ATI_Maternal_Newborn_Proctored_Exam

A inurse iprovided idischarge iteaching ito inew iparents ion ihow ito icare ifor itheir inewborn ifollowing icircumcision. iWhich iof ithe ifollowing istatements iby ithe iparents iindicates ithe ineed ifor ifurther iclarification? Select ione: a. "I ishould inot iremove ithe iyellow iexudate ion ithe iend iof ithe ipenis." b. "I iwill iclean ihis ipenis iwith ieach idiaper ichange." c. "The icircumcision iwill iheal icompletely iwithin ia icouple iof iweeks." d. "I ican igive ihim ia itub ibath iin itwo idays." d. i"I ican igive ihim ia itub ibath iin itwo idays." The inewborn ishould inot ibe iimmersed iin iwater iuntil ithe icircumcision ihas ihealed iand ithe iumbilical icord ihas idetached. iThe icircumcision ishould iheal iwithin itwo iweeks. A inurse iis idiscussing ithe iuse iof icondoms iwith ia ifemale iclient. iWhich iof ithe ifollowing istatements iby iclient irepresents ia ineed ifor ifurther iteaching? Select ione: a. "My ipartner iwill iput ithe icondom ion iwhile ihis ipenis iis ierect." b. "I iwill iremove ithe icondom i30 iminutes iafter iintercourse." c. "My ipartner ishould ileave ian iempty ispace iat ithe itip." d. "I ican iuse ispermicidal igels ior icreams ito iincrease ieffectiveness." b. i"I iwill iremove ithe icondom i30 iminutes iafter iintercourse." To iavoid iany isemen ispillage ionto ithe ivulva ior ithe ivaginal iarea, ithe icondom imust ibe iremoved ithe isame itime ias ithe ipenis. iTo ido ithat ithe icondom irim ishould ibe iheld iin iplace iwhile ithe ipenis iis iwithdrawn ifrom ithe ivagina. A iclient ireports iawaking ifrom isleep iby icontractions ithat iare ioccurring ievery ifive iminutes iand ilasting i30-40 iseconds. iWhich iof ithe ifollowing iquestions ishould ithe inurse iask ito iassess ifor itrue ilabor iversus ifalse ilabor? Select ione: a. "When idid iyour icontractions ibegin?" b. "Have iyou inoticed iany ibloody ishow ior ifluid icoming ifrom iyour ivagina?" c. "What ihappens ito iyour icontractions iwhen iyou imove iabout?" d. "Have iyou ifelt ifetal imovement iover ithe ilast i24 ihours?" b. i"Have iyou inoticed iany ibloody ishow ior ifluid icoming ifrom iyour ivagina?" 1. iTwo idays iafter idelivery, ia ipostpartum iclient iprepares ifor idischarge. iWhat ishould ithe inurse iteach iher iabout ilochia iflow? Incorrect: iLochia idoes ichange icolor ibut igoes ifrom ilochia irubra i(bright ired) ion idays i1-3, ito ilochia iserosa i(pinkish ibrown) ion idays i4-9, ito ilochia ialba i(creamy iwhite) idays i10-21. Incorrect: iNumerous iclots iare iabnormal iand ishould ibe ireported ito ithe iphysician. Incorrect: iSaturation iof ithe iperineal ipad iis iconsidered iabnormal iand imay iindicate ipostpartum ihemorrhage. 1. Two idays iafter idelivery, ia ipostpartum iclient iprepares ifor idischarge. iWhat ishould ithe inurse iteach iher iabout ilochia iflow? Incorrect: iLochia idoes ichange icolor ibut igoes ifrom ilochia irubra i(bright ired) ion idays i1-3, ito ilochia iserosa i(pinkish ibrown) ion idays i4-9, ito ilochia ialba i(creamy iwhite) idays i10-21. Incorrect: iNumerous iclots iare iabnormal iand ishould ibe ireported ito ithe iphysician. Incorrect: iSaturation iof ithe iperineal ipad iis iconsidered iabnormal iand imay iindicate ipostpartum ihemorrhage. Correct: iLochia inormally ilasts ifor iabout i21 idays, iand ichanges ifrom ia ibright ired, itopinkish ibrown, ito icreamy iwhite. The icolor iof ithe ilochia ichanges ifrom ia ibright ired ito iwhite iafter ifour idays iNumerous ilarge iclots iare inormal ifor ithe inext ithree ito ifour idays Saturation iof ithe iperineal ipad iwith iblood iis iexpected iwhen igetting iup ifrom ithe ibed iLochia ishould ilast ifor iabout i3 iweeks, ichanging icolor ievery ifew idays 2. A inurse imonitors ifetal iwell-being iby imeans iof ian iexternal imonitor. iAt ithe ipeak iof ithe icontractions, ithe ifetal iheart irate ihas irepeatedly idropped i30 ibeats/min ibelow ithe ibaseline. iLate idecelerations iare isuspected iand ithe inurse inotifies ithe iphysician. iWhich iis ithe irationale ifor ithis iaction? Incorrect: iA inuchal icord i(cord iaround ithe ineck) iis iassociated iwith ivariable idecelerations, inot ilate idecelerations. Incorrect: iVariable idecelerations i(not ilate idecelerations) iare iassociated iwith icord icompression. Incorrect: iLate idecelerations iare ia iresult iof ihypoxia. iThey iare inot ireflective iof ithe istrength iof imaternal icontractions. Correct: iLate idecelerations iare iassociated iwith iuteroplacental iinsufficiency iand iare ia isignof ifetal ihypoxia. iRepeated ilate idecelerations iindicate ifetal idistress. The iumbilical icord iis iwrapped itightly iaround ithe ifetus' ineck The ifetal icord iis ibeing icompressed idue ito irapid idescent iof ithe ifetal ihead iMaternal icontractions iare inot iadequate ienough ito ideliver ithe ifetus The ifetus iis inot ireceiving iadequate ioxygen iand iis iin idistress 3. Which ipreoperative inursing iinterventions ishould ibe iincluded ifor ia iclient iwho iis ischeduled ito ihave ian iemergency icesarean ibirth? Incorrect: iMonitoring iO2 isaturations iand iadministering ipain imedications iare ipostoperative iinterventions. Incorrect: iTaking ivital isigns ievery i15 iminutes iis ia ipostoperative iintervention. iInstructing ithe iclient iregarding ibreathing iexercises iis inot iappropriate iin ia icrisis isituation iwhen ithe iclient's ianxiety iis ihigh, ibecause iinformation iwould iprobably inot ibe iretained. iIn ian iemergency, ithere iis itime ionly ifor iessential iinterventions. Correct: iBecause ithis iis ian iemergency, isurgery imust ibe iperformed iquickly. iAnxiety iof itheclient iand ithe ifamily iwill ibe ihigh. iInserting ian iindwelling icatheter ihelps ito ikeep ithebladder iempty iand ifree ifrom iinjury iwhen ithe iincision iis imade. Incorrect: iThe inurse ishould ihave iassessed ibreath isounds iupon iadmission. iBreath isounds iare iimportant iif ithe iclient iis ito ireceive igeneral ianesthesia, ibut ithe ianesthesiologist iwill ibe ilistening ito ibreath isounds iin isurgery iin ithat icase. Monitor ioxygen isaturation iand iadminister ipain imedication. Assess ivital isigns ievery i15 iminutes iand iinstruct ithe iclient iabout ipostoperative icare. Alleviate ianxiety iand iinsert ian iindwelling icatheter. Perform ia isterile ivaginal iexamination iand iassess ibreath isounds.