ATI RN
ATI Capstone Maternal Newborn Assessment Quizlet
1. A nurse is teaching a client who is at 20 weeks of gestation about the glucose tolerance test. Which of the following instructions should the nurse include?
- A. You should eat a low-carbohydrate diet for 3 days before the test.
- B. You will need to fast for 12 hours before the test.
- C. You should expect the test to take about 1 hour.
- D. You will need to limit fluid intake to water before the test.
Correct answer: C
Rationale: The correct answer is C. During a glucose tolerance test, the client is required to drink a glucose solution, and blood samples are taken at specific intervals, typically over a period of 1 to 3 hours. In this case, the nurse should inform the client to expect the test to take about 1 hour. Choices A, B, and D are incorrect because there is no specific instruction to eat a low-carbohydrate diet for 3 days before the test, fast for 12 hours before the test, or limit fluid intake to water before the test in a standard glucose tolerance test.
2. Freud's psychosexual stage that occurs between the ages of 3 and 5 and includes the Oedipal period is the ________ stage.
- A. genital
- B. oral
- C. phallic
- D. latency
Correct answer: C
Rationale: Freud's psychosexual stage that occurs between the ages of 3 and 5, including the Oedipal period, is the phallic stage. During this stage, children experience the Oedipus or Electra complex, where they develop unconscious sexual desires for the opposite-sex parent and see the same-sex parent as a rival. The genital stage (Choice A) is the final stage where mature sexual interests emerge, oral (Choice B) and anal stages precede the phallic stage, and latency (Choice D) is a stage following the phallic stage characterized by a focus on developing social and cognitive skills.
3. What is the primary concern in a child with nephrotic syndrome?
- A. Hypotension
- B. Hyperkalemia
- C. Hyperlipidemia
- D. Hypocalcemia
Correct answer: C
Rationale: The correct answer is C: Hyperlipidemia. Children with nephrotic syndrome often present with hyperlipidemia due to altered lipid metabolism, making it a primary concern in these patients. Hypotension (choice A) is not a primary concern in nephrotic syndrome. Hyperkalemia (choice B) and hypocalcemia (choice D) are not typically associated with nephrotic syndrome and are less likely to be primary concerns in these patients.
4. What are the nursing interventions for a patient with pneumonia?
- A. Providing fluids and rest
- B. Monitoring lung sounds and respiratory rate
- C. Encouraging coughing and deep breathing exercises
- D. Administering antibiotics and providing oxygen therapy
Correct answer: B
Rationale: The correct nursing interventions for a patient with pneumonia include monitoring lung sounds and respiratory rate to assess the effectiveness of treatment and the patient's respiratory status. Providing fluids and rest (Choice A) can be supportive measures but are not specific nursing interventions for pneumonia. Encouraging coughing and deep breathing exercises (Choice C) can be helpful for airway clearance but may not be appropriate for all patients with pneumonia. Administering antibiotics and providing oxygen therapy (Choice D) are medical interventions rather than nursing interventions.
5. A factor contributing to the risk for dehydration in the older adult is that _____.
- A. drinking fluids causes loss of bladder control
- B. older adults do not seem to notice mouth dryness as readily as younger people
- C. increased fluid intake will decrease the intake of nutrient-dense foods
- D. changes in intestinal motility contribute to excess fluid loss
Correct answer: C
Rationale: Older adults may not notice mouth dryness as readily as younger individuals, increasing their risk for dehydration, especially if they do not consciously increase fluid intake.
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