ATI Maternal Newborn Exam Nursing 223g

Extract:

Male client with suspected infertility for semen analysis

Question 1 of 5

A nurse is instructing a male client about a semen analysis to be done for suspected infertility. Which of the following should be included in the teaching?

A. Collect the specimen using a condom with spermicidal lubricant.B. Leave the specimen at room temperature for 3 to 4 hr prior to transport to the laboratory.C. Abstain from ejaculation for at least 2 to 5 days prior to the test.D. Refrigerate the specimen after collection

Correct Answer: C

Rationale: Abstaining from ejaculation for 2-5 days ensures a sufficient sperm count for accurate semen analysis.

Extract:

Client at 28 weeks pregnant with history of one elective abortion at 9 weeks, twins at 36 weeks, and spontaneous abortion at 15 weeks

Question 2 of 5

A nurse in a prenatal clinic is reviewing a client's health record. The client is 28 weeks pregnant. The history includes one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks. According to the GTPAL system, how would the nurse describe the client's current status?

A. 2-0-0-2-0B. 3-0-2-0-2C. 4-2-0-2-2D. 4-0-1-2-2

Correct Answer: C

Rationale: GTPAL: 4 pregnancies (G), 2 term births (T, twins), 0 preterm (P), 2 abortions (
A), 2 living children (L), accurately reflecting the client's history.

Extract:

Client who received a positive test result for chlamydia

Question 3 of 5

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide?

A. If your sexual partner has no symptoms, no medication is needed.B. You have to avoid sexual relations for 3 days.C. This infection is treated with one dose of azithromycin.D. You need to return in 6 months for retesting.

Correct Answer: C

Rationale: Chlamydia is treated with a single dose of azithromycin, as recommended by the CDC, to effectively clear the infection.

Extract:

Patient considering tubal ligation

Question 4 of 5

A nurse is preparing a teaching plan for a patient who is considering tubal ligation. What should the nurse emphasize during the teaching session?

A. The procedure will alleviate her menstrual pain.B. The procedure will lessen her menstrual flow.C. The procedure should be scheduled just prior to the menstrual cycle.D. The patient must understand that the procedure is irreversible.

Correct Answer: D

Rationale: Tubal ligation is a permanent contraceptive method, and patients must understand its irreversibility before deciding.

Extract:

Four patients considering contraceptive options

Question 5 of 5

A nurse is considering contraceptive options for four patients. Which patient should the nurse identify as having a contraindication for oral contraceptives?

A. A 26-year-old patient who experiences migraines at the start of each menstrual cycle.B. A 38-year-old patient who reports smoking one pack of cigarettes daily.C. A 32-year-old patient with benign breast disease.D. A 28-year-old patient with a history of pelvic inflammatory disease.

Correct Answer: B

Rationale: Smoking over age 35 significantly increases cardiovascular risks with oral contraceptives, making it a contraindication.

ATI Maternal Newborn Exam Nursing 223g | Nurselytic

Nurselytic

ATI RN

ATI RN