Questions 68

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ATI Maternal Newborn Final Exam moitoso Questions

Extract:

Client being educated on breastfeeding positions.


Question 1 of 5

A nurse is educating a client on breastfeeding positions. Which of the following should the nurse discuss?

Correct Answer: B

Rationale: The cradle position is effective for breastfeeding, supporting proper latching and comfort.

Extract:

Client at 6 weeks gestation with chronic hypertension and gestational diabetes, reports decreased fetal movement, FHR 120 bpm, absent variability, no accelerations, recurrent late decelerations.


Question 2 of 5

A client arrives at OB triage with complaints of decreased fetal movement for the past 24 hours. The client states, 'I see the high-risk clinic because I have chronic hypertension and gestational diabetes.' The nurse applies the external fetal monitors and identifies a fetal heart rate baseline of 120 bpm, absent variability, no accelerations, and recurrent late decelerations. What fetal heart rate category would the nurse communicate to the provider?

Correct Answer: C

Rationale: Category 3 indicates abnormal FHR patterns with absent variability and recurrent late decelerations, suggesting potential fetal hypoxia.

Extract:

Four newborns in a special care nursery: 8-hour-old with blue coloring of hands and feet, newborn with small raised pearly spots on nose, newborn with apical heart rate of 140 bpm, newborn with nasal flaring and grunting.


Question 3 of 5

A nurse is caring for four newborns in a special care nursery. Which of the following newborn assessment findings requires immediate intervention?

Correct Answer: D

Rationale: Nasal flaring and grunting indicate respiratory distress, requiring immediate intervention to ensure the newborn's airway and breathing are supported.

Extract:

28-year-old, Gravida 3 Para 2, chronic hypertension, gestational diabetes, vacuum-assisted vaginal delivery, boggy fundus, heavy lochia, oxytocin infusion, BP 144/92, temperature 100.4°F.


Question 4 of 5

A nurse is caring for a 28-year-old female client in the fourth stage of labor after a vaginal delivery in the labor and delivery unit. Complete the following sentence using the list of options: The client is at highest risk for developing ___ due to ___.

Correct Answer: A

Rationale: Heavy lochia with clots indicates postpartum hemorrhage risk, likely due to uterine atony.

Extract:

Client with HELLP syndrome.


Question 5 of 5

A nurse is caring for a patient with HELLP syndrome. Which of the following findings are consistent with a diagnosis of HELLP syndrome?

Correct Answer: D

Rationale: Elevated liver enzymes are a hallmark of HELLP syndrome, reflecting liver dysfunction.

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