OB MATERNAL NEWBORN ATI
PROCTORED ACTUAL EXAM /
MATERNAL NEWBORN OB NEWEST
EXAM TEST BANK 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
A 24-year-old client who is planning to become pregnant comes to
the clinic for an evaluation. When assessing the client, which
finding would alert the nurse to implement measures to reduce the
client's risk for problems during pregnancy? Select all that apply. -
,CORRECT ANSWERdrinks wine 3 to 4 times/week follows a
vegetarian diet uses ibuprofen daily
Rationale:
The use of alcohol and prescription and over-the-counter drugs can be
harmful to a growing fetus. Thus the nurse would need to address
these areas with the client. If the client was still smoking, then that too
would need to be addressed. Healthy nutrition is important, but being a
vegetarian does not necessarily indicate that the client is a nutritional
risk. A BMI of 22 is considered normal and would not pose a problem.
A woman is at 20 weeks' gestation. The nurse would expect to find the
fundus at which area? - CORRECT ANSWER-at the level of the
umbilicus
,baseline readings of 70 to 74 beats per minute) and irregular, with
bilateral crackles in the lower lung bases. The nurse would develop a
plan of care identifying interventions to promote which area as the
priority? - CORRECT ANSWER-gas exchange
Rationale:
Typically, heart rate increases by approximately 10 to 15 beats per
minute during pregnancy and the lungs should be clear. Dyspnea may
occur during the third trimester as the enlarging uterus presses on the
diaphragm. However, the findings described indicate that the woman is
experiencing impaired gas exchange. There is no evidence to support
problems with tissue perfusion, activity, or anxiety.
, A nurse measures a pregnant woman's fundal height and finds it to be
28 cm. The nurse interprets this to indicate that the client is at how
many weeks' gestation? - CORRECT ANSWER-28 weeks' gestation
Rationale:
Typically, the height of the fundus is measured when the uterus arises
out of the pelvis to evaluate fetal growth. At 12 weeks' gestation the
fundus can be palpated at the symphysis pubis. At 16 weeks' gestation
the fundus is midway between the symphysis and the umbilicus. At 20
weeks the fundus can be palpated at the umbilicus and measures
approximately 20 cm from the symphysis pubis. By 36 weeks the
fundus is just below the xiphoid process and measures approximately
36 cm.
A client at a prenatal class requests information on how the gender of a
baby is determined. Which statement made by the nurse would be
most accurate? - CORRECT ANSWERGender is determined at
conception and depends on whether the ovum is fertilized by a Y-
bearing or an X-bearing sperm
Rationale:
Sex determination is also determined at fertilization and depends on
whether the ovum is fertilized by a Y-bearing sperm or an X-bearing
sperm. Approximately half of sperm carry the XX chromosome and the
other half carries XY. An XX zygote will become a female and an XY
zygote will become a male. That is why it is scientifically correct to say
PROCTORED ACTUAL EXAM /
MATERNAL NEWBORN OB NEWEST
EXAM TEST BANK 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
A 24-year-old client who is planning to become pregnant comes to
the clinic for an evaluation. When assessing the client, which
finding would alert the nurse to implement measures to reduce the
client's risk for problems during pregnancy? Select all that apply. -
,CORRECT ANSWERdrinks wine 3 to 4 times/week follows a
vegetarian diet uses ibuprofen daily
Rationale:
The use of alcohol and prescription and over-the-counter drugs can be
harmful to a growing fetus. Thus the nurse would need to address
these areas with the client. If the client was still smoking, then that too
would need to be addressed. Healthy nutrition is important, but being a
vegetarian does not necessarily indicate that the client is a nutritional
risk. A BMI of 22 is considered normal and would not pose a problem.
A woman is at 20 weeks' gestation. The nurse would expect to find the
fundus at which area? - CORRECT ANSWER-at the level of the
umbilicus
,baseline readings of 70 to 74 beats per minute) and irregular, with
bilateral crackles in the lower lung bases. The nurse would develop a
plan of care identifying interventions to promote which area as the
priority? - CORRECT ANSWER-gas exchange
Rationale:
Typically, heart rate increases by approximately 10 to 15 beats per
minute during pregnancy and the lungs should be clear. Dyspnea may
occur during the third trimester as the enlarging uterus presses on the
diaphragm. However, the findings described indicate that the woman is
experiencing impaired gas exchange. There is no evidence to support
problems with tissue perfusion, activity, or anxiety.
, A nurse measures a pregnant woman's fundal height and finds it to be
28 cm. The nurse interprets this to indicate that the client is at how
many weeks' gestation? - CORRECT ANSWER-28 weeks' gestation
Rationale:
Typically, the height of the fundus is measured when the uterus arises
out of the pelvis to evaluate fetal growth. At 12 weeks' gestation the
fundus can be palpated at the symphysis pubis. At 16 weeks' gestation
the fundus is midway between the symphysis and the umbilicus. At 20
weeks the fundus can be palpated at the umbilicus and measures
approximately 20 cm from the symphysis pubis. By 36 weeks the
fundus is just below the xiphoid process and measures approximately
36 cm.
A client at a prenatal class requests information on how the gender of a
baby is determined. Which statement made by the nurse would be
most accurate? - CORRECT ANSWERGender is determined at
conception and depends on whether the ovum is fertilized by a Y-
bearing or an X-bearing sperm
Rationale:
Sex determination is also determined at fertilization and depends on
whether the ovum is fertilized by a Y-bearing sperm or an X-bearing
sperm. Approximately half of sperm carry the XX chromosome and the
other half carries XY. An XX zygote will become a female and an XY
zygote will become a male. That is why it is scientifically correct to say
