ATI Maternal Dynamic Quiz Proctored 2024 Questions and Verified Rationalized Answers, 100% Guarantee Pass

A nurse is admitting a client who is in labor and experiencing moderate bright red vaginal bleeding. Which of the following actions should the nurse take? X @) A. Perform a vaginal examination to determine cervical dilation v / B. Obtain blood samples for baseline laboratory values ) C. Place a spiral electrode on the fetal presenting part __) D. Prepare the client for a transvaginal ultrasound Graded Response: Incorrect Correct Answer: B. Obtain blood samples for baseline laboratory values Peer ®A The nurse should obtain samples of the client’s blood for baseline testing of hemoglobin and hematocrit levels. 5 Incorrect Answers: C A. The nurse should not perform a vaginal examination on a client who is experiencing vaginal bleeding. A vaginal examination can lead to D hemorrhage if the client has placenta previa. C. The nurse should not perform a vaginal examination on a client who is experiencing vaginal bleeding. A spiral electrode can be placed only when the client’s membranes are ruptured, the cervix is sufficiently dilated, and placenta previa is ruled out to avoid hemorrhage. D. The client should be on strict pelvic rest because she is experiencing bright red vaginal bleeding. A nurse is teaching the guardian of a newborn about car seat safety. Which of the following pieces of information should the nurse include? ! A. Position the child's car seat forward-facing at 1 year of age 3 ) B. Place the retainer clip 2 inches above the newborn's umbilicus v ! C. Place the shoulder harness in the slots that are level with the newborn's shoulders X @ D. Position the newborn's car seat at a 20° angle in the vehicle Graded Response: Incorrect Correct Answer: C. Place the shoulder harness in the slots that are level with the newborn's shoulders The guardian should place the shoulder harness in the slots that are level or slightly below the newborn’s shoulders to ensure the child is restrained in the event of an accident. Incorrect Answers: A. The guardian should position the car seat rear-facing until the child is 2 years old, or later if recommended by the car seat manufacturer. B. The guardian should place the retainer clip at the level of the newborn's armpits. Placing the clip on the abdomen can cause injury in an accident. D. The guardian should position the car seat at a 45° angle in the vehicle. This will prevent slumping and decrease the risk of airway obstruction due to the newborn's weak neck muscles. A nurse is caring for a client who is 12 hr postpartum. Which of the following interventions should the nurse implement? (Click on "Exhibit NCLEX 1" under Resources on the righthand side for additional information about the client) X @ A. Encourage the client to use a hot pack on the perineum v {__ B. Administer ferrous sulfate orally __ C.Help the client apply a breast binder __) D. Administer Rh immune globulin Graded Response: Incorrect Correct Answer: B. Administer ferrous sulfate orally Peer Comparison or |} = I Incorrect Answers: c| A. The nurse should encourage the client to use a cold pack on the perineum to decrease edema and promote comfort. D . The nurse should administer ferrous sulfate orally for a client who has a hemoglobin level of <10.5 g/dL. C. The nurse can assist with applying a breast binder or a well-fitted support bra to relieve discomfort for a client who does not plan to breastfeed. D. The nurse should administer Rh immune globulin within 72 hours of birth to clients who are Rh-negative and have a newborn who is Rhpositive. A nurse is caring for a client who is in active labor and receiving an oxytocin infusion. The nurse notes tachysystole with a Category 1 fetal heart rate tracing. Which of the following actions should the nurse take? X @) A. Discontinue oxytocin infusion and apply oxygen __/ B. Increase oxytocin infusion rate by 2 mu/min __J C. Administer terbutaline 0.25 mg subcutaneously v __ D.Reposition the client in a side-lying position and continue to monitor Graded Response: Incorrect Correct Answer: D. Reposition the client in a side-lying position and continue to monitor Peer Comparison A Category 1 fetal heart rate tracing is an expected finding and does not represent fetal distress. The nurse should reposition the clientin a side-lying position to optimize uteroplacental perfusion and continue to monitor the tracing for another 10 minutes to determine if tachysystole resolves. C I Incorrect Answers: A. The nurse should discontinue the oxytocin infusion and apply oxygen for a Category 2 (indeterminate) or Category 3 (abnormal) fetal heart rate tracing. B. The nurse should not increase the oxytocin infusion when the client is experiencing tachysystole because tachysystole can cause fetal distress. C. The nurse should administer terbutaline 0.25 mg subcutaneously for a Category 2 or Category 3 fetal heart rate tracing if discontinuing the oxytocin does not resolve the tachysystole. A nurse is providing teaching for a postpartum client who is breastfeeding. Which of the following statements indicates an understanding of the teaching? v / A. "I should feed my baby 8-12 times a day, based on feeding cues." 1 ! B. "My baby should have 6 or 7 wet diapers a day during the first week." X (’) C. "I should switch my baby to the other breast after 15 minutes of feeding." ! D. "My nipple pain should go away after a few weeks of breastfeeding." Graded Response: Incorrect Correct Answer: A. "l should feed my baby 8-12 times a day, based on feeding cues." For the first few days, parents might have to wake the newborn to feed every 2 to 3 hours. Once the infant is feeding well and gaining weight, feedings should be based on the infant displaying hunger cues, such as sucking on the fist and rooting. Incorrect Answers: B. During the first week of life, newborns should have a minimum of 1 wet diaper for every day of their age. For example, a 2-day-old infant should have a minimum of 2 wet diapers. By the end of the first week, infants should have 6-8 heavy wet diapers each day. C. The mother should switch breasts based on cues from the infant, not based on the clock. She should feed the infant on a breast until the infant takes a break and the breast has softened. She can then offer the other breast, which the infant may or may not take. This method ensures an adequate intake of the fatty hindmilk. D. Nipple pain is not an expected finding of breastfeeding. Mothers who experience nipple pain throughout the feeding should seek the assistance of a lactation consultant. Peer! A nurse is caring for a client who is in the latent phase of labor and is experiencing low back pain. Which of the following actions should the nurse take? ; ! A. Instruct the client to pant during contractions X {“ B. Position the client supine with legs elevated ‘, ' C. Encourage the client to soak in a warm bath ' D. Apply pressure to the client’s sacral area during contractions Incorrect, try again! Close Explanation Correct Answer: D. Apply pressure to the client’s sacral area during contractions The nurse should provide counter-pressure to the sacral area with a palm or a firm object, such as a tennis ball, during contractions. Counterpressure lifts the fetal head away from the sacral nerves, which decreases pain. Incorrect Answers: A. The nurse should instruct the client to pant during contractions to prevent pushing or bearing down before the cervix is completely dilated during the transition phase of labor. Panting will not alleviate back pain during the latent phase of labor. B. The nurse should not place the client supine during labor because this will increase her back pain. C. The nurse should initiate hydrotherapy when the client is in the active phase of labor or approximately 5 cm (2 in) dilated. The use of hydrotherapy during the latent phase of labor can prolong the labor process. Pe A nurse is assessing a client who is 14 hr postpartum and has a third-degree perineal laceration. The client’s temperature is 37.8°C (100°F), and her fundus is firm and slightly deviated to the right. The client reports a gush of blood when she ambulates and no bowel movement since delivery. Which of the following actions should the nurse take? X <9) A. Notify the provider about the client’s elevated temperature ) B. Assist the client to empty her bladder __ C.Administer a bisacodyl suppository ) D. Massage the client’s fundus Incorrect, try again! Close Explanation Correct Answer: B. Assist the client to empty her bladder Peer Comparison ®A When the client’s fundus is deviated to the right or left, it can indicate that her bladder is full. The nurse should assist the client to empty her B I_ bladder to prevent uterine atony and excessive lochia. I C Incorrect Answers: D l A. Dehydration can cause a client who is postpartum to have a temperature up to 38°C (100.4°F) during the first 24 hours following delivery. C. The nurse should not administer rectal suppositories and enemas to clients who have third- and fourth-degree lacerations due to the risk of injury to the suture line. D. The nurse does not need to massage the client’s fundus because it is firm. The gush of blood when ambulating is expected due to blood pooling in the vagina when the client is lying in bed. Correct Answer: Ask the client to lie on her back with her knees flexed. S Place a hand just above the client’s symphysis pubis. Position a hand around the top of the client's fundus. Rotate the upper hand to massage the client’s uterus. Use slight downward pressure to compress the client's fundus. Step 1: The nurse should gently massage the fundus to restore the muscle tone of the client’s uterus. First, the nurse should place the client on her back with her knees flexed. Step 2: The nurse should place a hand just above the symphysis pubis. Step 3: Position the other hand around the top of the client's fundus. Step 4: The nurse should then rotate the upper hand to massage the client’s uterus. Step 5: Use slight downward pressure to compress the client's fundus. A nurse is assessing a client who is at 20 weeks gestation and reports frequent episodes of indigestion and heartburn. Which of the following instructions should the nurse give to the client? : /' A. "Limit your intake of food to twice per day.” ! B. "Decrease your intake of spicy foods.” _ C."Rest in a supine position for a few minutes after eating.” ( (:.j}' D. "Increase your intake of water and carbonated beverages.” Incorrect, try again! Close Explanation Correct Answer: B. "Decrease your intake of spicy foods." Peer Comparison A Spicy foods cause gastric irritation, which may increase during pregnancy as a result of various physiological changes. B |_ Incorrect Answers: C I A. Ingesting large amounts of food at once can cause bloating, distention, and nausea. The client should be counseled to eat small, frequent ®D I meals. C. This action might exacerbate indigestion, as it is known to cause heartburn and reflux of gastric contents. D. This action might exacerbate indigestion since it contributes to feelings of fullness and nausea, and the carbonation unnecessarily adds gas to the digestive tract. A nurse in labor and delivery is teaching a newly licensed nurse about performing the McRoberts maneuver to relieve shoulder dystocia. Which of the following pieces of information should the nurse include? ) A. Position the client on her hands and knees while in bed v ! B. Flex the client’s legs apart and raise her knees to her abdomen _ C. Apply gentle pressure on the client's fundus while she is lying supine X (@) D. Push the fetus's anterior shoulder under the symphysis pubis externally Graded Response: Incorrect Correct Answer: B. Flex the client's legs apart and raise her knees to her abdomen Peer Comparison A The McRoberts maneuver includes helping the client flex her knees apart, which rotates the pubic bone anteriorly. This movement releases B ._ the anterior shoulder, but the nurse should not apply pressure directly to the anterior shoulder during this maneuver. This maneuver can be used for clients with or without epidural anesthesia. c l Incorrect Answers: A. This positioning is part of the Gaskin maneuver, which includes positioning the client on her hands and knees to release the anterior shoulder of the fetus. C. Using fundal pressure will not release the anterior shoulder of the fetus and is associated with neonatal neurological complications. This intervention should be avoided. D. When the nurse applies suprapubic pressure, the anterior shoulder of the fetus is pushed undemeath the symphysis pubis. This dislodges the anterior shoulder and allows the fetus to rotate, but it is not the McRoberts maneuver.