OB MATERNAL NEWBORN ATI
PROCTORED 2024 ACTUAL EXAM /
MATERNAL NEWBORN OB NEWEST
EXAM TEST BANK 100 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES 2024 UPDATE GRADED A+
,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 ANSWER-
drinks 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
Rationale:
,The uterus, which starts as a pear-shaped organ, becomes
ovoid as length increases over width. By 20 weeks' gestation,
the fundus, or top of the uterus, is at the level of the
umbilicus and measures 20 cm. A monthly measurement of
the height of the top of the uterus in centimeters, which
corresponds to the number of gestational weeks, is
commonly used to date the pregnancy.
During a routine prenatal visit, a client, 36 weeks pregnant,
states she has difficulty breathing and feels like her pulse
rate is really fast. The nurse finds her pulse to be 100 beats
per minute (increased from 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 ANSWER-
Gender is determined at conception and depends on
whether the ovum is fertilized by a Y-bearing or an X-bearing
sperm
PROCTORED 2024 ACTUAL EXAM /
MATERNAL NEWBORN OB NEWEST
EXAM TEST BANK 100 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES 2024 UPDATE GRADED A+
,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 ANSWER-
drinks 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
Rationale:
,The uterus, which starts as a pear-shaped organ, becomes
ovoid as length increases over width. By 20 weeks' gestation,
the fundus, or top of the uterus, is at the level of the
umbilicus and measures 20 cm. A monthly measurement of
the height of the top of the uterus in centimeters, which
corresponds to the number of gestational weeks, is
commonly used to date the pregnancy.
During a routine prenatal visit, a client, 36 weeks pregnant,
states she has difficulty breathing and feels like her pulse
rate is really fast. The nurse finds her pulse to be 100 beats
per minute (increased from 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 ANSWER-
Gender is determined at conception and depends on
whether the ovum is fertilized by a Y-bearing or an X-bearing
sperm
