ATI OB NUTRIATION PROCTORED EXAM 2021 WITH CORRECT QUESTIONS AND ANSWERS {GRADED A}

ATI OB NUTRIATION PROCTORED EXAM 2021 WITH CORRECT QUESTIONS AND ANSWERS {GRADED A} 1. A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect? Facial petechiae- seen over the presenting part with soft tissue injuries -nuchal cord: umbilical cord around fetal neck. Will cause variable deceleration of FHR. Intervention: repositi on client from side to side or into knee chest, discontinue oxytocin if being infused, oxygen 2. A nurse is monitoring a newborn whose mother reports recent opiate use for neonatal abstinence syndrome. Which of the following findings indicates narcotic withdrawal? 1. Respiratory rate 50/min 2. Unequal pupils 3. Hypotonia 4. Excessive crying • Substance withdrawal in the newborn occurs when the mother uses drugs during pregnancy. • Hitch pitch shrill cries, incessant crying, tremors, increae deep tendon reflexes, disturbed sleep pattern, hypertonicity, convulsions • Nasal congestion w/ flaring, apnea, tachypnea 60/min 3. A nurse is caring for a client who is in the second stage of labor. The nurse observes the fetal head retract against the clients perineum immediately following emergence . Which of the following actions should the nurse take? 1. Assess fetal position using Leopold maneuvers 2. Reposition the client in a left lateral position??? Not sure 3. Apply pressure to the clients suprapubic area 4. Empty the client’s bladder using Crede’s maneuver • Pg 189) Prepare to apply suprapubic pressure to aid in the delivery of the anterior shoulder, which is located inferior to the maternal symphysis pubis. 4. A client and her partner ask the nurse for information about permanent contraception. Which of the following statements should 1. “A man is usually sterile immediately after a vasectomy”- must use birth control after procedure. Is not effective until 20 ejaulations or 1 week to several months to allow all sperm to clear 2. “The menstrual cycle is shorter after a tubal ligation” 3. “Most sterilization procedures are considered irreversible” 4. “A woman should use contraception for 1-2 months after a tubal ligation” 5. A nurse is providing education to a client who is to receive misoprostol for induction of labor. Which of the following instructions should the nurse include in the teaching? 1. “ I will insert a urinary catheter before I administer the medication” -?? 2. “I will begin an oxytocin infusion w/in 2 hrs of your last dose of medication” 3. “You will like on your side for 40 minutes after I administer the medication 4. “You will receive an antacid containing magnesium before the medication” -uterine stimulant. Controls postpartum hemorrhage. Assess uterine tone and vaginal bleeding -postpartum hemorrhage nursing care: massage fundas. Insert urinary catheter to assess kidney functions to obtain accurate urinary output for bladder distention. Elevate legs. 6. A nurse is assessing a client who is in her second trimester for common physiological changes during pregnancy. The nurse notes a blotchy discoloration on the client’s forehead, nose & cheeks. Which of the following changes should the nurse document p. 17 chapter 3 1. Linea nigra-dark line pigmentation from umbilicus to the pubic area. 2. Epulis- not found on ati book, but it is a tumor on the mouth caused by gingervitis. 3. Striae gravidarum - stretch marks found on abdomen and thigh 4. Chloasma -increase pigmentation on the face 7. A charge nurse is discussing STIs w/ a newly licensed nurse. Which of the following infections should the nurse include in the teaching as an indication for a cesarean birth p .