ATI PN MATERNITY PROCTO

ATI PN MATERNITY PROCTO

RED EXAM

VERSION 36

• The nurse is scheduling a client with gestational diabetes for an amniocentesis because the

fetus has an estimated weight of 8 pounds at 36- weeks’ gestation. This amniocentesis is being performed to obtain which information?

• Presence of a neural tube defect
• Gender of the fetus
• Fetal lung maturity
• Chromosomal abnormalities

2-The nurse assesses a client admitted to the labor and delivery unit and obtains the following data: dark red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced. Based on these assessment findings, what intervention should the nurse implement?

Monitoring bleeding from IV sites

3-Following the vaginal delivery of a 10-pound infant, the nurse assesses a new mothers vaginal bleeding and finds that she has saturated two pads in 30minutes and has a boggy uterus. What action should the nurse implement first?

• Have the client empty her bladder

• Inspect the perineum for lacerations

• Increase oxytocin IV infusion

• Perform fundal massage until firm

4-When assessing a pregnant woman at 39 weeks gestation who is admitted to labor and delivery, which finding is most important to report to the HCP?

• +1 pedal edema
• 130/70 blood pressure
• 101.2 F oral temp *
• +1 proteinuria

5-A woman in her third trimester of pregnancy has been in active labor for the past 8 hours and cervix dialed 3cm. The nurse’s assessment findings and electronic fetal monitoring (EFM) are consistent with hypotonic dystocia, and the healthcare provider prescribes an oxytocin drip. Which data is most important for the nurse to monitor?

• Clients hourly blood pressure
• Preparation for emergency cesarean birth
• Intensity, interval, and length of contractions
• Checking the perineum for bulging 1 / 2

6-The father of a 3- day- old infant who is breast feeding calls the postpartum help line to report that his wife is acting strangely. She is irritable, cannot cope with the baby, and frequently cried for no apparent reason. What information is most important for the nurse to provide to this father?

• Afluctuation in hormones in the early postpartum period can cause mood changes B.

Recommend giving supplemental bottle feedings to the baby between breast feeding

• Contact the clinic if the behaviors continue for more than two weeks or become worse
• Tell the father to count the newborns number of soiled diapers over the next few days

postpartum client who is Rh-negative refuses to receive Rho(D) immune globulin (RhoGAM) after delivery of an infant who is Rh-positive. Which information should thenurse provide this client?

• RhoGAM is not necessary unless all her pregnancies are Rh-positive
• RhoGAM prevents maternal antibody formation for future Rh-positive babies
• the mother should receive RhoGAM when the baby is Rh-negative

the R-positive factor from the fetus threatens her blood cells

8- Assessment findings of a 3-hour old newborn include: axillary temperature of 97.7 F, heart rate of 140 beats/min with a soft murmur, and irregular respiratory rate at 42 breaths/min. Based on these findings, what action should the nurse implement?

• record findings in electronic medical record
• obtain venous blood sample for glucose level
• attach a pulse oximeter on the heel
• place the infant under the radiant warmer

pregnant woman who is at 10-weeks’gestation and is 35 years of age tells the nursethat she is concerned about the possibility of having a baby with Down Syndrome.Which information should the nurse provide this client?

• an amniocentesis conducted at 24 weeks’ gestation confirms or denies Down

Syndrome in the fetus

• maternal serum Human Chorionic Gonadotropic (HCG) can identify Down Syndrome

at 6 weeks of gestation

• Weekly fundal height measurements are a noninvasive method used to check for

Down Syndrome

• Chorionic villus sampling at 12 weeks gestation is the earliest screening test used to

identify Down Syndrome *

10- A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl and a hematocrit of 25.1 %. What food should the nurse encourage this client to include in her diet?

• Carrots
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