Test Bank For Society The Basics 11th Edition All Chapters - 9780138071714.pdf

Test Bank for NUR404/ Maternity ATI Proctored Exam
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Questions and Correct Detailed Answers/ Updated 2024
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Rated A+ g




Thegnursegisgassessinggagclientginglabor.gOngwhichgcomplicationgofglaborersgidentifiedgwithingtheg2030gN
ationalgHealthgGoalsgwillgthegnursegfocus?



A. uterinegrupture

B. prolapsedgfetalgcord

C. hypotonicgcontractions

D. hypertonicgcontractionsg-gANSWERg-gA



Nursesgcanghelpgthegnationgachievegtheg2020gNationalgHealthgGoalsgforgcomplicationsgofglaborgbygbein
ggalertgtogthegpreliminarygsymptomsgofguterinegrupture,gwhichgaccountsgforgagsubstantialgnumbergofg
maternalgdeathsgduringglabor.gHypotonicgandghypertonicgcontractionsgandgprolapsedgfetalgcordgaregnot
gidentifiedgasgspecificgcomplicationsgofglaborgwithingtheg2020gNationalgHealthgGoals.




Anginfantgwasgborngaftergagfacegpresentation.gWhengselectinggagnursinggdiagnosisgforgthegnewborn,gwhi
chgbodygsystemgdoesgthegnursegidentifygasgagpriority?



A. respiratory

B. genitourinary

C. cardiovascular

D. gastrointestinalg-gANSWERg-gA



Babiesgborngaftergagfacegpresentationghavegaggreatgdealgofgfacialgedemagandgmaybegpurplegfromgbruisin
g.gTheginfantgmustgbegobservedgcloselygforgagpatentgairway,gwhichgisgthegpriority.gAgfacegpresentationgd
oesgnotgaffectgthegcardiovasculargorggenitourinarygsystems.gIfglipedemagisgsevere,gthegnewborngmightgn
eedggavagegfeedingsguntilgthegedemagsubsidesgandgsuckinggcangoccur.


pg.g1

,Thegfetusgofgagpregnantgclientgisgingagbreechgpresentation.gWheregwillgthegnursegauscultategfetalgheartg
sounds?



A. lowgingthegabdomen

B. leftglateralgabdomen

C. highgingthegabdomen

D. rightglateralgabdomeng-gANSWERg-gC



Withgagbreechgpresentation,gfetalgheartgsoundsgusuallygaregheardghighgingthegabdomen.gIngagbreechgpresen
tation,gfetalgheartgsoundsgwillgnotgbegheardglowgingthegabdomengorgovergthegleftgorgrightglateralgabdominalg
regions.



Agmultiparagclientginglaborgisghavinggcontractionsgwhichgareg2gminutesgapartgbutgrarelygoverg50gmmgHggingst
rength;gthegrestingguterinegtonegisghigh,g20gtog25gmmgHg.gThegclientgasksgwhatgshegcangdogtogmakegcontra
ctionsgmoregeffective.gThegnurse'sgbestgresponsegis:



A. restgbetweengcontractions.

B. requestgoxytocingtogstrengthengthegcontractions.

C. begpatientgasgcontractionsgwillgstrengthengbygthemselves.

D. ambulategtogmakegthegcontractionsgregular.g-gANSWERg-gA



Thegclient'sgcontractionsgareghypertonicgbecausegofgtheghighgrestinggtone.gHypertonicgcontractionsgoccu
rgbecausegtheguterusgisgbeinggoverstimulatedgorgerraticallygstimulated.gRest,gnotgactivity,gisgeffectiveging
helpinggcontractionsgbecomegmoregproductive.gOxytocingisgcontraindicated.gTheregisgnogguaranteegthat
gwaitinggwillgchangegthegstatusgofgthegcontractions.




Afterganghourgofgoxytocingtherapy,gagwomanginglaborgstatesgshegfeelsgdizzygandgnauseated.gThegnurse'sg
bestgactiongwouldgbegto:



A. assessgthegrategofgflowgofgthegoxytocinginfusion.

B. administergoralgorangegjuicegforgaddedgpotassium.



pg.g2

,C. assessghergvaginallygforgfullgdilationg(dilatation).

D. instructghergtogbreathegingandgoutgrapidly.g-gANSWERg-gA



Agtoxicgeffectgofgoxytocingtherapygisgwatergintoxication.gSymptomsgincludegdizzinessgandgnausea.gAsses
singgandgslowinggtheginfusiongrategwillgrelievegsymptoms.



Agwomangisgingtheghospitalgonlyg15gminutesgwhengshegbeginsgtoggivegbirthgprecipitously.gThegfetalghea
dgbeginsgtogemergegasgthegnursegwalksgintogtheglaborgroom.gThegnurse'sgbestgactiongwouldgbegto:



A. placegaghandggentlygongthegfetalgheadgtogguidegbirth.

B. askghergtogpushgwithgthegnextgcontractiongsogbirthgisgrapid.

C. assessgbloodgpressuregandgpulsegtogdetectgplacentalgbleeding.

D. attachgagfetalgmonitorgtogdeterminegfetalgstatus.g-gANSWERg-gA



Aftergdelivery,gagclientgisgdiagnosedgwithgplacentagsuccenturiata.gForgwhatgproceduregshouldgthegnurseg
preparegthisgclient?



A. lavagegofgtheguterus

B. repairgofgangepisiotomy

C. manualgremovalgofgaccessoryglobes

D. emergencygresuscitationgofgthegnewborng-gANSWERg-gC



Agplacentagsuccenturiatagisgagplacentagthatghasgonegorgmoregaccessoryglobesgconnectedgtogthegmaingpl
acentagbygbloodgvessels.gThisgdisordergneedsgtogbegrecognizedgbecausegthegsmallglobesgmaygbegretained
gingtheguterusgaftergbirth,gleadinggtogseveregmaternalghemorrhage.gOncegthegremainingglobesgare

recognizedgandgremovedgfromgtheguterusgmanually,gtheguterusgwillgcontractgwithgnogadversegmaternal
geffects.gUterineglavagegisgnotgagtreatmentgforgthisgdisorder.gThisgdisordergisgnotgspecificallygassociatedg

withgangepisiotomy.gNogfetalgabnormalitygisgassociatedgwithgthisgdisorder.



Thegnursegisgcaringgforgagclientginglaborgwhosegfetusgisgingangocciputgposteriorgposition.gWhichginterventiong
shouldgthegnursegusegtogreducegthisgclient'sgdiscomfort?




pg.g3

, A. Massagegtheglowergback.

B. Placegingagpronegposition.

C. Applygicegpacksgtogtheglowergback.

D. PlacegingthegTrendelenburggposition.g-gANSWERg-gA



Becausegthegfetalgheadgrotatesgagainstgthegsacrumgingthegocciputgposteriorgposition,gthegclientgmaygex
periencegpressuregandgpaingingtheglowergbackgbecausegofgsacralgnervegcompression.gApplyinggcounterg
pressuregongthegsacrumgbygagbackgrubgmaygbeghelpfulgingrelievinggagportiongofgthegpain.gThegclientgdo
esgnotgneedgtogbegplacedgingthegpronegorgTrendelenburggpositions.gIcegpacksgaregnotgindicatedgtogredu
cegthisgpain.



Whilegthegplacentagisgbeinggdeliveredgafterglabor,gagclientgexperiencesgangamnioticgfluidgembolism.gWha
tgshouldgthegnursegdogfirstgtoghelpgthisgclient?



A. Administergoxygengbygnasalgcannula.

B. Increasegintravenousgfluidginfusiongrate.

C. Putgfirmgpressuregongthegfundusgofgtheguterus.

D. Tellgthegclientgtogtakegshort,gshallowgbreaths.g-gANSWERg-gA



Thegclinicalgpicturegofgangamnioticgfluidgembolismgisgdramatic.gThegclientgsuddenlygexperiencesgsha
rpgchestgpaingandgisgunablegtogbreathegasgpulmonarygarterygconstrictiongoccurs.gThegimmediate
managementgisgoxygengadministrationgbygfacegmaskgorgcannula.gIntravenousgfluids;gpressuregongt
hegfundus;gorgtakinggshort,gshallowgbreathsgisgnotggoinggtoghelpgthegmanifestationsgofgangamnioti
cgfluidgembolism.



Agclientginglaborghasgagspinalgcordginjurygandgisgunablegtogeffectivelygpushgwithgcontractions.gForcepsgw
illgbegused.gWhatgshouldgthegnursegdogtogpreparegthegclientgforgthisgtypegofgdelivery?gSelectgallgthatgap
ply.



A. Providegoxygeng2gLgviagfacegmask.

B. Validategthatgthegcervixgisgfullygdilated.

C. Determinegthatgthegclient'sgbladdergisgempty.

D. Begingangintravenousginfusiongofgreplacementgfluid.



pg.g4