ATI MATERNITY PROCTORED EXAM COMPLETE DOCS 2020
A nurse provided discharge teaching to new parents on how to care for their newborn following circumcision
... [Show More] . Which of the following statements by the parents indicates the need for further clarification?
Select one:
a. "I should not remove the yellow exudate on the end of the penis."
b. "I will clean his penis with each diaper change."
c. "The circumcision will heal completely within a couple of weeks."
d. "I can give him a tub bath in two days."
d. "I can give him a tub bath in two days."
A nurse is discussing the use of condoms with a female client. Which of the following statements by client represents a need for further teaching?
Select one:
a. "My partner will put the condom on while his penis is erect."
b. "I will remove the condom 30 minutes after intercourse."
c. "My partner should leave an empty space at the tip."
d. "I can use spermicidal gels or creams to increase effectiveness."
b. "I will remove the condom 30 minutes after intercourse."
A client reports awaking from sleep by contractions that are occurring every five minutes and lasting 30-40 seconds. Which of the following questions should the nurse ask to assess for true labor versus false labor?
Select one:
a. "When did your contractions begin?"
b. "Have you noticed any bloody show or fluid coming from your vagina?"
c. "What happens to your contractions when you move about?"
d. "Have you felt fetal movement over the last 24 hours?"
b. "Have you noticed any bloody show or fluid coming from your vagina?"
1. Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach her about lochia flow?
1. Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach her about lochia flow?
2. A nurse monitors fetal well-being by means of an external monitor. At the peak of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min below the baseline. Late decelerations are suspected and the nurse notifies the physician. Which is the rationale for this action?
.
Correct: Late decelerations are associated with uteroplacental insufficiency and are a signof fetal hypoxia. Repeated late decelerations indicate fetal distress.
The umbilical cord is wrapped tightly around the fetus' neck
The fetal cord is being compressed due to rapid descent of the fetal head
Maternal contractions are not adequate enough to deliver the fetus
The fetus is not receiving adequate oxygen and is in distress
3. Which preoperative nursing interventions should be included for a client who is scheduled to have an emergency cesarean birth?
Monitor oxygen saturation and administer pain medication.
Assess vital signs every 15 minutes and instruct the client about postoperative care. [Show Less]