A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first?

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ATI Maternal Newborn Proctored Exam 2024 Questions

Question 1 of 5

A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first?

Correct Answer: C

Rationale: A client with hyperemesis gravidarum and a sodium level of 110 mEq/L is at risk for severe dehydration and electrolyte imbalance, particularly hyponatremia (low sodium level). Hyponatremia can lead to serious complications such as seizures, coma, and even death if not promptly addressed. Therefore, this client should be assessed first to prevent any potential life-threatening conditions. The nurse should prioritize interventions to address the electrolyte imbalance and dehydration in this client to ensure their safety and well-being.

Question 2 of 5

A nurse is caring for a client who is in the transition phase of labor and reports a pain level of 7 on a scale of 0 to Which of the following actions should the nurse take?

Correct Answer: B

Rationale: In the transition phase of labor, the contractions are intense and the client may experience significant discomfort and pain. Applying counter pressure to the client's sacral area can help alleviate this pain by providing some relief and support. Counter pressure involves applying firm pressure with the palms or fists to the lower back or sacral area during contractions. This technique can help to relieve some of the pressure and discomfort experienced during contractions, making it a beneficial action for the nurse to take in this situation.

Question 3 of 5

A nurse is providing dietary teaching for a client who is at 29 weeks of gestation and has phenylketonuria. Which of the following suggested foods should the nurse include in the teaching?

Correct Answer: B

Rationale: Phenylketonuria (PKU) is a genetic disorder where the body cannot metabolize phenylalanine, an amino acid found in protein-containing foods. Patients with PKU need to follow a strict low-phenylalanine diet to prevent the buildup of phenylalanine in the body. Fruits like apples and grapes are low in protein and contain minimal phenylalanine, making them suitable choices for individuals with PKU. The other options listed contain higher amounts of protein and phenylalanine, such as peanut butter, chocolate chip cookies, milk, scrambled eggs, and cheese, which should be avoided by individuals with PKU.

Question 4 of 5

A patient who is older than 35 years may have difficulty achieving pregnancy because

Correct Answer: D

Rationale: As women age, their ovarian reserve decreases and the quality of their eggs declines, making it more difficult to conceive. This is due to the normal aging process of the ovaries, which can lead to decreased fertility and an increased risk of chromosomal abnormalities in the embryos. Therefore, a patient who is older than 35 years may have difficulty achieving pregnancy because the ovaries may be affected by the normal aging process.

Question 5 of 5

In the male reproductive system, what internal struc- standing of transmission? ture secretes fluid into the semen and is responsible

Correct Answer: C

Rationale: The seminal vesicles are responsible for secreting fluid into the semen during ejaculation. This fluid helps nourish and protect the sperm as they travel through the female reproductive system. The prostate gland, on the other hand, is responsible for producing components of semen that help with sperm motility and viability. The seminal vesicles play a crucial role in the male reproductive system by contributing to the overall composition of semen.

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