ATI Maternity Proctored Exam Verified Questions and Answers
1) A nurse in a woman's health clinic is
providing teaching about nutritional
intake to a client who is at 8 weeks of
gestation. The nurse should instruct the
client to increase her daily intake of
which of the following nutrients?
Calcium
The recommendation for calcium intake during pregnancy is
the same as that for women who are not pregnant: 1,300
mg/day for women younger than 19 years old and 1,000
mg/day for women between the ages of 19 and 50 years
old.
Vitamin E
The recommendation for vitamin E intake during pregnancy
is 15 mg/day, the same as that for women who are not
pregnant.
Iron
The recommendation for iron intake during pregnancy is
higher than that for women who are not pregnant. For
women who are pregnant, it is 27 mg/day. For women
who are not pregnant, it is 15 mg/day for women
younger than 19 years old and 18 mg/day for women
between the ages of 19 and 50 years old.
Vitamin D
,The recommendation for vitamin D intake during
pregnancy is 600 IU/day, the same as
2) A nurse is caring for a client who has uterine
, hypotonicity and is experiencing postpartum
hemorrhage. Which of the following actions
is
the nurse's priority?
Check the client's capillary refill.
It is important for the nurse to monitor capillary refill in
order to track baseline data for this client. However,
another action is the nurse's priority.
Massage the client's fundus.
Uterine hypotonicity and postpartum hemorrhage
indicate that this client is at the greatest risk for
hypovolemic shock. This can compromise the perfusion
to the client's vital organs, causing death to occur.
Therefore, the nurse's priority is to massage the client's
fundus in order to minimize blood loss.
Insert an indwelling urinary catheter for the client.
It is important for the nurse to insert an indwelling urinary
catheter in order to assess the client for hypovolemia.
However, another action is the nurse's priority.
Prepare the client for a blood transfusion.
It is important for the nurse to prepare the client for a blood
transfusion in order to replace the amount of blood lost from
postpartum hemorrhage. However, another action is the
nurse's priority.
, 3) A nurse is providing discharge teaching
to a parent whose newborn has just had
a circumcision. Which of the following
instructions should the
nurse include?
Apply slight pressure with a sterile gauze pad for mild
bleeding.
The nurse should instruct the client to attempt to stop mild
bleeding by applying pressure with sterile gauze. If
bleeding continues, the client should notify the provider.
Inspect the circumcision site every 6 to 8 hr.
The client should change the newborn's diaper and examine
the circumcision site at least every 4 hr.
Use baby wipes containing alcohol to cleanse the penis
with each diaper change.
Baby wipes containing alcohol can irritate the skin and
should be avoided until the circumcision has healed,
which usually takes 5 to 6 days. During each diaper
change, the penis should be washed gently with warm
water and have petroleum jelly applied to the glans.
Remove yellow exudate daily using a warm, wet washcloth.
The client should not attempt to remove any yellow
exudate from the circumcision site because it is part of the
healing process, which begins within 24 hr and continues
for 2 to 3 days.
1) A nurse in a woman's health clinic is
providing teaching about nutritional
intake to a client who is at 8 weeks of
gestation. The nurse should instruct the
client to increase her daily intake of
which of the following nutrients?
Calcium
The recommendation for calcium intake during pregnancy is
the same as that for women who are not pregnant: 1,300
mg/day for women younger than 19 years old and 1,000
mg/day for women between the ages of 19 and 50 years
old.
Vitamin E
The recommendation for vitamin E intake during pregnancy
is 15 mg/day, the same as that for women who are not
pregnant.
Iron
The recommendation for iron intake during pregnancy is
higher than that for women who are not pregnant. For
women who are pregnant, it is 27 mg/day. For women
who are not pregnant, it is 15 mg/day for women
younger than 19 years old and 18 mg/day for women
between the ages of 19 and 50 years old.
Vitamin D
,The recommendation for vitamin D intake during
pregnancy is 600 IU/day, the same as
2) A nurse is caring for a client who has uterine
, hypotonicity and is experiencing postpartum
hemorrhage. Which of the following actions
is
the nurse's priority?
Check the client's capillary refill.
It is important for the nurse to monitor capillary refill in
order to track baseline data for this client. However,
another action is the nurse's priority.
Massage the client's fundus.
Uterine hypotonicity and postpartum hemorrhage
indicate that this client is at the greatest risk for
hypovolemic shock. This can compromise the perfusion
to the client's vital organs, causing death to occur.
Therefore, the nurse's priority is to massage the client's
fundus in order to minimize blood loss.
Insert an indwelling urinary catheter for the client.
It is important for the nurse to insert an indwelling urinary
catheter in order to assess the client for hypovolemia.
However, another action is the nurse's priority.
Prepare the client for a blood transfusion.
It is important for the nurse to prepare the client for a blood
transfusion in order to replace the amount of blood lost from
postpartum hemorrhage. However, another action is the
nurse's priority.
, 3) A nurse is providing discharge teaching
to a parent whose newborn has just had
a circumcision. Which of the following
instructions should the
nurse include?
Apply slight pressure with a sterile gauze pad for mild
bleeding.
The nurse should instruct the client to attempt to stop mild
bleeding by applying pressure with sterile gauze. If
bleeding continues, the client should notify the provider.
Inspect the circumcision site every 6 to 8 hr.
The client should change the newborn's diaper and examine
the circumcision site at least every 4 hr.
Use baby wipes containing alcohol to cleanse the penis
with each diaper change.
Baby wipes containing alcohol can irritate the skin and
should be avoided until the circumcision has healed,
which usually takes 5 to 6 days. During each diaper
change, the penis should be washed gently with warm
water and have petroleum jelly applied to the glans.
Remove yellow exudate daily using a warm, wet washcloth.
The client should not attempt to remove any yellow
exudate from the circumcision site because it is part of the
healing process, which begins within 24 hr and continues
for 2 to 3 days.
