ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should increase my calcium intake while taking this medication." Medroxyprogesterone can decrease bone density, so increasing calcium intake helps counteract this side effect.
Choice A is incorrect because spotting is a common side effect and does not require discontinuation.
Choice B is incorrect as medrojsonprogesterone IM is typically given every 3 months, not 8 weeks.
Choice D is incorrect as only one shot is given each time.
Question 2 of 5
A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should increase my calcium intake while taking this medication." Medroxyprogesterone can decrease bone density, so increasing calcium intake helps counteract this side effect.
Choice A is incorrect because spotting is a common side effect and does not require discontinuation.
Choice B is incorrect as medrojsonprogesterone IM is typically given every 3 months, not 8 weeks.
Choice D is incorrect as only one shot is given each time.
Question 3 of 5
A nurse is assessing a client who is in preterm labor and has a new prescription or terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse Withhold the medication and Report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Blood pressure 88/58 mmHg. This blood pressure reading indicates hypotension, which could be a potential side effect of terbutaline. Hypotension can worsen maternal and fetal perfusion, leading to adverse outcomes. The nurse should withhold the medication and report this finding to the provider immediately.
Choices A, C, and D are within normal limits and do not require withholding the medication. A fasting blood glucose of 75 mg/dL is normal, urinary output of 40 ml/hr is adequate, and a fetal heart rate of 120/min is also within the normal range for a preterm fetus.
Question 4 of 5
The nurse is teaching a client and her partner about the technique of counter pressure during labor. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale:
1. Counter pressure helps alleviate back pain during labor.
2. Applying steady pressure with a tennis ball to the lower back can help relieve discomfort.
3. This technique is effective for providing relief during contractions.
4. The pressure on the lower back helps to release tension and promote relaxation.
Summary:
A: Incorrect - Upward pressure on lower abdomen is not effective for back pain relief.
B: Incorrect - Pressure between thumb and index finger is unrelated to counter pressure.
C: Incorrect - Pressure to top of uterus is not effective for back pain relief.
D: Correct - Steady pressure with a tennis ball on lower back is effective for back pain relief.
Question 5 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale:
Correct Answer: D - You should have your provider refit you for a new diaphragm.
Rationale: After childbirth, the size and shape of the cervix can change. It is essential to have the diaphragm refitted to ensure proper fit and effectiveness. Using an ill-fitting diaphragm can lead to contraceptive failure. Other Options: A - Oil-based lubricants can damage latex diaphragms. B - Storing in sterile water can cause damage and is not recommended. C - Keeping the diaphragm in place for 4 hours is unnecessary; it should be left in for at least 6 hours post-intercourse.