ATI PN Maternal Newborn 2023 II

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 1 of 5

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

A. Assist the client's partner to apply counterpressure to the sacrum B. Maintain the client on bed rest until active labor begins C. Insert an indwelling urinary catheter D. Teach the client to hold their breath during contractions

Correct Answer: A

Rationale: Assisting the client's partner to apply counterpressure to the sacrum can help alleviate the low-back pain associated with early labor by providing direct pressure to the area experiencing discomfort.

Extract:

A nurse is collecting data from a client during their first prenatal visit.

Question 2 of 5

The nurse should identify which of the following findings as a risk factor for gestational diabetes mellitus?

A. Maternal age of 21 years B. Fasting blood glucose of 72 mg/dL C. Previous newborn weighing 4.8 kg D. Prepregnancy BMI of 23

Correct Answer: C

Rationale: Previous newborn weighing 4.8 kg is a significant risk factor for gestational diabetes. Having a macrosomic (large) baby in a previous pregnancy is linked with an increased risk of developing gestational diabetes in subsequent pregnancies.

Extract:

A nurse is reinforcing teaching with a client who is postpartum and receiving warfarin for deep-vein thrombosis.

Question 3 of 5

Which of the following instructions should the nurse include?

A. Use a disposable razor for shaving while taking this medication B. You should not take oral contraceptives while taking this medication C. You will be able to stop taking this medication in 2 weeks D. Take 650 milligrams of aspirin for leg discomfort

Correct Answer: B

Rationale: Oral contraceptives should not be taken while on warfarin because they can increase the risk of blood clots, counteracting the effect of the anticoagulant.

Extract:

A nurse is administering a miconazole vaginal suppository to a client who has vaginal candidiasis.

Question 4 of 5

Which of the following actions should the nurse take?

A. Insert the suppository 5 cm B. Apply petroleum jelly to the suppository C. Assist the client into a prone position D. Insert the suppository along the posterior vaginal wall

Correct Answer: D

Rationale: Inserting the suppository along the posterior vaginal wall ensures proper placement and maximizes the effectiveness of the medication by allowing it to dissolve and be absorbed where it is needed.

Extract:

A nurse is reinforcing teaching to a client who will undergo amniocentesis.

Question 5 of 5

Which of the following statements should the nurse make?

A. This test detects fetal genetic abnormalities B. An empty bladder is required for the test C. An x-ray will be taken during needle placement D. This test determines the volume of amniotic fluid

Correct Answer: A

Rationale: Amniocentesis is used to detect fetal genetic abnormalities, such as Down syndrome, by analyzing the amniotic fluid for genetic markers.

ATI PN Maternal Newborn 2023 II | Nurselytic

Nurselytic

ATI LPN

ATI LPN