Ati Maternal Protocored exam latest
exam update October 2024
A nurse is reviewing the medical record of a client who is one day postpartum. The client had a vaginal
birth with a fourth-degree perineal laceration. The nurse should contact the provider regarding which of
the following prescriptions? - Answer--The nurse should not administer a rectal suppository or enema to
a client who has a fourth-degree perineal laceration. These can cause separation of the suture line,
bleeding, or infection.
A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription states,
"Administer 5 mcg IM once today." Available is a 5 mL vial with 10 mcg/mL. How many mL should the
nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a
trailing zero.) - Answer--STEP 8: Reassess to determine whether the amount to administer makes sense.
If there are 10 mcg/mL and the prescription reads 5 mcg, it makes sense to administer 0.5 mL. The nurse
should administer hepatitis B immunoglobulin 0.5 mL IM.
A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following
instructions should the nurse include in the teaching? - Answer--The nurse should instruct the client to
engage in 30 min of moderate exercise every day to improve muscle tone throughout her pregnancy.
A nurse is assessing a client who is in labor and notes early decelerations on the fetal monitor. Which of
the following findings should the nurse identify as a possible cause of the early decelerations? - Answer--
The nurse should identify fetal head compression as a likely cause of the early decelerations on the fetal
monitor. Early decelerations are an expected fetal pattern caused by fetal head compression due to
uterine contractions, fundal pressure, and vaginal examinations.
, A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following
actions should the nurse take? - Answer--Take photos of the newborn to give to the parents.
The nurse should create a memory box that includes mementos of the newborn (for example, photos,
the newborn's ID bands, the newborn's hat, and the newborn's blanket).
A nurse in an antepartal clinic is providing care for a client who is at 26 weeks of gestation. Upon
reviewing the client's medical record, which of the following findings should the nurse report to the
provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs
that contain separate categories of data.) - Answer--Progress Notes
Fundal height 30 cm
Good fetal movement
Not experiencing headache, dizziness, blurred vision, or vaginal bleeding
Fetal heart rate 110/min
A fundal height measurement of 30 cm should be reported to the provider. Fundal height should be
measured in centimeters and is the same as the number of gestational weeks plus or minus 2 weeks
from 18 to 32 weeks gestation. Therefore, the nurse should report this finding to the provider.
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the
following findings should the nurse report to the provider? - Answer--Swelling of the face, sacral area,
and hands can indicate gestational hypertension or preeclampsia. Reduction in renal perfusion leads to
sodium and water retention. Fluid moves out of the intravascular compartment into the tissues, causing
edema.
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse
request the provider see first? - Answer--A client who is at 11 weeks of gestation and reports abdominal
cramping
When using the urgent vs nonurgent approach to client care, the nurse should determine that the
priority finding is a client who is at 11 weeks of gestation and reports abdominal cramping. Abdominal
exam update October 2024
A nurse is reviewing the medical record of a client who is one day postpartum. The client had a vaginal
birth with a fourth-degree perineal laceration. The nurse should contact the provider regarding which of
the following prescriptions? - Answer--The nurse should not administer a rectal suppository or enema to
a client who has a fourth-degree perineal laceration. These can cause separation of the suture line,
bleeding, or infection.
A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription states,
"Administer 5 mcg IM once today." Available is a 5 mL vial with 10 mcg/mL. How many mL should the
nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a
trailing zero.) - Answer--STEP 8: Reassess to determine whether the amount to administer makes sense.
If there are 10 mcg/mL and the prescription reads 5 mcg, it makes sense to administer 0.5 mL. The nurse
should administer hepatitis B immunoglobulin 0.5 mL IM.
A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following
instructions should the nurse include in the teaching? - Answer--The nurse should instruct the client to
engage in 30 min of moderate exercise every day to improve muscle tone throughout her pregnancy.
A nurse is assessing a client who is in labor and notes early decelerations on the fetal monitor. Which of
the following findings should the nurse identify as a possible cause of the early decelerations? - Answer--
The nurse should identify fetal head compression as a likely cause of the early decelerations on the fetal
monitor. Early decelerations are an expected fetal pattern caused by fetal head compression due to
uterine contractions, fundal pressure, and vaginal examinations.
, A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following
actions should the nurse take? - Answer--Take photos of the newborn to give to the parents.
The nurse should create a memory box that includes mementos of the newborn (for example, photos,
the newborn's ID bands, the newborn's hat, and the newborn's blanket).
A nurse in an antepartal clinic is providing care for a client who is at 26 weeks of gestation. Upon
reviewing the client's medical record, which of the following findings should the nurse report to the
provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs
that contain separate categories of data.) - Answer--Progress Notes
Fundal height 30 cm
Good fetal movement
Not experiencing headache, dizziness, blurred vision, or vaginal bleeding
Fetal heart rate 110/min
A fundal height measurement of 30 cm should be reported to the provider. Fundal height should be
measured in centimeters and is the same as the number of gestational weeks plus or minus 2 weeks
from 18 to 32 weeks gestation. Therefore, the nurse should report this finding to the provider.
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the
following findings should the nurse report to the provider? - Answer--Swelling of the face, sacral area,
and hands can indicate gestational hypertension or preeclampsia. Reduction in renal perfusion leads to
sodium and water retention. Fluid moves out of the intravascular compartment into the tissues, causing
edema.
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse
request the provider see first? - Answer--A client who is at 11 weeks of gestation and reports abdominal
cramping
When using the urgent vs nonurgent approach to client care, the nurse should determine that the
priority finding is a client who is at 11 weeks of gestation and reports abdominal cramping. Abdominal
