ATI Maternal Newborn Proctored Exam - Nurselytic

Questions 54

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ATI Maternal Newborn Proctored Exam Questions

Question 1 of 5

A healthcare professional is reviewing the laboratory values of a client who has respiratory acidosis. Which of the following findings should the healthcare professional expect?

Correct Answer: B

Rationale: In respiratory acidosis, the primary disturbance is an increase in PaCO2 levels above the normal range of 35-45 mm Hg. Option B, PaCO2 50 mm Hg, indicates an elevated partial pressure of carbon dioxide, which is consistent with respiratory acidosis. Options A, C, and D are not directly indicative of respiratory acidosis. HCO3- (Option
A) is more related to metabolic acidosis or alkalosis, pH (Option
C) is within the normal range indicating no acid-base imbalance, and potassium (Option
D) levels are not specific to respiratory acidosis.

Question 2 of 5

The nurse is assessing a pregnant client with hyperemesis gravidarum. What is the priority nursing action?

Correct Answer: A

Rationale: Monitoring for dehydration and electrolyte imbalances is critical due to the risk of complications from persistent vomiting.

Question 3 of 5

Which of the following is an abnormal finding upon

Correct Answer: D

Rationale: The abnormal finding listed in option D, "
To prevent the patient from urinating during space surgery," stands out from the rest of the options provided. This is because during space surgery, it is not necessary or appropriate to prevent the patient from urinating; rather, it is essential to focus on the surgical procedure and the patient's safety in a space environment. The other options focus on normal or abnormal physical examination findings in infants, such as the hydration status, fontanel appearance, suture line spacing, ear positioning, and uterus displacement.

Question 4 of 5

A nurse is admitting a client who is at 33 weeks of gestation and has preeclampsia with severe features. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: In a client with preeclampsia with severe features at 33 weeks of gestation, initiating seizure precautions is a priority nursing action. Preeclampsia with severe features places the client at an increased risk for seizures.
Therefore, the nurse should ensure that seizure precautions are in place, such as maintaining a safe environment, pad the side rails of the bed, and have emergency medications and equipment readily available. Monitoring for signs and symptoms of worsening preeclampsia and impending seizures is crucial for the client's safety and well-being.

Question 5 of 5

Which data in the patient's history should the nurse recognize as being pertinent to a possible diagnosis of postpartum depression?

Correct Answer: A

Rationale: A previous history of depression is a significant risk factor for postpartum depression. Women who have experienced a depressive episode in the past are more likely to develop postpartum depression compared to those without such a history. Recognizing this pertinent data in the patient's history can help the nurse identify individuals at higher risk for postpartum depression and provide appropriate support and intervention. The other options mentioned (B. Unexpected operative birth, C. Ambivalence during the first trimester, D. Second pregnancy in a 3-year period) may also contribute to emotional distress but are not as directly linked to postpartum depression as a previous depressive episode.

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