ATI RN
Maternal Disorders Questions
Question 1 of 5
A 32-week-gestation client was last seen in the prenatal clinic at 28 weeks' gestation. Which of the following changes should the nurse bring to the attention of the certified nurse midwife?
Correct Answer: A
Rationale: The correct answer is A because a weight gain of 10 pounds in 4 weeks for a 32-week-gestation client is excessive and may indicate a potential issue such as gestational diabetes or preeclampsia. B: The pulse rate change is within a normal range for pregnancy. C: The blood pressure change is minimal and still within normal limits. D: The respiratory rate change is also within normal limits for pregnancy.
Question 2 of 5
The nurse is grading a woman's reflexes. Which of the following grades would indicate reflexes that are slightly brisker than normal?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A client with mild preeclampsia who has been advised to be on bed rest at home asks why doing so is necessary. Which of the following is the best response for the nurse to give the client?
Correct Answer: C
Rationale: The correct answer is C because reclining will help improve blood flow to the placenta, increasing oxygen delivery to the baby. This is crucial in preeclampsia to prevent complications such as fetal growth restriction. A: Incorrect. Bed rest in preeclampsia is not primarily for energy conservation but to reduce blood pressure and prevent further complications. B: Incorrect. Bed rest does not directly address nausea and anorexia associated with preeclampsia; it focuses on maternal and fetal well-being. D: Incorrect. Position change does not directly prevent placental separation in preeclampsia; it is more related to maintaining adequate blood flow to the placenta.
Question 4 of 5
Which infant is most likely to express Rh incompatibility?
Correct Answer: A
Rationale: Rationale: 1. Rh incompatibility occurs when the mother is Rh-negative and the father is Rh-positive. 2. If the father is homozygous for Rh factor (AA), all offspring will be Rh-positive. 3. The Rh-positive offspring from an Rh-negative mother can lead to Rh incompatibility. 4. Therefore, the infant of an Rh-negative mother and a father who is Rh positive and homozygous for the Rh factor is most likely to express Rh incompatibility. Summary: - Choice B is incorrect because both mother and infant are Rh-negative. - Choice C is incorrect because the father being heterozygous for the Rh factor would not result in all offspring being Rh-positive. - Choice D is incorrect as both mother and infant are Rh-positive, so there is no risk of Rh incompatibility.
Question 5 of 5
What is the clinical finding most likely to be exhibited in an infant diagnosed with erythroblastosis fetalis?
Correct Answer: B
Rationale: The correct answer is B: Immature red blood cells. Erythroblastosis fetalis is a condition where maternal antibodies attack fetal red blood cells, leading to hemolysis and the release of immature red blood cells (erythroblasts) into the circulation. This can result in anemia and jaundice in the infant. Edema (choice A) is not a typical clinical finding in erythroblastosis fetalis. Enlargement of the heart (choice C) is more commonly associated with conditions like congestive heart failure. Ascites (choice D) is the accumulation of fluid in the abdominal cavity and is not a characteristic finding in erythroblastosis fetalis.