A client in labor receiving an epidural reports feeling lightheaded and nauseous. What is the nurse's priority intervention?

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ATI Maternal Newborn Proctored Exam 2024 Questions

Question 1 of 5

A client in labor receiving an epidural reports feeling lightheaded and nauseous. What is the nurse's priority intervention?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A patient has just been prescribed birth control pills and asks about possible side effects. Which of the following should be discussed with the patient?

Correct Answer: B

Rationale: Headaches and nausea are common side effects of oral contraceptives. Choice A is incorrect because birth control pills typically decrease the menstrual flow. Choice C is not commonly reported with oral contraceptives, and many women report no change in libido. Choice D is incorrect because while oral contraceptives may slightly increase the risk of certain cancers, breast cancer risk is not significantly elevated compared to the general population.

Question 3 of 5

When the nurse is assisting a person desiring contraception, a history and physical is done. What is an important question the nurse should ask?

Correct Answer: B

Rationale: When assisting a person desiring contraception, asking whether they have ever been pregnant is an important question because it helps the healthcare provider assess the individual's past reproductive history, including any pregnancies and potential complications. This information is important in determining the most suitable contraceptive options for the person, taking into account their previous experiences with pregnancy and childbirth. It can also help in evaluating the effectiveness of their past contraceptive methods and guide the selection of appropriate contraceptive counseling and options.

Question 4 of 5

An adolescent patient calls the office and asks to speak with the nurse. The patient cannot remember where she can place her contraceptive patch. What area of the body should the nurse tell her to avoid?

Correct Answer: A

Rationale: The nurse should advise the adolescent patient to avoid placing the contraceptive patch on her breasts. The contraceptive patch is typically recommended to be placed on areas of the body with minimal hair and movement to ensure proper adherence and absorption of hormones. Placing the patch on the breasts may result in movement and friction, causing it to become dislodged or less effective. It is important to follow the specific instructions provided with the contraceptive patch on where to apply it for optimal effectiveness.

Question 5 of 5

A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?

Correct Answer: A

Rationale: Hyperemesis gravidarum is a severe form of nausea and vomiting during pregnancy that can lead to dehydration and electrolyte imbalances. One important laboratory test that the nurse should anticipate for a client with hyperemesis gravidarum is the urine ketones test. Ketones in the urine can indicate that the body is breaking down fat for energy instead of using glucose, which can occur during prolonged fasting or in conditions like hyperemesis gravidarum where there is severe vomiting leading to inadequate intake of nutrients. Monitoring urine ketones levels helps healthcare providers assess the severity of dehydration and metabolic derangement in these patients. It guides the management of fluid and electrolyte replacement to prevent complications like ketosis and metabolic acidosis.

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