Maternal Newborn ATI Proctored Exam

Question 1 of 5

A client in an obstetrical clinic is discussing using an IUD for contraception with a healthcare provider. Which of the following statements by the client indicates an understanding of the teaching?

A. An IUD should be replaced annually during a pelvic exam. B. I cannot get an IUD until after I've had a child. C. I should plan on regaining fertility 5 months after the IUD is removed. D. I will check to ensure the strings of the IUD are still present after my periods.

Correct Answer: D

Rationale: Checking for the presence of IUD strings after each period is crucial to ensure the IUD is correctly positioned and functioning. This practice helps in confirming the effectiveness of the contraceptive method and timely detection of any displacement or issues with the IUD.
Choice A is incorrect as IUDs have varying durations of effectiveness, but they do not need to be replaced annually as a routine.
Choice B is incorrect as women can get an IUD even if they haven't had a child.
Choice C is incorrect as fertility typically returns shortly after IUD removal, not necessarily after a specific timeframe like 5 months.

Question 2 of 5

A client in a prenatal clinic 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.

Correct Answer: C

Rationale: Maternal hypotension during pregnancy is often caused by the weight of the uterus pressing on the vena cava when the client is lying on her back, which reduces blood flow to the heart. This compression can lead to a decrease in blood pressure and subsequent symptoms of hypotension.
Choice A is incorrect because an increase in blood volume typically leads to increased blood pressure rather than hypotension.
Choice B is incorrect as pressure from the uterus on the diaphragm is not a common cause of maternal hypotension.
Choice D is incorrect because increased cardiac output would not directly cause maternal hypotension.

Question 3 of 5

While assisting with the care of a client in active labor, a nurse observes clear fluid and a loop of pulsating umbilical cord outside the client's vagina. Which of the following actions should the nurse perform first?

A. Place the client in the Trendelenburg position B. Apply finger pressure to the presenting part C. Administer oxygen at 10 L/min via a non-rebreather D. Call for assistance

Correct Answer: D

Rationale: In the scenario of umbilical cord prolapse during labor, the nurse should first call for assistance. Umbilical cord prolapse is a critical obstetric emergency that requires immediate attention and skilled assistance. Calling for help ensures that additional support is on the way to provide prompt intervention. Placing the client in the Trendelenburg position (
Choice
A) is no longer recommended as it may worsen the situation. Applying finger pressure to the presenting part (
Choice
B) can further compress the cord. Administering oxygen (
Choice
C) is important but should come after addressing the prolapsed cord.

Question 4 of 5

A client who is at 12 weeks of gestation is reviewing a new prescription of ferrous sulfate. Which of the following statements by the client indicates understanding of the teaching?

A. I will take this pill with my breakfast. B. I will take this medication with a glass of milk. C. I plan to drink more orange juice while taking this pill. D. I plan to add more calcium-rich foods to my diet while taking this medication.

Correct Answer: C

Rationale: The correct answer is C. Taking iron supplements with orange juice, which contains vitamin C, enhances the absorption of iron, making the treatment more effective.

Choices A, B, and D are incorrect because taking ferrous sulfate with milk, calcium-rich foods, or breakfast may hinder iron absorption due to interactions with calcium or other substances that compete with iron absorption.

Question 5 of 5

A client has severe preeclampsia and is receiving magnesium sulfate IV. Which of the following findings should the nurse identify and report as signs of magnesium sulfate toxicity? (Select all that apply)

A. Respirations less than 12/min B. Urinary output less than 25 mL/hr C. Decreased level of consciousness D. All of the above

Correct Answer: D

Rationale: Signs of magnesium sulfate toxicity include respirations less than 12/min, urinary output less than 25 mL/hr, and decreased level of consciousness. These signs indicate potential overdose of magnesium sulfate and require immediate attention to prevent further complications. Reporting these signs promptly is crucial to ensure the client's safety and well-being.
Choice D, 'All of the above,' is the correct answer as all the listed findings are indicative of magnesium sulfate toxicity.

Choices A, B, and C individually represent different signs of toxicity, making them incorrect on their own.
Therefore, the nurse should be vigilant in identifying and reporting all these signs to prevent adverse outcomes.

Nurselytic

ATI LPN

ATI LPN