ATI RN Maternal Newborn 2019 Proctored Exam V2| Questions and Verified Answers with Rationales (70 Q&A)
QUESTION
A nurse is providing nutritional
... [Show More] guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium?
A. 1⁄2 cup cubed avocado
B. 1 large banana
C. 1 medium potato
D. 1 cup cooked broccoli
Answer:
D. 1 cup cooked broccoli
1⁄2 cup cubed avocado contains 9 mg of calcium. 1 large banana contains 7 mg of calcium. 1 medium potato 26 mg of calcium. 1 cup cooked broccoli contains 180 mg of calcium.
QUESTION
A nurse in a provider's office is assessing a client at her first antepartum visit. The client states that the first day of her last menstrual period was March 8. Use Nagele's rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation.)
Answer:
March 8 - 3 months = December 8 + 7 = Dec. 13 because of Feb. having 29 days.
QUESTION
A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect?
A. The client expels the placenta.
B. The client experiences gradual dilation of the cervix
C. The client begins to have regular contractions.
D. The client delivers the newborn.
Answer:
D. The client delivers the newborn.
The second stage of labor lasts from the time the cervix is fully dilated to the birth of the fetus.
QUESTION
A nurse is assessing a client who is at 37 weeks (about 8 and a half months) of gestation. Which of the following statement by the client requires immediate intervention by the nurse?
A. "It burns when I urinate."
B. "My feet are really swollen today."
C. "I didn't have lunch today, but I have breakfasted this morning."
D. "I have been seeing spot this morning."
Answer:
A. "It burns when I urinate."
During pregnancy, you are more susceptible to urinary tract infections. Most commonly, such infections are confined to the bladder, when they are known as cystitis. Symptoms of cystitis include a frequent, urgent need to urinate and a painful burning sensation when passing urine; there may be some blood in your urine.
QUESTION
A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?
A. "I should position my baby's car seat at a 45-degree angle in the car."
B. "I should place the car seat rear facing until my baby is 12 months old."
C. "I should place the harness snugly in a slot above my baby's shoulders."
D. "I should position the retainer clip at the top of my baby's abdomen."
Answer:
A. "I should position my baby's car seat at a 45-degree angle in the car."
Set the seat at a 45-degree angle. Your baby's head should rest at least 2 inches below the top of the car seat.
QUESTION
A nurse is developing an educational program about hemolytic diseases in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?
A. The mother is Rh positive, and the father is Rh negative.
B. The mother is Rh negative, and the father is Rh positive.
C. The mother and the father are both Rh positive.
D. The mother and the father are both Rh negative.
Answer:
B. The mother is Rh negative, and the father is Rh positive.
Hemolytic Diseases in Newborns (HDN) most frequently occurs when a Rh-negative mother has a baby with a Rh-positive father. When the baby's Rh factor is positive, like the father's, problems can develop if the baby's red blood cells cross to the Rh-negative mother. This usually happens at delivery when the placenta detaches.
QUESTION
A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first?
A. A client who has diabetes mellitus and an HbA1c of 5.8%
B. A client who has preeclampsia and a creatinine level of 1.1 mg/ dL
C. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L
D. A client who has placenta previa and a hematocrit of 36%
Answer:
C. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L
As a consequence of this physiological adaptation, normal pregnancy is associated with reduction in serum sodium of 3-6 mmol/L and reduction in serum osmolality of 10 mOsm/kg. Hyponatremia is diagnosed if serum sodium <135 mmol/L in non-pregnant individuals, but <130 mmol/L in pregnant women. [Show Less]