Obesity in Pregnancy Complications and Maternal Management

ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 1 of 45

A new mother received epidural anesthesia during labor and had a forceps delivery after pushing 2 hours. At 6 hours PP, her systolic blood pressure has dropped 20 points, her diastolic BP has dropped 10 points, and her pulse is 120 beats per minute. The client is anxious and restless. On further assessment, a vulvar hematoma is verified. After notifying the health care provider, the nurse immediately plans to:

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 2 of 45

Which of the following findings would be expected when assessing the postpartum client?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 3 of 45

Methergine or pitocin is prescribed for a woman to treat PP hemorrhage. Before administration of these medications, the priority nursing assessment is to check the:

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 4 of 45

Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 5 of 45

The amniotic fluid of a client has a greenish tint. The nurse interprets this to be the result of which of the following?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 6 of 45

A client at 8 weeks' gestation calls complaining of slight nausea in the morning hours. Which of the following client interventions should the nurse question?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 7 of 45

The term used to describe legal and professional responsibility for practice for maternity nurses is:

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 8 of 45

When teaching a mother about introducing solid foods to her child, which of the following indicates the earliest age at which this should be done?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 9 of 45

With a fetus in the left-anterior breech presentation, the nurse would expect the fetal heart rate would be most audible in which of the following areas?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 10 of 45

A nurse performs an assessment on a client who is 4 hours PP. The nurse notes that the client has cool, clammy skin and is restless and excessively thirsty. The nurse prepares immediately to:

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 11 of 45

The nurse assesses the vital signs of a client, 4 hours' postpartum that are as follows: BP 90/60; temperature 100.4Ã‚Â°F; pulse 100 weak, thready; R 20 per minute. Which of the following should the nurse do first?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 12 of 45

A 14-year-old boy has acne and according to his parents, dominates the bathroom by using the mirror all the time. Which of the following remarks by the nurse would be least helpful in talking to the boy and his parents?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 13 of 45

When preparing a woman who is 2 days postpartum for discharge, recommendations for which of the following contraceptive methods would be avoided?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 14 of 45

A postpartum nurse is taking the vital signs of a woman who delivered a healthy newborn infant 4 hours ago. The nurse notes that the mother's temperature is 100.2Ã‚Â°F. Which of the following actions would be most appropriate?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 15 of 45

A PP nurse is providing instructions to a woman after delivery of a healthy newborn infant. The nurse instructs the mother that she should expect normal bowel elimination to return:

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 16 of 45

Late deceleration patterns are noted when assessing the monitor tracing of a woman whose labor is being induced with an infusion of Pitocin. The woman is in a side-lying position, and her vital signs are stable and fall within a normal range. Contractions are intense, last 90 seconds, and occur every 1 1/2 to 2 minutes. The nurse's immediate action would be to:

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 17 of 45

Which of the following behaviors characterizes the PP mother in the taking in phase?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 18 of 45

Which of the following information, when voiced by the mother, would indicate to the nurse that she understands home care instructions following the administration of a diphtheria, tetanus, and pertussis injection?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 19 of 45

While obtaining a detailed history from a woman who has recently emigrated from Somalia, the nurse realizes that the client has undergone female genital mutilation (FGM). The nurse's best response to this patient is:

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 20 of 45

Which of the following would be the nurse's priority action when caring for a neonate with respiratory distress syndrome?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 21 of 45

During which of the following would the focus of classes be mainly on physiologic changes, fetal development, sexuality, during pregnancy, and nutrition?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 22 of 45

A nurse is caring for a client in labor and is monitoring the fetal heart rate patterns. The nurse notes the presence of episodic accelerations on the electronic fetal monitor tracing. Which of the following actions is most appropriate?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 23 of 45

At 38 weeks gestation, a client is having late decelerations. The fetal pulse oximeter shows 75% to $85 \%$. The nurse should:

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 24 of 45

A nurse is administering an uterotonic medication to a birthing person who has just delivered the placenta. Which uterotonic medication is commonly used to prevent postpartum hemorrhage and promote uterine contractions?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 25 of 45

The nurse hears a mother telling a friend on the telephone about umbilical cord care. Which of the following statements by the mother indicates effective teaching?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 26 of 45

A nurse is assessing a pregnant client in the 2nd trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which of the following assessment findings would the nurse expect to note if this condition is present?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 27 of 45

A nurse is teaching a group of parents about preventing sudden infant death syndrome (SIDS). Which of the following should be included as the most important recommendation?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 28 of 45

Which of the following suggestions should the nurse offer the parents of a 4-year-old boy who resists going to bed at night?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 29 of 45

During which of the following stages of labor would the nurse assess 'crowning'?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 30 of 45

When preparing a client for cesarean delivery, which of the following key concepts should be considered when implementing nursing care?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 31 of 45

The nurse's care of a Hispanic family includes teaching about infant care. When developing a plan of care, the nurse bases interventions on the knowledge that in traditional Hispanic families:

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 32 of 45

Which of the following assessment findings would the nurse expect if the client develops DVT?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 33 of 45

A patient at 10 weeks' gestation informs the nurse they are having vaginal bleeding and cramping. After completing a speculum examination, the health-care provider (HCP) informs the patient their cervix is open. What does the nurse anticipate the HCP will inform the patient they are experiencing?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 34 of 45

The client tells the nurse that her last menstrual period started on January 14 and ended on January 20. Using Nagele's rule, the nurse determines her EDD to be which of the following?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 35 of 45

Menstruation is periodic uterine bleeding:

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 36 of 45

Which of the following would be the nurse's most appropriate response to a client who asks why she must have a cesarean delivery if she has a complete placenta previa?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 37 of 45

During the first stage of labor, what is the primary goal of nursing care in the early phase?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 38 of 45

A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for infant mortality, which plan is most important for the nurse to implement?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 39 of 45

A nurse is monitoring a client in labor who is receiving Pitocin and notes that the client is experiencing hypertonic uterine contractions. List in order of priority the actions that the nurse takes.

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 40 of 45

The process by which people retain some of their own culture while adopting the practices of the dominant society is known as:

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 41 of 45

During the 3rd PP day, which of the following observations about the client would the nurse be most likely to make?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 42 of 45

When teaching a group of adolescents about variations in the length of the menstrual cycle, the nurse understands that the underlying mechanism is due to variations in which of the following phases?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 43 of 45

Which of the following fetal positions is most favorable for birth?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 44 of 45

Which of the following groups of newborn reflexes below are present at birth and remain unchanged through adulthood?

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ATI LPN · Obesity in Pregnancy Complications and Maternal Management

Question 45 of 45

Perineal care is an important infection control measure. When evaluating a postpartum woman's perineal care technique, the nurse would recognize the need for further instruction if the woman:

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