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ATI MED SURGE PROCTORED EXAM

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1. A nurse is caring for a client following a bone marrow biopsy. What information should the nurse include in the discharge education? -Keep dressing clean and dry to prevent infection -Watch for bleeding and if notice excessive bleeding report to provider -Remind pt avoid aspirin or medications that would prevent clotting 2. A nurse is providing client education regarding modes of hepatitis transmission. What are the routes of transmission and risk factors for Hepatitis A, B, C, D and E? -Hep A transmission by fecal-oral. Risk=consumption of contaminated food/water (esp. shellfish) and close contact with an infected person -Hep B transmission by blood. Risk=unprotected sex, babies born from infected mothers, contact with infected blood, substance abuse (injected) -Hep C transmission by blood. Risk=substance abuse (injected), blood/blood products, transplants, needle sticks. -Hep D transmission by coinfection with HBV. Risk=substance abuse (injected), unprotected sex -Hep E transmission by fecal-oral. Risk=Consumption of contaminated food/water that has fecal waste in it.

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ATI MATERNAL
NEW BORN OB
EXAM
1. Since 1995 there has been a significant decrease in the rate of infant death related to which
of the following:
a. Disorders associated with short gestation and low birth weight
b. Accidents
c. Sudden infant death
d. Newborns affected by complications of placenta, cord, and membranes

2. Tobacco use during pregnancy is associated with adverse effects on the unborn infant
such as intrauterine growth restriction, preterm births, and respiratory problems. By race,
which has the highest percentages of smokers? a. American Indian and Alaskan Natives
b. Asian or Pacific Islanders
c. Non-Hispanic blacks
d. Non-Hispanic whites

3. Which of the following women is at the highest risk for health disparity?
a. A white, middle-class, 16-year-old woman
b. An African American, middle-class, 25-year-old woman
c. An African American, upper-middle-class, 19-year-old woman
d. An Asian, low-income, 30-year-old woman

4. A neonate born at 36 weeks gestation is classified as which of the following?
a. Very premature
b. Moderately premature
c. Late premature
d. Term

5. The perinatal nurse explains to the student nurse that a goal of the Healthy People 2020
report is to:
a. Increase proportion of infants who are breastfed to 93.1%.
b. Increase proportion of infants who are breastfed to 90.7%.
c. Increase proportion of infants who are breastfed to 85.6%.
d. Increase proportion of infants who are breastfed to 83.9%.

6. The perinatal nurse explains to the student nurse that is the leading cause of
infant death in the United States.
a. Sudden Infant Death Syndrome
b. Respiratory distress of newborns



c. Disorders related to short gestation and low birth weight
d. Congenital malformations and chromosomal abnormalities

, 7. Which of the following statements are true related to teen pregnancies? (Select all that
apply.)
a. Teen mothers are at higher risk for
HIV.
b. Teen mothers are at higher risk for hypertensive
problems.
c. The birth rate for teenaged women has increased in the past 15 years.
d. Infants born to teen mothers are at higher risk for health problems.

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