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ATI RN Maternal Newborn A 2025 Study Guide.odt

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ATI RN Maternal Newborn A 2025 Study Guide Exhibit 1: Hx and Physical Adolescent is sexually active with two current partners.IUD in placeReports not using condoms during sexual activity.History of type 1 diabetes mellitus Exhibit 2: RN Notes Admitted adolescent reporting "cramping in my stomach." Reports pain as a 4 on 0 to 10 pain scale and describes pain as constant and dull. Reports nausea and vomiting over past 24 hours. Reports painful urination and pain during sexual intercourse with minimal vaginal itching. Tenderness with palpation to lower abdomen, guarding abdomen observed. Greenish vaginal discharge observed. Reports last menstrual period was 3 weeks ago as normal period lasted 4 days. Exhibit 3: VS 1300: Blood pressure 118/72 mm Hg, Heart rate 100/min, Respiratory rate 20/min, Temperature 38.3° C (101° F) - ansAbdominal Pain - Gonorrhea Greenish discharge - Trichomoniasis, Gonorrhea Diabetes - Candidiasis Pain on urination - Trichomoniasis, Gonorrhea, Candidiasis Absence of condom use - Trichomoniasis, Gonorrhea A nurse in a clinic is caring for a 16-year-old adolescent. Exhibit 1: VS 1300: Blood pressure 118/72 mm Hg, Heart rate 100/min, Respiratory rate 20/min, Temperature 38.3° C (101° F) Exhibit 3: Hx and Physical Adolescent is sexually active with two current partners. IUD in place. Reports not using condoms during sexual activity. History of type 1 diabetes mellitus Exhibit 4: RN Notes 1300: Admitted adolescent reporting "cramping in my stomach." Reports pain as a 4 on 0 to 10 pain scale and describes pain as constant and dull. Reports nausea and vomiting over past 24 hours. Reports painful urination and pain during sexual intercourse with minimal vaginal itching. Tenderness with palpation to lower abdomen, guarding abdomen observed. Greenish vaginal discharge observed. Reports last menstrual period was 3 weeks ago as normal period lasted 4 days. - ansAbdominal assessment Vaginal discharge Temperature

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"I should continue taking all my medications even if i dont show any symptoms" indicates
understanding of teaching.

"If i continue to get this type of infection, it can affect my ability to have kids in the future"
indicates understanding of teaching"

"I'm more likely to get a sunburn while taking these medications" indicates understanding of
teaching



'I should go to the ED if my urine turns dark" indicates a need for further education'

As long as I keep my IUD, i don't need to use condoms" indicates a need for further education -
ansmeow



A nurse in a clinic is caring for a 16-year-old adolescent.

ATI RN Maternal Newborn A 2025 Study Guide
Exhibit 1: Hx and Physical

Adolescent is sexually active with two current partners.IUD in placeReports not using condoms
during sexual activity.History of type 1 diabetes mellitus



Exhibit 2: RN Notes

Admitted adolescent reporting "cramping in my stomach." Reports pain as a 4 on 0 to 10 pain scale
and describes pain as constant and dull. Reports nausea and vomiting over past 24 hours.

Reports painful urination and pain during sexual intercourse with minimal vaginal itching.

Tenderness with palpation to lower abdomen, guarding abdomen observed. Greenish vaginal
discharge observed.

Reports last menstrual period was 3 weeks ago as normal period lasted 4 days.



Exhibit 3: VS

1300: Blood pressure 118/72 mm Hg, Heart rate 100/min, Respiratory rate 20/min, Temperature
38.3° C (101° F) - ansAbdominal Pain - Gonorrhea

,Greenish discharge - Trichomoniasis, Gonorrhea

Diabetes - Candidiasis

Pain on urination - Trichomoniasis, Gonorrhea, Candidiasis

Absence of condom use - Trichomoniasis, Gonorrhea



A nurse in a clinic is caring for a 16-year-old adolescent.



Exhibit 1: VS

1300: Blood pressure 118/72 mm Hg, Heart rate 100/min, Respiratory rate 20/min, Temperature
38.3° C (101° F)



Exhibit 3: Hx and Physical

Adolescent is sexually active with two current partners. IUD in place. Reports not using condoms
during sexual activity. History of type 1 diabetes mellitus



Exhibit 4: RN Notes

1300: Admitted adolescent reporting "cramping in my stomach." Reports pain as a 4 on 0 to 10 pain
scale and describes pain as constant and dull. Reports nausea and vomiting over past 24 hours.

Reports painful urination and pain during sexual intercourse with minimal vaginal itching.

Tenderness with palpation to lower abdomen, guarding abdomen observed. Greenish vaginal
discharge observed.

Reports last menstrual period was 3 weeks ago as normal period lasted 4 days. - ansAbdominal
assessment

Vaginal discharge

Temperature

Dyspareunia

, A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of
the following findings in the client's history should the nurse recognize as a contraindication to oral
contraceptives? (Select all that apply)

a. Cholecystitis

b. Hypertension

c. Human papillomavirus

d. Migraine headaches

e. Anxiety disorder - ansCholecystitis, hypertension, and migraine headaches is correct. A history of
gallbladder disease is a contraindication for the use of oral contraceptives. Hypertension is a
contraindication for the use of oral contraceptives. A history of migraine headaches is a
contraindication for the use of oral contraceptives.



HPV and anxiety disorder is incorrect. The presence of human papillomavirus is not a
contraindication for the use of oral contraceptives. The presence of an anxiety disorder is not a
contraindication for the use of oral contraceptives.



A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the
nurse see first?

a. A client who is at 11 weeks of gestation and reports abdominal cramping

b. A client who is at 15 weeks of gestation and reports tingling and numbness in right hand

c. A client who is at 20 weeks of gestation and reports constipation for the past 4 days

d. A client who is at 8 weeks of gestation and reports having three bloody noses in the past week -
ansa. 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 cramping can indicate an ectopic pregnancy or manifestations of spontaneous abortion.
The nurse should request that the provider see this client first.



A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon

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