Questions 57

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ATI PN Maternal Newborn 2023 Questions

Extract:

Nurses' Notes: Client at 38 weeks of gestation presents with fluid leaking from vagina. Mild contractions 20 min apart at 0630, 15 min apart at 0830. Cervix 2 cm dilated, 20% effaced. FHR 132/min with moderate variability.


Question 1 of 5

After review of the client's EMR, which of the following interventions should the nurse recommend as anticipated, nonessential, or contraindicated?

Correct Answer: A, D, E, G; B, F; C

Rationale: A: Anticipated - helps labor progress; B: Non-essential - no indication for catheterization; C: Contraindicated - risks supine hypotensive syndrome; D, E, G: Anticipated - monitor fetal well-being and confirm membrane rupture.

Extract:

A nurse is contributing to the plan of care for a client who is in early labor and reports low-back pain during contractions.


Question 2 of 5

Which of the following interventions should the nurse include in the plan?

Correct Answer: A

Rationale: Counterpressure applied to the sacrum is effective for relieving low-back pain during labor contractions.

Extract:

A nurse in a prenatal clinic is reinforcing teaching with a client about expected physiological changes during pregnancy.


Question 3 of 5

Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: C

Rationale: I may develop discoloration on my cheeks from hormonal changes.' is correct. This refers to melasma, a common physiological change due to hormonal fluctuations during pregnancy.

Extract:

A nurse is reinforcing teaching with a client who is breastfeeding and reports nipple soreness.


Question 4 of 5

Which of the following recommendations should the nurse include in the teaching?

Correct Answer: D

Rationale: Exposing the affected nipple to the air between feedings helps with healing and reduces moisture, alleviating soreness.

Extract:

A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy.


Question 5 of 5

Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: D

Rationale: I will need to attend a support group when I get home.' is correct. Support groups are helpful for emotional support and recovery after a molar pregnancy, which can be a distressing experience.

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