PN ATI Maternal Newborn 2020

Extract:

Client who is requesting a prescription for a transdermal contraceptive patch.

Question 1 of 5

A nurse is in a providerâ€™s office is collecting data from a client who is requesting a prescription for a transdermal contraceptive patch. The nurse should recognize that which of the following client findings is a contraindication for this method of contraception?

Correct Answer: B

Rationale: Weight over 90 kg reduces the efficacy of transdermal contraceptive patches, making it a contraindication.

Extract:

Question 2 of 5

A nurse is reinforcing teaching about risk factors for preeclampsia with a group of clients who are pregnant. Which of the following risk factors should the nurse include in the teaching?

A. Maternal age of 30 years B. Third pregnancy C. Pre-pregnancy BMI of 19 D. Chronic hypertension

Correct Answer: D

Rationale: Chronic hypertension is a well-established risk factor for preeclampsia.

Extract:

Newborn who was born 2 hr ago.

Question 3 of 5

A nurse is collecting data from a newborn who was born 2 hr ago. Which of the following findings should the nurse report to the provider?

A. Overlapping suture lines B. Hypotonia C. Acrocyanosis D. Blood glucose level 40 mg/dL

Correct Answer: B

Rationale: Hypotonia suggests potential neurological issues, requiring immediate provider notification.

Extract:

Question 4 of 5

A nurse is assisting a provider with a pelvic examination of a client during her first prenatal visit. Which of the following actions should the nurse take?

A. Ask the client to empty her bladder prior to the procedure. B. Instruct the client to tighten her pelvic muscles during the procedure. C. Assist the client into a Sims' position prior to the procedure. D. Encourage the client to take rapid, shallow breaths during the procedure.

Correct Answer: A

Rationale: An empty bladder improves access and comfort during a pelvic examination.

Extract:

Client who is at 34 weeks of gestation.

Question 5 of 5

A nurse is reinforcing teaching about an amniocentesis with a client who is at 34 weeks of gestation. Which of the following instructions should the nurse include in the teaching?

A. You should anticipate a small amount of leakage of fluid following the procedure. B. You should take milk of magnesia the night prior to the procedure. C. You will have blood work drawn before the procedure. D. You should report uterine contractions following the procedure to your provider.

Correct Answer: D

Rationale: Uterine contractions post-amniocentesis may indicate complications, requiring immediate reporting.