ATI MATERNITY PROCTORED EXAM

Contractions become stronger with walking. The contractions that occur during true labor become stronger and more regular with a change in activity, such as walking. Discomfort can be suppressed with a back massage. The discomfort of false labor can be suppressed by using comfort measures, such as a back or foot massage. With true labor, the client discomfort continues regardless of the use of comfort measures. Contractions become irregular with a change in activity. The contractions that occur during true labor will become stronger and more regular with a change in activity. Discomfort is felt above the umbilicus. The discomfort experienced during the contractions of true labor is felt in the lower back and lower abdomen. Discomfort during false labor is usually felt above the umbilicus. 4) A nurse is teaching a group of parents about newborn safety. Which of the following statements by a parent indicates an understanding of the teaching? "I will put a bib on my baby at night to keep her clothing dry." The parents should avoid placing a bib around their newborns' necks at night to prevent choking and suffocation. "I will cover the crib mattress with plastic to prevent staining." The parents should avoid placing plastic over the crib mattress to prevent suffocation. "I will warm my baby's formula using the lowest setting in the microwave." The parents should avoid heating the formula in a microwave to prevent uneven warming of the formula. "I will dress my baby in flame-retardant clothing." The parents should dress their newborns in flame-retardant clothing to prevent injury. 5) A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect? Decreased platelet count A client who has ITP has an autoimmune response that results in a decreased platelet count. Increased erythrocyte sedimentation rate (ESR) An increased ESR is an indication of chronic renal failure. Decreased megakaryocytes A client who has ITP will have megakaryocytes within the expected reference range. Increased WBC An increased WBC is an indication of infection 6) A nurse is caring for a newborn who was transferred to the nursery 30 min after delivery. Which of the following actions should the nurse take first? Confirm the newborn's Apgar score. The Apgar score is a physiologic assessment that occurs 1 min following birth and again at 5 min. The nurse should confirm the score when the newborn arrives in the nursery. However, there is another action the nurse should take first. Verify the newborn's identification. When using the safety/risk reduction approach to client care, the first action the nurse should take is to verify the newborn's identity upon arrival to the nursery. Administer vitamin K to the newborn. The nurse should administer IM vitamin K to the newborn soon after birth to increase clotting factors and prevent bleeding. However, the injection can be delayed until after initial bonding time and the first breastfeeding if necessary. Therefore, there is another action the nurse should take first. Determine obstetrical risk factors. The nurse should identify obstetrical risk factors to determine if interventions are required for the newborn. However, there is another action the nurse should take first. 7) A nurse is assessing a client who is in active labor and notes early decelerations in the FHR on the monitor tracing. The client is at 39 weeks of gestation and is receiving a continuous IV infusion of oxytocin. Which of the following actions should the nurse take? Discontinue the oxytocin infusion. Early decelerations in the FHR are considered benign. Early decelerations occur due to compression of the fetal head during contractions, vaginal examinations, and pushing during the second stage of labor. No interventions are necessary for early decelerations. Continue monitoring the client. Early decelerations in the FHR are considered benign. Early decelerations occur due to compression of the fetal head during contractions, vaginal examinations, and pushing during the second stage of labor. No interventions are necessary for early decelerations. Therefore, the nurse should continue to monitor the client. Request that the provider assess the client. Early decelerations in the FHR are considered benign. Early decelerations occur due to compression of the fetal head during contractions, vaginal examinations, and pushing during the second stage of labor. No interventions are necessary for early decelerations. Increase the infusion rate of the maintenance IV fluid. Early decelerations in the FHR are considered benign. Early decelerations occur due to compression of the fetal head during contractions, vaginal examinations, and pushing during the second stage of labor. No interventions are necessary for early decelerations. 11) A nurse in a provider's office is reviewing the medical record of a client who is in her first trimester of pregnancy. Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia? Singleton pregnancy ..................................................................................................CONTINUE