PN ATI Maternal Newborn 2020 | Nurselytic

Questions 47

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PN ATI Maternal Newborn 2020 Questions

Extract:

Client who is in the early stages of labor.


Question 1 of 5

A nurse is caring for a client who is in the early stages of labor and requests nonpharmacological interventions for pain. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Frequent voiding prevents bladder distension, which can increase pain during labor.

Extract:


Question 2 of 5

A nurse in a clinic is discussing contraceptive methods with a client. Which of the following methods should the nurse recommend as having the lowest failure rate?

Correct Answer: A

Rationale: Intrauterine devices (IUDs) have a failure rate of less than 1%, significantly lower than other methods like sponges (12-24%), oral contraceptives (0.3-9%), or diaphragms (6-12%).

Extract:

Client who is 19 years old and is at 18 weeks of gestation, reports nausea and vomiting for several weeks, worsened, unable to retain clear fluids for 48 hr, history of migraines and asthma.


Question 3 of 5

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress. Action to Take: A. Assist with preparing the client for surgery. B. Inspect mucous membranes. C. Insert a peripheral venous access device. D. Check fundal height. Potential Condition: A. Hydatidiform mole. B. Hyperemesis gravidarum. C. Gestational diabetes mellitus. D. Ectopic pregnancy. Parameter to Monitor: A. Keihauer-Betke values. B. Electrolyte values. C. Blood glucose results. D. Urine ketones.

Action to Take

Assist with preparing the client for surgery.
inspect mucous membranes
insert a peripheral venous access device
Check fundal height

Potential Condition

Hydatidiform mole
Hyperemesis gravidarum
Gestational diabetes mellitus
Ectopic pregnancy

Parameter to Monitor

Keihauer-Betke values
Electrolyte values
Urine ketones

Correct Answer:

Rationale: Hyperemesis gravidarum causes severe nausea and vomiting, requiring IV fluids (via venous access) and monitoring of mucous membranes for dehydration. Electrolyte values and urine ketones assess dehydration and metabolic status.

Extract:

Client who is recovering from a molar pregnancy.


Question 4 of 5

A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: D

Rationale: Support groups provide emotional support for the psychological impact of a molar pregnancy.

Extract:


Question 5 of 5

A nurse is reinforcing teaching about home safety precautions with the guardian of a newborn. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Setting the water heater to 120°F prevents scalding, a key safety measure for newborns.

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