RNSG 2363 ATI Reproduction Quiz 2020 _ San Antonio College | RNSG2363 ATI Reproduction Quiz 2020 _Grade A

RNSG 2363 ATI Reproduction Quiz 2020 _ San Antonio College Mobility level II Clinicals ATI Reproduction Quiz 1. A nurse is assessing a client who is in the third trimester of pregnancy. The nurse should recognize which of the following as an expected physiological change during pregnancy? a. Gradual lordosis Clients who are pregnant develop a gradual, forward curving of the spine as the growth of the fetus pulls the pelvis forward. The lordosis resolves after delivery. b. Increased abdominal muscle tone c. Posterior neck flexion d. Decreased mobility of pelvic joints 2. A nurse is teaching a client who is at 23 weeks of gestation about immunizations. Which of the following statements should the nurse include in the teaching? a. “You should not receive the rubella vaccine while breastfeeding.”b. “You should receive a varicella vaccine before you deliver.” c. “You can receive an influenza vaccination during pregnancy.” It is recommended that pregnant women receive annual influenza vaccinations. d. “You cannot receive the Tdap vaccine until after you deliver.” 3. A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes. 1. Amenorrhea 2. Goodell’s Sign 3. Quickening 4. Lightening 4. A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify? a. Fetal altitude is in general flexion b. Fetal lie is longitudinal c. Maternal pelvis is gynecoid d. Fetal position is persistent occiput posterior The persistent occiput posterior position of the fetus is a common cause of prolonged, difficult labor with severe back pain as spinalnerves are being compressed. Counter-pressure or a hands-andknees position can offer pain relief. 5. A nurse is conducting nutritional counseling with a client who is in her second trimester of pregnancy. The nurse should recommend the client increase her caloric intake by how many calories during this trimester? a. 110 cal/day b. 225 cal/day c. 340 cal/day d. 450 cal/day 6. A nurse is caring for a client who is in her third trimester of pregnancy. The client asks the nurse about the over-the-counter medications. The nurse should recognize which of the following medications is a pregnancy risk category B? a. Naproxen b. Acetaminophen c. Aspirin d. Ibuprofen 7. A nurse is planning to administer butorphanol to a client who is in labor. Which of the following medications should the nurse plan to have available to reverse the actions of this medication?a. Protamine b. Diphenhydramine c. Atropine d. Naloxone Butorphanol is an opioid analgesic. The nurse should have the opioid reversal agent naloxone and resuscitation equipment available in the event that the client develops respiratory depression. 8. A nurse is providing education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification? a. “I should drink about 2 liters of fluid each day.” b. “I should not drink alcoholic beverages during my pregnancy.” c. “I can have a moderate amount of caffeine daily.” d. “I should increase my calcium intake to 1500 milligrams per day.” A woman’s dietary reference intake (DRI) of calcium for pregnancy and lactation is the same for a woman who is not pregnant. A DRI for a woman older than 19 years of age is 1000 mg/day, which should supply enough calcium for fetal bone and tooth development and to maintain maternal bone mass. 9. A nurse is caring for a client who is in labor. Which of the following nursing actions reflects application of the gate control theory of pain?a. Administer prescribed analgesic medication b. Encourage the client to rest between contractions c. Massage the client’s back The gate control theory of pain is based on the concept of preventing the transmission of pain signals to the brain by using distraction techniques. Turning the client to the left side does not address the theory. d. Turn the client onto her left side 10. A nurse is teaching a client about positive signs of pregnancy. Which of the following findings should the nurse include? a. Breast tenderness b. Fatigue c. Fetal heart tones detected by ultrasound d. Positive urine pregnancy test