ATI Maternal Newborn 2019 Exam 3 | Nurselytic

Questions 39

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ATI Maternal Newborn 2019 Exam 3 Questions

Extract:

A client who has hyperemesis gravidarum


Question 1 of 5

A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?

Correct Answer: D

Rationale: Urine ketones detect ketosis from prolonged vomiting in hyperemesis gravidarum, guiding treatment. Culture, reagin, and prothrombin tests are unrelated.

Extract:

Four newborns in a nursery


Question 2 of 5

A nurse in a newborn nursery is receiving a change-of-shift report for four newborns. Which of the following newborns should the nurse assess first?

Correct Answer: D

Rationale: Tachypnea in a newborn signals potential respiratory distress, requiring immediate assessment. Feeding issues, delayed stool, and blood-tinged discharge are less urgent.

Extract:

A client who is 2 days postpartum following a vaginal delivery and reports constipation


Question 3 of 5

A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?

Correct Answer: B

Rationale: A third-degree perineal laceration contraindicates suppositories due to risk of further trauma. Distention, candidiasis, and afterpains do not preclude suppository use.

Extract:

A client who is in the latent phase of the first stage of labor and is in pain


Question 4 of 5

A nurse is caring for a client who is in the latent phase of the first stage of labor and is in pain. Which of the following nursing interventions are appropriate to reduce pain?

Correct Answer: A,C,D

Rationale: Nitrous oxide, counterpressure, and hydrotherapy reduce labor pain effectively. Ambulation may not suit the latent phase, and Leopold maneuvers assess position, not pain.

Extract:

A newborn's Babinski reflex


Question 5 of 5

A nurse is performing an assessment of a newborn's Babinski reflex. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Dorsiflexion of the great toe is the normal Babinski reflex in newborns, persisting until about age 2. Other responses indicate abnormal reflexes.

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