ATI PN Maternal Newborn Proctored Exam 2020: Guaranteed A+ Score; Questions & Answers

ATI PN Maternal Newborn Proctored

Exam

A nurse is providing discharge teaching to a client following tubal ligation

(occlusion). Which of the following statement by the client indicates an

understanding of the teaching?

A. "premenstrual tension will no longer be present."

B. "Ovulation will remain the same."

C. "Hormone replacements will be needed following this procedure."

D. "My monthly menstrual period will be shorter."

(Ans- B. "Ovulation will remain the same."

Ovulation (egg release from the ovaries) will remain the same. Tubal

ligation also known as having your tubes tied or tubal sterilization is a type

of permanent birth control. During tubal ligation, the fallopian tubes are cut,

tied or blocked to permanently prevent pregnancy. Tubal ligation prevents

an egg from traveling from the ovaries through the fallopian tubes and

blocks sperm from traveling up the fallopian tubes to the egg. The

procedure doesn't affect your menstrual cycle it just prevents fertilization.

A nurse is assessing a newborn following forceps-assisted birth. Which of

the following clinical manifestations should the nurse identify as a

complication of the birth method?

A. Hypoglycemia

B. Polycythemia

C. Facial Palsy

D. Bronchopulmonary dysplasia

(Ans- C. Facial Palsy

Difficult delivery, with or without the use of an instrument called forceps,

may lead to facial palsy. Facial paralysis 15 minutes after forceps birth or

absence of movement on affected side is especially noticeable when infant

cries.

A nurse is providing teaching about terbutaline to a client who is

experiencing preterm labor. Which of the following statements by the client

indicates understanding of the teaching?

A. "This medication could cause me to experience heart palpitations."

B. "This medication could cause me to experience blurred vision."

C. "This medication could cause me to experience ringing in my ears."

D. "This medication could cause me to experience frequent urination."

(Ans- A. "This medication could cause me to experience heart palpitations."

Beta-adrenergic agents such as terbutaline (Brethine) are associated with

various side effects, including tachycardia, irregular pulse, myocardial

ischemia, and pulmonary edema. Therefore, these medications should not

be used in women with known or suspected heart disease

A nurse is caring for a client who is in labor and requests

nonpharmacological pain management. Which of the following nursing

actions promotes client comfort?

A. Assisting the client into squatting position

B. Having the client lie in a supine position

C. Applying fundal pressure during contractions

D. Encouraging the client to void every 6 hrs.

(Ans- C. Applying fundal pressure during contractions

Applying fundal pressure by pushing on the mother's abdomen in the

direction of the birth canal is often used to assist spontaneous vaginal birth,

shorten the length of the second stage and reduce the need for

instrumental birth (forceps- or vacuum-assisted) or caesarean section.

A nurse caring for a client who is at 20 weeks of gestation and has

trichomoniasis. Which of the following findings should the nurse expect?

A. Thick, White Vaginal Discharge

B. Urinary Frequency

C. Vulva Lesions

D. Malodorous Discharge

(Ans- D. Malodorous Discharge

Although trichomoniasis may be asymptomatic, women commonly

experience characteristically yellowish-to-greenish, frothy, mucopurulent,

copious, malodorous discharge. Inflammation of the vulva, vagina, or both

may be present; and the woman may complain of irritation and pruritus.

Dysuria and dyspareunia are often present.

A nurse is caring for a client who is at 14 weeks of gestation. At which of

the following locations should the nurse place the doppler device when

assessing the fetal heart rate?

A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis

B. Left Upper Abdomen

C. Two fingerbreadths above the umbilicus

D. Lateral at the Xiphoid Process

(Ans- A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis

Toward the end of the first trimester, before the uterus is an abdominal

organ, the fetal heart tones (FHTs) can be heard with an ultrasound

fetoscope or an ultrasound stethoscope (Fig. 8-8). To hear the FHTs, place

the instrument in the midline just above the symphysis pubis and apply firm

pressure. The woman and her family should be offered the opportunity to

listen to the FHTs. The health status of the fetus is assessed at each visit

for the remainder of the pregnancy.

A nurse is assessing a client who is at 27 weeks of gestation and has

preeclampsia. Which of the following findings should the nurse report to the

provider?