ATI PROCTORED MATERNAL NEWBORN 2023/2024
NEW UPDATE / ATI PROCTORED MATERNAL
NEWBORN LATEST UPDATE 4/ ATI PROCTORED
MATERNAL NEWBORN
QUESTIONS AND
... [Show More] ANSWERS
GRADED A+
A nurse is caring for a client who is at 16 weeks of gestation and has severe iron deficiency anemia. The provider prescribes an injection of iron dextran IM. Which of the following methods should the nurse use to administer the medication?
Use a 20-gauge needle, and administer the medication using the Z-track method.
Use a 22-gauge needle, and administer the medication deep into the thigh.
Use a 25-gauge needle, and administer the medication into the deltoid muscle.
Use an 18-gauge needle, and administer the medication into the rectus femoris muscle
Correct Answer: Use a 20-guage needle, and administer the medication using the Z track method
The nurse should administer iron using the Z-track method to prevent staining of tissue. A 20gauge needle is the correct size.
A nurse in an antepartum clinic answers a phone call from a client who is at 37 weeks of gestation and reports, "I become very dizzy while lying in bed this morning, but the feeling went away when I turned on my side." Which of the following actions should the nurse take?
Instruct the client about vena cava syndrome and measures to prevent it.
Arrange for the client to come to the clinic for an assessment.
Check the client's chart for gestational diabetes mellitus.
Schedule a nonstress test for the client. Correct Answer:
Instruct the client about vena cava syndrome and measures to prevent it
This is the typical finding of vena cava syndrome, or hypotension that occurs in clients who are pregnant upon assuming a supine position. It is caused by compression of the inferior vena cava by the gravid uterus with a consequent reduction in venous return. A side lying position promotes uterine perfusion and fetoplacental oxygenation.
A nurse is teaching a client about a nonstress test. Which of the following statements by the client indicates an understanding of the teaching?
"I know not to eat anything after midnight."
"I will have medication given to me to cause contractions." "I should press the button on the handheld marker when my baby moves."
"I will have to stimulate my breast to cause contractions." Correct Answer: I should press the button on the handheld marker when my baby moves
The purpose of the test is to assess fetal well-being. The client should press the button on the handheld marker when she feels fetal movement.
A nurse is caring for a client who is at 36 weeks of gestation and has preeclampsia. Which of the following findings should the nurse identify as the priority?
1+ proteinuria
Blood pressure 140/98 mm Hg
Nonreactive nonstress test
Fundal height 33 cm
Correct Answer: Nonreactive nonstress test
In a nonreactive nonstress test, there are no accelerations. Absence of FHR accelerations suggests that the fetus might be going into distress.
A nurse is caring for a client who is in labor. The client questions the application of an internal fetal scalp monitor. Which of the following responses should the nurse make?
"Don't worry. Your baby is fine."
"You will need to ask your provider."
"Your provider feels it would be best."
"We need to observe your baby more closely
." Correct Answer: We need to observe your baby more closely
The client has asked an information-seeking question. This therapeutic response provides information to the client in an honest, nonthreatening manner. The use of an internal fetal scalp monitor, or an internal spiral electrode, provides a more accurate assessment of fetal well-being during labor.
A nurse is assessing a client who i [Show Less]