ATI Maternal Newborn Proctored Exam Latest Update -Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Pregnancy-induced hypertension and postterm fetus. Induction of labor is commonly indicated in cases of pregnancy-induced hypertension to prevent maternal and fetal complications. Postterm fetus is another indication as prolonged pregnancy can lead to increased risks for the baby. Placenta previa and twins (
Choice
A) are not typically indications for labor induction but rather require special management. Breech position and prematurity (
Choice
C) are not indications for induction but may require cesarean section or other interventions. Cephalopelvic disproportion and fetal distress (
Choice
D) are not primary indications for labor induction but may necessitate cesarean delivery or other interventions based on the specific circumstances.

Correct Answer: D

Rationale: The correct answer is D because it accurately describes the progression of lochia flow from bright red to pinkish brown to creamy white over the course of about 21 days postpartum. This is important for the client to understand to monitor her recovery.
Choice A is incorrect as it does not specify the time frame for the color changes.
Choice B is incorrect because small clots are normal, but large clots or excessive clotting may indicate an issue.
Choice C is incorrect as saturation of the pad can vary, and it is the amount of bleeding that is more concerning for postpartum hemorrhage.

Correct Answer: C

Rationale: The correct answer is C: "Keep labels on containers of toxic substances and never remove them." This is correct because clear labeling helps prevent accidental poisoning as parents can easily identify hazardous substances and take necessary precautions. Removing labels can lead to confusion and potential misuse.


Choice A is incorrect as syrup of ipecac is no longer recommended for use in poisoning cases.
Choice B is incorrect as teaching children that plants can be eaten only after they are cooked is not a practical preventive measure.
Choice D is incorrect as placing medications above the sink does not guarantee safety and can still be accessible to preschoolers.

Correct Answer: A

Rationale: Rationale for Correct Answer A:
This answer is correct because it emphasizes the importance of calories for energy and nutrition during pregnancy. Adequate calorie intake is crucial for the health of both the mother and the developing baby. By stating that any calories ingested are a source of energy and nutrition, the nurse is promoting a balanced approach to nutrition during pregnancy.

Summary of Incorrect

Choices:
B: While it is important to provide foods rich in calcium, protein, and iron during pregnancy, this choice does not address the overall importance of calories for energy and nutrition.
C: Encouraging between-meal snacks that are complex carbohydrates and fruits is beneficial, but it does not highlight the significance of overall calorie intake.
D: Planning meals and snacks for additional calories in the second and third trimester is important, but this choice does not emphasize the fundamental role of calories in nutrition during pregnancy.

Correct Answer: C

Rationale: The correct answer is C because Hegar's sign and Chadwick's sign are both considered probable signs of pregnancy. Hegar's sign indicates softening of the lower uterine segment, which is a result of hormonal changes in pregnancy. Chadwick's sign refers to the bluish or purplish color of the cervix due to increased blood supply and estrogen levels. These signs are more reliable indicators of pregnancy compared to presumptive signs like quickening or ballottement, which can be caused by conditions other than pregnancy.
Therefore, option C is the most appropriate choice as it correctly identifies signs that strongly suggest the presence of pregnancy.