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PN MATERNAL NEWBORN ATI BOOK Exam Questions With Complete Solutions

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PN MATERNAL NEWBORN ATI BOOK Exam Questions With Complete Solutions A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which of the following information should the nurse include? A. Eat crackers or plain toast before getting out of bed B. Awaken during the night to eat a snack C. Skip breakfast and eat lunch after nausea has subsided D. Eat a large evening meal - Eat crackers or plain toast before getting out of bed /.A client who is at 8 weeks of gestation tells the nurse, "I am not sure I am happy about being pregnant." Which of the following responses should the nurse make? A. "I will inform the provider that you are having these feelings." B. "It is normal to have these feelings during the first few months of pregnancy." C. "You should be happy that you are going to bring new life into the world." D. "I am going to make an appointment with the counselor for you to discuss these thoughts." - "It is normal to have these feelings during the first few months of pregnancy." /.A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea; vomiting; and scant, prune-colored discharge. The client has experienced no weight loss and has a fundal height larger than expected. Which of the following complication should the nurse suspect? A. Hyperemesis gravidarum B. Threatened abortion C. Hydatidiform mole D. Preterm labor - Hydatidiform mole /.A nurse concludes that the parent of a newborn is not showing positive indications of parent-infant bonding. The parent appears very anxious and nervous when asked to bring the newborn to the other parent. Which of the following actions should the nurse use to promote parent-infant bonding? A. Hand the parent the newborn, and suggest that they change the diaper. B. Ask the parent why they are so anxious and nervous. C. Tell the parent that they will grow accustomed to the newborn. D. Provide reinforcement about infant care when the parent is present - Provide reinforcement about infant care when the parent is present /.A nurse in a clinic is reinforcing teaching with a client about a new prescription for medroxyprogesterone. Which of the following information should the nurse include in the teaching? (Select all that apply) A. "Weigh fluctuations can occur." B. "You are protected against STIs." C. "You should increase your intake of calcium." D. "You should avoid taking antibiotics." E. "Irregular vaginal spotting can occur." - 1. "Weigh fluctuations can occur." 2. "You should increase your intake of calcium." 3. "Irregular vaginal spotting can occur." /.A nurse in a clinic is reinforcing teaching with a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency? A. Iron deficiency anemia B. Poor bone formation C. Macrosomic fetus D. Neural tube defects - Neural tube defects /.A nurse in a clinic receives a phone call from a client who would like information about pregnancy testing. Which of the following information should the nurse provide to the client? A. "You should wait 4 weeks after conception to be tested for pregnancy." B. "You should be off any medications for 24 hours prior to the pregnancy test." C. "You should not eat or drink for at least 8 hors prior to the pregnancy test." D. "You should use your first morning urination specimen for a home pregnancy test." - "You should use your first morning urination specimen for a home pregnancy test." /.A nurse in a health clinic is reinforcing teaching about contraceptive use with a group of clients. Which of the following client statements demonstrates understanding? A. "A water-soluble lubricant should be used with condoms." B. "A diaphragm should be removed 2 hours after intercourse." C. "Oral contraceptives can worsen a case of acne." D. "A contraceptive patch is replaced once a month." - "A water-soluble lubricant should be used with condoms." /.A nurse in a prenatal clinic is assisting with caring for four clients. Which of the following clients' weight gain should the nurse report to the provider?

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A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the
morning. Which of the following information should the nurse include?

A. Eat crackers or plain toast before getting out of bed
B. Awaken during the night to eat a snack
C. Skip breakfast and eat lunch after nausea has subsided
D. Eat a large evening meal - Eat crackers or plain toast before getting out of bed

/.A client who is at 8 weeks of gestation tells the nurse, "I am not sure I am happy about
being pregnant." Which of the following responses should the nurse make?

A. "I will inform the provider that you are having these feelings."
B. "It is normal to have these feelings during the first few months of pregnancy."
C. "You should be happy that you are going to bring new life into the world."
D. "I am going to make an appointment with the counselor for you to discuss these
thoughts." - "It is normal to have these feelings during the first few months of
pregnancy."

/.A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation.
The client reports continued nausea; vomiting; and scant, prune-colored discharge. The
client has experienced no weight loss and has a fundal height larger than expected.
Which of the following complication should the nurse suspect?

A. Hyperemesis gravidarum
B. Threatened abortion
C. Hydatidiform mole
D. Preterm labor - Hydatidiform mole

/.A nurse concludes that the parent of a newborn is not showing positive indications of
parent-infant bonding. The parent appears very anxious and nervous when asked to
bring the newborn to the other parent. Which of the following actions should the nurse
use to promote parent-infant bonding?

A. Hand the parent the newborn, and suggest that they change the diaper.
B. Ask the parent why they are so anxious and nervous.
C. Tell the parent that they will grow accustomed to the newborn.

,D. Provide reinforcement about infant care when the parent is present - Provide
reinforcement about infant care when the parent is present

/.A nurse in a clinic is reinforcing teaching with a client about a new prescription for
medroxyprogesterone. Which of the following information should the nurse include in
the teaching? (Select all that apply)

A. "Weigh fluctuations can occur."
B. "You are protected against STIs."
C. "You should increase your intake of calcium."
D. "You should avoid taking antibiotics."
E. "Irregular vaginal spotting can occur." - 1. "Weigh fluctuations can occur."
2. "You should increase your intake of calcium."
3. "Irregular vaginal spotting can occur."

/.A nurse in a clinic is reinforcing teaching with a client of childbearing age about
recommended folic acid supplements. Which of the following defects can occur in the
fetus or neonate as a result of folic acid deficiency?

A. Iron deficiency anemia
B. Poor bone formation
C. Macrosomic fetus
D. Neural tube defects - Neural tube defects

/.A nurse in a clinic receives a phone call from a client who would like information about
pregnancy testing. Which of the following information should the nurse provide to the
client?

A. "You should wait 4 weeks after conception to be tested for pregnancy."
B. "You should be off any medications for 24 hours prior to the pregnancy test."
C. "You should not eat or drink for at least 8 hors prior to the pregnancy test."
D. "You should use your first morning urination specimen for a home pregnancy test." -
"You should use your first morning urination specimen for a home pregnancy test."

/.A nurse in a health clinic is reinforcing teaching about contraceptive use with a group
of clients. Which of the following client statements demonstrates understanding?

A. "A water-soluble lubricant should be used with condoms."
B. "A diaphragm should be removed 2 hours after intercourse."
C. "Oral contraceptives can worsen a case of acne."
D. "A contraceptive patch is replaced once a month." - "A water-soluble lubricant should
be used with condoms."

/.A nurse in a prenatal clinic is assisting with caring for four clients. Which of the
following clients' weight gain should the nurse report to the provider?

, A. 1.8 kg (4 lb) weight gain and in the first trimester
B. 3.6 kg (8 lb) weight gain and is in the first trimester
C. 6.8 kg (15 lb) weight gain and is in the second trimester
D. 11.3 kg (25 lb) weight gain and is in the third trimester - 3.6 kg (8 lb) weight gain and
is in the first trimester

/.A nurse in a prenatal clinic is caring for a client who is in the first trimester of
pregnancy. The client's health record includes this data: G3 T1 P0 A1 L1. How should
the nurse interpret this information? (select all that apply)

A. Client has delivered one newborn at term
B. Client has experienced no preterm labor
C. Client has been through active labor
D. Client has had two prior pregnancies
E. Client has one living child - 1. Client has delivered one newborn at term
2. Client has experienced no preterm labor
3. Client has had two prior pregnancies
4. Client has one living child

/.A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing
episodes of maternal hypotension. The client asks the nurse what causes these
episodes. Which of the following responses should the nurse make?

A. "This is due to an increase in blood volume."
B. "This is due to pressure from the uterus on the diaphragm."
C. "This is due to the weight of the uterus on the vena cava."
D. "This is due to increased cardiac output." - "This is due to the weight of the uterus on
the vena cava."

/.A nurse in a prenatal clinic is reinforcing education to a client who is at weeks of
gestation. The client states, "I don't like milk." Which of the following foods should the
nurse recommend as a good source of calcium?

A. Dark green leafy vegetables
B. Deep red or orange vegetables
C. White breads and rice
D. Meat, poultry, and fish - Dark green leafy vegetables

/.A nurse in an antepartum clinic is collecting data from a client who has a TORCH
infection. Which of the following findings should the nurse expect? (select all that apply)

A. Joint pain
B. Malaise
C. Rash
D. Urinary frequency
E. Tender lymph nodes - 1. Joint pain

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