ATI RN Maternal Newborn 2023 Proctored Exam Review
Questions and Answers | 100% Pass Guaranteed |
Graded A+ |
A nurse is speaking with a client who is trying to make a decision about tubal ligation. The client asks,
"What effects will this procedure have on my sex life?" Which of the following responses should the
nurse make? - answer;-A. ?????
B. "This procedure should have no effect on your sexual performance or adequacy."
C. "You'll be fine. I can't imagine you and your partner will have any problems with sexual function."
D. "If this concerns you, perhaps you should reconsider and use another form of contraception."
Answer;-: "This procedure should have no effect on your sexual performance or adequacy."
A. ??????
The nurse is dismissing the client's question, providing no information to help the client make an
informed decision.
B. "This procedure should have no effect on your sexual performance or adequacy."
The nurse is giving the client the information she is seeking. Sexual function depends on various
hormonal and psychological factors. Therefore, tubal occlusion should have no physiological effect on
sexual function.
C. "You'll be fine. I can't imagine you and your partner will have any problems with sexual function."
The nurse is giving the client unwarranted reassurance without addressing the information the client is
seeking.
,D. "If this concerns you, perhaps you should reconsider and use another form of contraception."
The nurse is giving the client unwarranted advice which might imply that there is a reason to be
concerned about the effect of the procedure on sexual function.
A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a
prescription for bedamethasone. Which of the following statements should the nurse make about the
indication for medication administration? - answer;-A. "This medication will stop your labor."
B. "This medication stimulates fetal lung maturity."
C. "This medication will decrease your risk for uterine infections."
D. "This medication will increase your baby's weight."
Answer;-: "This medication stimulates fetal lung maturity."
A. "This medication will stop your labor."
Betamethasone is not a tocolytic and does not stop labor.
B. "This medication stimulates fetal lung maturity."
The nurse should inform the client that betamethasone is a glucocorticoid that enhances fetal lung
maturity by promoting the release of enzymes that release lung surfactant.
C. "This medication will decrease your risk for uterine infections."
Betamethasone is not given to decrease the client's risk for uterine infections.
D. "This medication will increase your baby's weight."
Betamethasone does not increase fetal weight.
A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa. Which of the
following action should the nurse take? - answer;-A. Perform a vaginal exam to determine cervical
dilation every 2 hr.
B. Instruct the client to ambulate in the hallway once every 4 hr.
,C. Administer betamethasone to the client via IM injection.
D. Initiate continuous external fetal monitoring.
Answer;-: Initiate continuous external fetal monitoring.
A. Perform a vaginal exam to determine cervical dilation every 2 hr.
A client who has a placenta previa and is actively bleeding is at an increased risk for preterm labor and
hemorrhage. The nurse should place the client on pelvic rest and should not perform vaginal or rectal
examinations.
B. Instruct the client to ambulate in the hallway once every 4 hr.
A client who has a placenta previa and is actively bleeding is at an increased risk for preterm labor and
hemorrhage. Ambulating frequently could potentially stimulate labor and increase vaginal bleeding.
Therefore, the nurse should place the client on bed rest with bathroom privileges.
C. Administer betamethasone to the client via IM injection.
Betamethasone is given to enhance fetal lung maturity for clients who are experiencing preterm labor. It
is given to clients between 24 and 34 weeks of gestation.
D. Initiate continuous external fetal monitoring.
The nurse should identify that a client who has a placenta previa and is actively bleeding is at an
increased risk for preterm labor and hemorrhage. The nurse should initiate interventions such as bed
rest, pelvic rest, and continuous fetal heart monitoring, which assesses fetal well-being and the presence
of contractions. The nurse should obtain IV access and monitor laboratory values. Also, the nurse should
implement interventions to prepare for an emergency birth.
A nurse is providing discharge teaching to a client who is postpartum. For which of the following
manifestations should the nurse instruct the client to monitor and report to the provider? - answer;-A.
Persistent abdominal striae
B. Temperature 37.8° C (100° F)
C. Unilateral breast pain
C. Brownish-red discharge on day 5
, Answer;-: Unilateral breast pain
A. Persistent abdominal striae
Persistent abdominal striae are caused by the separation of the underlying connective tissue and are an
expected postpartum finding.
B. Temperature 37.8° C (100° F)
The nurse should instruct the client to report a temperature of 38° C (100.4° F) or higher because it
could be an indication of infection.
C. Unilateral breast pain
Sudden onset of chills, fever, malaise, body aches, headaches, and unilateral breast pain can be
indications of mastitis, an infection of the breast tissue. The nurse should instruct the client to report
this manifestation to the provider.
C. Brownish-red discharge on day 5
Brownish-red discharge is an expected manifestation during days 3 to 10. The client should report a
large amount of lochia and large clots to the provider.
A nurse is reviewing the medical record at 1800 for a client who is at 34 weeks of gestation. Based on
the chart findings and documentation, the nursing plan of care should include which of the following
actions?
Exhibit 1: Diagnostic Results
Lecithin/sphingomyelin (L/S) ratio 1.4:1Phosphatidylglycerol (PG) absentABO-Rh B-negative
Exhibit 2: Medication Administration Record
Terbutaline 0.25 mg SQ every hr PRN contractionsRho(D) immune globulin 300 mcg IM onceNalbuphine
10 mg IV every 3 hr PRN pain
Questions and Answers | 100% Pass Guaranteed |
Graded A+ |
A nurse is speaking with a client who is trying to make a decision about tubal ligation. The client asks,
"What effects will this procedure have on my sex life?" Which of the following responses should the
nurse make? - answer;-A. ?????
B. "This procedure should have no effect on your sexual performance or adequacy."
C. "You'll be fine. I can't imagine you and your partner will have any problems with sexual function."
D. "If this concerns you, perhaps you should reconsider and use another form of contraception."
Answer;-: "This procedure should have no effect on your sexual performance or adequacy."
A. ??????
The nurse is dismissing the client's question, providing no information to help the client make an
informed decision.
B. "This procedure should have no effect on your sexual performance or adequacy."
The nurse is giving the client the information she is seeking. Sexual function depends on various
hormonal and psychological factors. Therefore, tubal occlusion should have no physiological effect on
sexual function.
C. "You'll be fine. I can't imagine you and your partner will have any problems with sexual function."
The nurse is giving the client unwarranted reassurance without addressing the information the client is
seeking.
,D. "If this concerns you, perhaps you should reconsider and use another form of contraception."
The nurse is giving the client unwarranted advice which might imply that there is a reason to be
concerned about the effect of the procedure on sexual function.
A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a
prescription for bedamethasone. Which of the following statements should the nurse make about the
indication for medication administration? - answer;-A. "This medication will stop your labor."
B. "This medication stimulates fetal lung maturity."
C. "This medication will decrease your risk for uterine infections."
D. "This medication will increase your baby's weight."
Answer;-: "This medication stimulates fetal lung maturity."
A. "This medication will stop your labor."
Betamethasone is not a tocolytic and does not stop labor.
B. "This medication stimulates fetal lung maturity."
The nurse should inform the client that betamethasone is a glucocorticoid that enhances fetal lung
maturity by promoting the release of enzymes that release lung surfactant.
C. "This medication will decrease your risk for uterine infections."
Betamethasone is not given to decrease the client's risk for uterine infections.
D. "This medication will increase your baby's weight."
Betamethasone does not increase fetal weight.
A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa. Which of the
following action should the nurse take? - answer;-A. Perform a vaginal exam to determine cervical
dilation every 2 hr.
B. Instruct the client to ambulate in the hallway once every 4 hr.
,C. Administer betamethasone to the client via IM injection.
D. Initiate continuous external fetal monitoring.
Answer;-: Initiate continuous external fetal monitoring.
A. Perform a vaginal exam to determine cervical dilation every 2 hr.
A client who has a placenta previa and is actively bleeding is at an increased risk for preterm labor and
hemorrhage. The nurse should place the client on pelvic rest and should not perform vaginal or rectal
examinations.
B. Instruct the client to ambulate in the hallway once every 4 hr.
A client who has a placenta previa and is actively bleeding is at an increased risk for preterm labor and
hemorrhage. Ambulating frequently could potentially stimulate labor and increase vaginal bleeding.
Therefore, the nurse should place the client on bed rest with bathroom privileges.
C. Administer betamethasone to the client via IM injection.
Betamethasone is given to enhance fetal lung maturity for clients who are experiencing preterm labor. It
is given to clients between 24 and 34 weeks of gestation.
D. Initiate continuous external fetal monitoring.
The nurse should identify that a client who has a placenta previa and is actively bleeding is at an
increased risk for preterm labor and hemorrhage. The nurse should initiate interventions such as bed
rest, pelvic rest, and continuous fetal heart monitoring, which assesses fetal well-being and the presence
of contractions. The nurse should obtain IV access and monitor laboratory values. Also, the nurse should
implement interventions to prepare for an emergency birth.
A nurse is providing discharge teaching to a client who is postpartum. For which of the following
manifestations should the nurse instruct the client to monitor and report to the provider? - answer;-A.
Persistent abdominal striae
B. Temperature 37.8° C (100° F)
C. Unilateral breast pain
C. Brownish-red discharge on day 5
, Answer;-: Unilateral breast pain
A. Persistent abdominal striae
Persistent abdominal striae are caused by the separation of the underlying connective tissue and are an
expected postpartum finding.
B. Temperature 37.8° C (100° F)
The nurse should instruct the client to report a temperature of 38° C (100.4° F) or higher because it
could be an indication of infection.
C. Unilateral breast pain
Sudden onset of chills, fever, malaise, body aches, headaches, and unilateral breast pain can be
indications of mastitis, an infection of the breast tissue. The nurse should instruct the client to report
this manifestation to the provider.
C. Brownish-red discharge on day 5
Brownish-red discharge is an expected manifestation during days 3 to 10. The client should report a
large amount of lochia and large clots to the provider.
A nurse is reviewing the medical record at 1800 for a client who is at 34 weeks of gestation. Based on
the chart findings and documentation, the nursing plan of care should include which of the following
actions?
Exhibit 1: Diagnostic Results
Lecithin/sphingomyelin (L/S) ratio 1.4:1Phosphatidylglycerol (PG) absentABO-Rh B-negative
Exhibit 2: Medication Administration Record
Terbutaline 0.25 mg SQ every hr PRN contractionsRho(D) immune globulin 300 mcg IM onceNalbuphine
10 mg IV every 3 hr PRN pain
