ATI Maternal

A nurse is planning care for a client who is two hours postpartum which of the following intervention should the nurse plan to implement during the taking hold phase of postpartum behavioral adjustment - CORRECT ANSWERDemonstrate to the client how to perform a newborn bath A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina after calling for assistance which of the following actions should the nurse take next - COR...

1. Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach her about lochia flow? Incorrect: Lochia does change color but goes from lochia rubra (bright red) on days 1-3, to lochia serosa (pinkish brown) on days 4-9, to lochia alba (creamy white) days 10-21. Incorrect: Numerous clots are abnormal and should be reported to the physician. Incorrect: Saturation of the perineal pad is considered abnormal and may indicate postpartum hemorrhage. Correct: Lo...

A nurse is providing care to a client who is in labor. A fetal heart tracing shows early decelerations. Which of the following actions should the nurse take? - ANSWER- Continue to monitor the fetal heart tracing. A nurse is assessing a client who is 14 hours postpartum and has a third-degree her new laceration. The clients temperature is 37.8°C (100°F), and her fundus is firm and slightly deviated to the right. The client reports a gush of blood when she ambulate's and no bowel movement sinc...

A nurse is collecting data from a 28 year old client who is requesting a prescription for an oral contraceptive. Which of the following information in the clients history should the nurse identify as a contraindication for the use of oral contraceptives

ATI Chapter 7 1. A nurse in the emergency department is caring for a client who reports abrupt, sharp, right sided lower quadrant abdominal pain and bright red vaginal bleeding. The client states, "I missed one menstrual cycle and cannot be pregnant because I have an intrauterine device." The nurse should suspect which of the following? A. Missed abortion B. Ectopic pregnancy C. Sever preeclampsia D. Hydatidiform mole - Correct Answer: Answer: B (ectopic pregnancy) Rationale: Manifest...

A nurse in a health clinic is reviewing contraceptive use with a group of adolescent clients. Which of the following statements by an adolescent reflects an understanding of the teaching? 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. A nurse is instructing a client who is taking an oral contraceptive ab...

FHR can be heard by Doppler at: -(answer)-10-12 weeks GA When should you start measuring a woman's fundal height? -(answer)-After > 12 weeks GA Between 18 and 30 weeks the fundal height should measure what? -(answer)-It should equal the week of gestation MSAFP screening is done: -(answer)-15-22 weeks of gestation maternal serum alpha-fetoprotein (MSAFP) screen. It's usually as part of a set of tests, which screen for genetic problems, called the quad screen. AFP is a substance made ...

A nurse is caring for a client who is pregnant and states that her last menstrual period was April 1st. Which of the following is the client's estimated date of delivery? A. Jan 8 B. Jan 15 C. Feb 8 D. Feb 15 - CORRECT ANSWER-A. April 1st minus 3 months plus 7 days and 1 year A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy . The client's health records includes G3 T1 P0 A1 L1. How should the nurse interpret this? SATA A client has delivered one n...

Massage the client's fundus. << ANSWER -A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse's priority? late decelerations << ANSWER -A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider? Premature rupture of membranes << ANSWER -A...

1. Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach her about lochia flow? Incorrect: Lochia does change color but goes from lochia rubra (bright red) on days 1-3, to lochia serosa (pinkish brown) on days 4-9, to lochia alba (creamy white) days 10-21. Incorrect: Numerous clots are abnormal and should be reported to the physician. Incorrect: Saturation of the perineal pad is considered abnormal and may indicate postpartum hemorrhage.