ATI LPN
Maternal Newborn ATI Proctored Exam 2023
1. A healthcare provider is assessing fetal heart tones for a pregnant client. The provider has determined the fetal position as left occipital anterior. To which of the following areas of the client's abdomen should the provider apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart?
- A. Left upper quadrant
- B. Right upper quadrant
- C. Left lower quadrant
- D. Right lower quadrant
Correct answer: C
Rationale: When the fetal position is left occipital anterior, the point of maximum intensity of the fetal heart is best heard in the left lower quadrant of the client's abdomen. Placing the ultrasound transducer in the left lower quadrant allows for optimal detection of fetal heart tones in this specific fetal position. Choice A (Left upper quadrant) is incorrect as it is not where the fetal heart tones are best heard in this scenario. Choice B (Right upper quadrant) is also incorrect as it is not the recommended area for assessing fetal heart tones in a left occipital anterior position. Choice D (Right lower quadrant) is incorrect as the focus should be on the left side due to the fetal position mentioned.
2. When providing dietary instructions to a client with cirrhosis, which dietary restriction is important for the nurse to emphasize?
- A. Low-protein diet
- B. Low-sodium diet
- C. High-fiber diet
- D. High-calcium diet
Correct answer: B
Rationale: A low-sodium diet is crucial for clients with cirrhosis to manage fluid retention and ascites. Excessive sodium intake can worsen fluid accumulation in the body, leading to complications. By restricting sodium intake, the client can help reduce fluid retention and maintain better overall health. Therefore, emphasizing a low-sodium diet is essential in the dietary management of cirrhosis. Choices A, C, and D are not the primary focus for cirrhosis management. While protein restriction may be necessary in advanced stages of liver disease, it is not the main dietary concern in cirrhosis. High-fiber and high-calcium diets are generally beneficial for overall health but are not specifically emphasized in cirrhosis management.
3. Why is iron supplementation given to pregnant women?
- A. To prevent anemia
- B. To promote fetal growth
- C. To prevent premature labor
- D. To prevent postpartum hemorrhage
Correct answer: A
Rationale: Iron supplementation is essential for pregnant women to prevent anemia, which can have adverse effects on both the mother and the developing fetus. Anemia in pregnancy can lead to fatigue, weakness, and even complications such as preterm birth or low birth weight. Therefore, ensuring an adequate supply of iron through supplementation is crucial to support the increased demands during pregnancy and prevent deficiencies that could negatively impact the health of both the mother and the baby.
4. A nurse is assessing a client for signs of anemia. Which of the following findings should the nurse look for?
- A. Increased energy
- B. Pale skin
- C. Elevated blood pressure
- D. Weight gain
Correct answer: B
Rationale: The correct answer is B: 'Pale skin.' Pale skin is a common sign of anemia due to reduced hemoglobin levels, which affects the skin color. Anemia is characterized by a decrease in the number of red blood cells or hemoglobin in the blood, leading to a paler complexion. Choices A, C, and D are incorrect. 'Increased energy' is not typically associated with anemia, as fatigue is a common symptom. 'Elevated blood pressure' is not a typical finding in anemia; instead, anemia may cause hypotension. 'Weight gain' is not a direct symptom of anemia; in fact, weight loss may occur in some cases due to reduced appetite or other factors associated with anemia.
5. Proteins are absorbed primarily in the form of:
- A. fatty acids.
- B. disaccharides.
- C. amino acids.
- D. polypeptides.
Correct answer: C
Rationale: The correct answer is C: amino acids. Proteins are broken down by digestive enzymes into amino acids before being absorbed in the small intestine. Amino acids are the building blocks of proteins and are the form in which they are primarily absorbed. Choice A (fatty acids) is incorrect as fatty acids are the end products of fat digestion, not protein digestion. Choice B (disaccharides) is incorrect because disaccharides are sugars that are broken down into monosaccharides, not proteins. Choice D (polypeptides) is incorrect as proteins are broken down into amino acids and not absorbed as polypeptides.
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