ATI PRACTICE WOMAN AND
NEWBORN HEALTH CARE ATI
FORM A , FORM B ,AND FORM
C:GRADED A+ GUARANTEED PASS
WITH DETAILED RATIONALES
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Form A
□ □Clomiphene (Clomid, Serophene) is prescribed for a female client to
treat infertility. The nurse isproviding information to the client and
her spouse about themedication and tells the couple that:
A The couple should engage in coitus once a week during
treatment
B The physician should be notified immediately if breast
engorgement occurs
C If the oral tablets are not successful, the medication will be
administered intravenously
D Multiple births occur in a small percentage of clomiphene-
facilitated pregnancies Correct
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□ Rationale: Multiple births (usually twins) occur in a small percentage
(8% to 10%) of clomiphene-facilitated pregnancies, and the couple
should be informed of this. The medication is available in 50-mg
tablets for oral use. There isno available intravenous form. Breast
engorgement is a common side effect of the medication that
reverses after medication withdrawal. When ovulation does occur
as a result of use of clomiphene, it is usually within 5 to 10 days after
the last dose. The couple is instructed to engage in coitus at least
every other day during this time.
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□ Test-Taking Strategy: Use the process of elimination. Note
the relationship between the words "treat infertility" inthe question
and "multiple births" in the correct option. Review this medication
if you had difficulty with this question.
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□ Level of Cognitive Ability: Applying
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□ Client Needs: Health Promotion and Maintenance
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□ Integrated Process: Teaching and Learning
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□ Content Area: Reproductive Awarded 1.0 points out of
1.0 possible points.
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□ nurse in the newborn nursery, performing an assessment of a
newborn, prepares to measure the chest circumference. The nurse
places the tapemeasure around the infant:
A In the axillary area
B At the level of the nipples Correct
C 2 inches below the nipples
D At the level of the umbilicus
□ Rationale: The chest circumference of the infant is
measured at the level of the nipples. It is usually 2 to 3 cmsmaller
than the head’s circumference. The average circumference of the
chest is 30.5 to 33 cm (12 to 13 inches). (If molding of the head is
present, the head and chest measurements may be equal at
birth.) The other options are incorrect anatomical areas for
measuring chestcircumference.
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□ Test-Taking Strategy: Focus on the subject, measuring chest
circumference. Visualizing each of the options will helpdirect you to
the correct one. Review the procedure for measuring chest
circumference in a newborn infant if you had difficulty with this
question.
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□ Reference: McKinney, E., James, S., Murray, S., & Ashwill, J.
(2009). Maternal-child nursing (3rd ed., p. 515). St.Louis: Elsevier.
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□ Level of Cognitive Ability: Applying
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□ Client Needs: Health Promotion and Maintenance
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□ Integrated Process: Nursing Process/Assessment
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□ Content Area: Newborn Awarded 1.0 points out of 1.0
possible points.
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□ 99.ID: 283572090A nurse is developing a plan of care foran older
client that will help maintain an adequate sleep
pattern. Which of the following actions should the nurseinclude in
the plan?
A Encouraging at least one daytime nap Incorrect
B Discouraging the use of a night light at bedtime
C Encouraging bedtime reading or listening to music Correct
D Discouraging social interaction, particularly at bedtime
□
□ Rationale: Measures that will help maintain an adequate sleep
pattern include balancing daytime activities with rest, discouraging
daytime naps, promoting social interactions, and encouraging
bedtime reading or listening tomusic. The use of a night light will
foster an environment that is both helpful and safe.
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□ Test-Taking Strategy: Use the process of elimination. Thinking
about the safety needs of the older client will assistyou in
eliminating the option of discouraging the use of a nightlight. To
select from the remaining options, focusing onthe subject,
maintaining an adequate sleep pattern, will direct you to the correct
option. Review measures that will maintain an adequate sleep
pattern if you had difficulty withthis question.
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□ Reference: Touhy, T., & Jett, K. (2010). Ebersole and Hess’
gerontological nursing health aging (3rd ed., p. 155). St. Louis:
Mosby.
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□ Level of Cognitive Ability: Applying
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□ Client Needs: Health Promotion and Maintenance
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□ Integrated Process: Nursing Process/Planning
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□ Content Area: Developmental Stages Awarded 0.0points
out of 1.0 possible points.
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