a nurse is admitting a client who has a diagnosis of preterm labor the nurse anticipates a prescription by the provider for which of the following med a nurse is admitting a client who has a diagnosis of preterm labor the nurse anticipates a prescription by the provider for which of the following med
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ATI RN

ATI Maternal Newborn Proctored Exam 2023

1. A client with preterm labor is being admitted. The nurse anticipates a prescription by the provider for which of the following medications?

Correct answer: Indomethacin

Rationale: Indomethacin is used to delay premature labor by inhibiting uterine contractions. Prostaglandin E2, Methylergonovine, and Oxytocin are not typically used to manage preterm labor. Prostaglandin E2 can be used for cervical ripening and labor induction. Methylergonovine is used to prevent or control postpartum hemorrhage. Oxytocin is used for labor induction and augmentation of labor in term pregnancies.

2. The appropriate order of steps in active management of the third stage of labor include:

Correct answer: C

Rationale: Intramuscular injection of oxytocin, controlled cord traction with counter traction to the uterus, and uterine massage are the appropriate steps in active management of the third stage of labor.

3. Strict behaviorists would be most sympathetic to which one of the following statements?

Correct answer: B

Rationale: Strict behaviorists, who adhere to behaviorism, believe that human behavior is primarily influenced by environmental factors. This perspective asserts that individuals' actions and responses are shaped by their interactions with the environment, learning experiences, and external stimuli. Choice A is incorrect because strict behaviorists do not focus on inherited factors but on how behavior is learned and shaped through environmental influences. Choice C is also incorrect as behaviorists do not believe in equal contributions of inherited and environmental factors; they emphasize environmental determinants. Choice D is incorrect as behaviorists have a clear stance that behavior is influenced by environmental stimuli and learning experiences.

4. Which electrolyte imbalance is a common concern in patients receiving loop diuretics?

Correct answer: C

Rationale: The correct answer is Hypokalemia (Choice C). Loop diuretics can lead to potassium loss in the urine, resulting in hypokalemia. This electrolyte imbalance is a common concern with loop diuretic therapy and necessitates regular monitoring. Hyperkalemia (Choice A) is not typically associated with loop diuretics but with conditions like renal failure. Hyponatremia (Choice B) is more common with thiazide diuretics. Hypercalcemia (Choice D) is not a typical concern with loop diuretic use.

5. What are the nursing considerations when caring for a patient with chronic obstructive pulmonary disease (COPD)?

Correct answer: A

Rationale: The correct answer is A. Pursed-lip breathing is a nursing consideration for patients with COPD as it helps improve oxygenation and reduces air trapping. While administering bronchodilators and corticosteroids (choice B) is part of the treatment plan, it is typically done by healthcare providers. Monitoring oxygen saturation and arterial blood gases (ABGs) (choice C) is important but not a direct nursing consideration. Teaching the patient how to use an inhaler (choice D) is relevant but not specific to COPD care.

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