The parent should wash the newborn's scalp with a mild shampoo, gently
massaging the scalp before rinsing and drying.
every 2 to 3 days
The client is worried about the health of her fetus because she drank alcohol
and smoked in the first week of pregnancy, before she knew she was pregnant
what should nurse say? Right Ans - "Your baby wasn't susceptible to
substances during the first 2 weeks of your pregnancy."
The period between 15 days and 8 weeks after conception is most critical in
the development of organ systems and external features.
Which of the following reflexes facilitates infant feeding? Right Ans -
rooting reflex (making sucking motions with the mouth)
This reflex supports effective sucking.
,Which of the following reflexes facilitates infant walking ? Right Ans -
stepping
lower extremities. When the newborn is held vertically, he/she will make leg
movements that look like walking.
Moro reflex Right Ans - spread out their arm
pull their arms back tight to their chest
start crying
disappears at approximately 3 to 4 months of age
The babinski reflex Right Ans - sole foot
hyper extension of toe or dorsilfexion great toe
The Babinski reflex does not disappear until after 1 year of age.
Nursing Intervention painful third degree peritoneal laceration Right Ans -
apply cold ice packs to the client perineum
encourage client firm surface
( warm sitz bath for first 24hr postpartum)
trichomoniasis Symptoms Right Ans - Clinical findings in women include
yellowish to greenish, frothy, mucopurulent, copious discharge with an
unpleasant odor, as well as itching, burning, or redness of the vulva and
vagina
caring for a client who has trichomoniasis following instruction should nurse ?
Right Ans - sexually transmitted infection
both men and women infected
, can be treated easily with metronidazole also instruct use condoms during
sexual intercourse
is done without a culture
parent about how to care for his newborn's circumcision site Right Ans -
loosely applied diaper will minimize pressure circumcision
clean site gently with warm water only
formation yellow exudate in the glands is expect part
A nurse is collecting data from a client 24 hr after delivery and notes the
fundus is 2 cm above the umbilicus Right Ans - ambulate the client to the
bathroom risk of hemorrhage.
The most common postpartal cause
do not apply heating pad over increase
What is vena cava syndrome? Right Ans - (hypotension that occurs in
clients who are pregnant upon assuming a supine position).
a side lying position promotes uterine perfusion and oxygenation
postpartum teachings with a client who is non-lactating about breast
discomfort. Which of the following interventions should the nurse discuss
with the client? Right Ans - place fresh cabbage leaves on breast
instructed to wear a tight-fitting bra or breast binder
avoid warmth to breasts , ice pack should be used relieve engored breasts
apply an external uterine activity monitor for a client who is at 36 weeks of
gestation. Which of the following actions should the nurse plan to take?
Right Ans - Validate the monitor tracing by palpating for contraction
frequency
semi-flowerl or lateral position for fetal monitoring
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