ATI PN Maternal Newborn Nursing Edition 11.0 Questions and Answers 2023

ATI PN Maternal Newborn Nursing Edition 11.0 Questions and Answers 2023 A nurse in a health clinic is reinforcing teaching about contraceptive use with a group of clients. Which of the following client statements demonstrates understanding? a.) "A water-soluble lubricant should be used with condoms." b.) "A diaphragm should be removed 2 hours after intercourse." c.) "Oral contraceptives can worsen a case of acne." d.) "A contraceptive patch is replaced once a month." a.) "A water-soluble lubricant should be used with condoms." A nurse is instructing a client who is taking an oral contraceptive about manifestations to report to the provider. Which of the following manifestations should the nurse include? a.) Reduced menstrual flow b.) Breast tenderness c.) Shortness of breath d.) Increased appetite c.) Shortness of breath A nurse in an obstetric clinic is reinforcing teaching with a client about using an IUD for contraception. Which of the following statements by the client indicates an understanding of the teaching? a.) "An IUD should be replaced annually during a pelvic exam." b.) "I cannot get an IUD until after I've had a child." c.) "I should plan on regaining fertility 5 months after the IUD is removed." d.) "I will check to be sure the strings of the IUD are still present after my periods." d.) "I will check to be sure the strings of the IUD are still present after my periods." A nurse is reinforcing teaching with a client about potential adverse effects of implantable progestins. Which of the following adverse effects should the nurse include? Select all that apply: a.) Tinnitus b.) Irregular bleeding c.) Weight gain d.) Nausea e.) Gingival hyperplasia b.) Irregular bleeding c.) Weight gain d.) Nausea A nurse in a clinic is reinforcing teaching with a client about a new prescription for medroxyprogesterone. Which of the following information should the nurse include in the teaching? Select all that apply: a.) "Weight fluctuations can occur." b.) "You are protected against STIs." c.) "You should increase your intake of calcium." d.) "You should avoid taking antibiotics." e.) "Irregular vaginal spotting can occur." a.) "Weight fluctuations can occur." c.) "You should increase your intake of calcium." e.) "Irregular vaginal spotting can occur." A nurse is caring for a client who is pregnant and states that their last menstrual period was April 1st. Which of the following is the client's estimated date of delivery? a.) January 8 b.) January 15 c.) February 8 d.) February 15 a.) January 8 A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information? Select all that apply: a.) Client has delivered on newborn at term. b.) Client has experienced no preterm labor. c.) Client has been through active labor. d.) Client has had two prior pregnancies. e.) Client has one living child. a.) Client has delivered on newborn at term. b.) Client has experienced no preterm labor. d.) Client has had two prior pregnancies. e.) Client has one living child. A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? Select all that apply: a.) Montgomery's glands b.) Goodell's sign c.) Ballottement d.) Chadwick's sign e.) Quickening b.) Goodell's sign c.) Ballottement d.) Chadwick's sign A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal hypotension. The client asks the nurse what causes these episodes. Which of the following responses should the nurse make? a.) "This is due to an increase in blood volume." b.) "This is due to pressure from the uterus on the diaphragm." c.) "This is due to the weight of the uterus on the vena cava." d.) "This is due to increased cardiac output." c.) "This is due to the weight of the uterus on the vena cava." A nurse in a clinic receives a phone call from a client who would like information about pregnancy testing. Which of the following information should the nurse provide to the client? a.) "You should wait until 4 weeks after conception to be tested for pregnancy." b.) "You should be off any medications for 24 hours prior to the pregnancy test." c.) "You should not eat or drink for at least 8 hours prior to the pregnancy test." d.) "You should use your first morning urination specimen for a home pregnancy test." d.) "You should use your first morning urination specimen for a home pregnancy test." A nurse is providing reinforcement to a group of clients who are pregnant about measures to relieve backache during pregnancy. Which of the following measures should the nurse include? Select all that apply: a.) Avoid any lifting b.) Perform Kegel exercises twice a day c.) Perform the pelvic rock exercise every day d.) Use proper body mechanics e.) Avoid constrictive clothing c.) Perform the pelvic rock exercise every day d.) Use proper body mechanics A nurse is reinforcing teaching with a client who is pregnant about manifestations of complications to promptly report to the provider. Which of the following complications should the nurse reinforce to the client? a.) Vaginal bleeding b.) Swelling of the ankles c.) Heartburn after eating d.) Lightheadedness when lying on back a.) Vaginal bleeding A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which of the following information should the nurse include: a.) Eat crackers or plain toast before getting out of bed b.) Awaken during the night to eat a snack c.) Skip breakfast and eat lunch after nausea has subsided d.) Eat a large evening meal a.) Eat crackers or plain toast before getting out of bed A nurse is providing reinforcement to a client who is at 6 weeks of gestation about common discomforts of pregnancy. Which of the following findings should the nurse include? Select all that apply: a.) Breast tenderness b.) Urinary frequency c.) Epistaxis d.) Dysuria e.) Epigastric pain a.) Breast tenderness b.) Urinary frequency c.) Epistaxis A client who is at 8 weeks of gestation tells the nurse, "I am not sure I am happy about being pregnant." Which of the following responses should the nurse make? a.) "I will inform the provider that you are having these feelings." b.) "It is normal to have these feelings during the first few months of pregnancy." c.) "You should be happy that you are going to bring new life into the world." d.) "I am going to make an appointment with the counselor for you to discuss these thoughts." b.) "It is normal to have these feelings during the first few months of pregnancy." A nurse in a prenatal clinic is reinforcing education to a client who is at 8 weeks of gestation. The client states, "I don't like milk." Which of the following foods should the nurse recommend as a good source of calcium: a.) Dark green leafy vegetables b.) Deep red or orange vegetables c.) White breads and rice d.) Meat, poultry, and fish a.) Dark green leafy vegetables A nurse in a prenatal clinic is assisting with caring for four clients. Which of the following clients' weight gain should the nurse report to the provider? a.) 1.8kg (4lb) weight gain and is in the first trimester b.) 3.6kg (8lb) weight gain and is in the first trimester c.) 6.8kg (15lb) weight gain and is in the second trimester d.) 11.3kg (25lb) weight gain and is in the third trimester b.) 3.6kg (8lb) weight gain and is in the first trimester A nurse in a clinic is reinforcing teaching with a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency? a.) Iron deficiency anemia b.) Poor bone formation c.) Macrosomia fetus d.) Neural tube defects d.) Neural tube defects A nurse is assisting the charge nurse with reviewing postpartum nutrition with a group of clients who have begun breastfeeding their newborns. Which of the following statements by a member of the group indicates an understanding of the teaching: a.) "I am glad I can have my morning coffee." b.) "I should take folic acid to increase my milk supply." c.) "I will continue adding 330 calories per day to my diet." d.) "I will continue my calcium supplements because I don't like milk." d.) "I will continue my calcium supplements because I don't like milk." A nurse is reviewing findings of a client's biophysical profile (BPP). The nurse should expect which of the following variables to be included in this test? Select all that apply: a.) Fetal weight b.) Fetal breathing movement c.) Fetal tone d.) Fetal position e.) Amniotic fluid volume b.) Fetal breathing movement c.) Fetal tone e.) Amniotic fluid volume A nurse is assisting with the care of a client who is in preterm labor and is scheduled to undergo an amniocentesis. The nurse should review which of the following tests to check fetal lung maturity? a.) Alpha-fetoprotein (AFP) b.) Lecithin/sphingomyelin (L/S) ratio c.) Kleihauer-Betke test d.) Indirect Coombs' test b.) Lecithin/sphingomyelin (L/S) ratio A nurse is assisting with the care of a client who is pregnant and undergoing a nonstress test. The client asks why the nurse is using an acoustic vibration device. Which of the following responses should the nurse make? a.) "It is used to stimulate uterine contractions." b.) "It will decrease the incidence of uterine contractions." c.) "It lulls the fetus to sleep." d.) "It awakens a sleeping fetus." d.) "It awakens a sleeping fetus." A nurse is reinforcing teaching with a client who is of 22 weeks gestation about the amniocentesis procedure. Which of the following statements should the nurse make? a.) "You will lay on your right side during the procedure." b.) "You should not eat anything for 24 hours prior to the procedure." c.) "You should empty your bladder prior to the procedure." d.) "The test is done to determine gestational age." c.) "You should empty your bladder prior to the procedure." A nurse is assisting with the care of a client who is pregnant and is to undergo a contraction stress test (CST). Which of the following findings are indications for this procedure? Select all that apply: a.) Decreased fetal movement b.) Intrauterine growth restriction (IUGR) c.) Postmaturity d.) Placenta previa e.) Amniotic fluid emboli a.) Decreased fetal movement b.) Intrauterine growth restriction (IUGR) c.) Postmaturity A nurse in the emergency department is caring for a client who reports abrupt, sharp, right-sided lower quadrant abdominal pain and bright red vaginal bleeding. The client states, "I missed one menstrual cycle and cannot be pregnant because I have an intrauterine device." The nurse should suspect which of the following? a.) Missed abortion b.) Ectopic pregnancy c.) Severe preeclampsia d.) Hydatidiform mole b.) Ectopic pregnancy A nurse is assisting with care for a client who has a marginal abruptio placentae. Which of the following findings are risk factors for developing the condition? Select all that apply: a.) Fetal position b.) Blunt abdominal trauma c.) Cocaine use d.) Maternal age e.) Cigarette smoking b.) Blunt abdominal trauma c.) Cocaine use e.) Cigarette smoking A nurse is assisting with the care for a client who is at 32 weeks of gestation and has a placenta previa. The nurse notes that the client is actively bleeding. Which of the following medications should the nurse expect the provider will proscribe: a.) Betamethasone b.) Indomethacin c.) Nifedipine d.) Methylergonovine a.) Betamethasone A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea; vomiting; and scant, prune-colored discharge. The client has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect? a.) Hyperemesis gravidarum b.) Threatened abortion c.) Hydatidiform mole d.) Preterm labor c.) Hydatidiform mole A nurse is assisting with the care for a client who is experiencing a ruptured ectopic pregnancy. Which of the following findings is expected with this condition? a.) No alteration in menses b.) Transvaginal ultrasound indicating a fetus in the uterus c.) Blood progesterone greater than the expected reference range d.) Report of severe shoulder pain d.) Report of severe shoulder pain