ATI Maternal Newborn Proctored Exam Latest Update -Nurselytic

Correct Answer: A

Rationale:
Correct Answer: A


Rationale:
1. After delivery, the uterus should be firm and midline to facilitate uterine contractions and prevent excessive bleeding.
2. A soft, boggy uterus may indicate uterine atony, which can lead to postpartum hemorrhage.
3. A full bladder can impede uterine contractions by displacing the uterus and preventing it from contracting effectively.
4. By encouraging the client to void, the nurse helps ensure that the bladder is not obstructing the uterus, promoting proper uterine involution and preventing complications.

Summary of Incorrect

Choices:
B: Overdistended bladder pressing on episiotomy may cause dehiscence, but this is not the primary concern in this scenario.
C: Bladder distention causing urinary stasis and infection is a potential complication, but it is not directly related to uterine contractions.
D: Massaging the fundus can be helpful but addressing the full bladder is a priority

Correct Answer: B

Rationale: The correct answer is B: "Have you noticed any bloody show or fluid coming from your vagina?" This question is important to assess for true labor because bloody show or fluid leakage can indicate ruptured membranes, which is a sign of true labor. This information helps differentiate between true labor and false labor. The other options are not directly related to distinguishing between true and false labor. Option A focuses on the timing of contractions, which is important but not specific to differentiating true from false labor. Option C inquires about the effect of movement on contractions, which is relevant but not as indicative as the presence of bloody show or fluid. Option D is about fetal movement, which is important for monitoring fetal well-being but does not help differentiate true labor from false labor.

Correct Answer: C

Rationale: The correct answer is C: One sperm fertilizes one ovum. Identical twins develop from a single fertilized egg that splits into two embryos. This process results in monozygotic twins with identical genetic makeup. If one sperm fertilizes two ova (
A), it would result in fraternal (dizygotic) twins, not identical twins. Two sperm fertilizing two ova (
B) would also produce fraternal twins with different genetic compositions. If two sperm fertilize one ovum (
D), it would lead to chromosomal abnormalities, not identical twins.
Therefore, the only scenario that aligns with the development of identical twins is when one sperm fertilizes one ovum, leading to the formation of monozygotic twins.

Correct Answer: B

Rationale: The correct answer is B: The baby is breaking down the extra red blood cells that were present at birth. Physiological jaundice in newborns occurs due to the breakdown of excess red blood cells, leading to an accumulation of bilirubin in the blood. This explanation is accurate as it directly relates to the underlying physiological process causing jaundice in newborns.

Choice A is incorrect as minor incompatibility of blood is not the primary cause of physiological jaundice.

Choice C is incorrect as excessive breast milk intake is not a cause of physiological jaundice.

Choice D is incorrect as hepatitis B exposure is unrelated to physiological jaundice in newborns.

Correct Answer: A

Rationale: The correct answer is A: Temperature 100.0 degrees F. This can be interpreted as normal post-vaginal delivery. The rationale is that a slight increase in temperature up to 100.4 degrees F is common due to the stress of labor and delivery, known as postpartal fever. It is considered normal as long as it doesn't exceed 100.4 degrees F.

Choices B, C, and D are incorrect as a blood pressure of 140/90 is elevated, respirations of 10 are too low, and a pulse of 90 is higher than expected after delivery. Monitoring these vital signs is crucial post-delivery to ensure the client's well-being.