ATI LPN
ATI Maternal Newborn Questions
Question 1 of 5
A client at 28 weeks of gestation received terbutaline. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Weakened uterine contractions. Terbutaline is a tocolytic medication that inhibits uterine contractions. This helps prevent preterm labor. At 28 weeks of gestation, the nurse would expect terbutaline to weaken uterine contractions, rather than increase fetal heart rate (choice A), enhance fetal lung surfactant production (choice C), or lower maternal blood glucose levels (choice D). Weakening of uterine contractions is the expected therapeutic effect of terbutaline in this scenario to delay preterm labor.
Question 2 of 5
A client at 11 weeks of gestation reports slight occasional vaginal bleeding over the past 2 weeks. After an examination, the provider informs the client that the fetus has died, and the placenta, fetus, and tissues remain in the uterus. How should the nurse document these findings?
Correct Answer: B
Rationale: The correct answer is B: Missed miscarriage. At 11 weeks gestation, the fetus has died but has not been expelled from the uterus. This is known as a missed miscarriage. The other choices are incorrect because: A: Incomplete miscarriage involves partial expulsion of the products of conception. C: Inevitable miscarriage indicates that the miscarriage is in progress and cannot be stopped. D: Complete miscarriage refers to the complete expulsion of all products of conception from the uterus.
Question 3 of 5
When should a provider order a maternal serum alpha-fetoprotein (MSAFP) screening for pregnant clients?
Correct Answer: C
Rationale: Rationale: - MSAFP screening is recommended for all pregnant clients to assess risk of neural tube defects or chromosomal abnormalities. - It is a standard prenatal test regardless of specific medical conditions. - Options A, B, and D are not directly related to the indication for MSAFP screening in pregnancy.
Question 4 of 5
A client has a new prescription for chlamydia. Which of the following statements should the nurse provide?
Correct Answer: A
Rationale: The correct answer is A because chlamydia is commonly treated with a single dose of azithromycin to ensure complete eradication of the infection. This antibiotic is highly effective against chlamydia. Option B is incorrect because both partners need treatment regardless of symptoms. Option C is incorrect as sexual abstinence for 7 days is recommended post-treatment. Option D is incorrect as retesting should be done after 3 months, not 6 months.
Question 5 of 5
A caregiver is being taught about bottle feeding a newborn. Which of the following statements by the caregiver indicates a need for further instruction?
Correct Answer: C
Rationale: The correct answer is C. Tilt the bottle to prevent air from entering as the baby sucks is incorrect. It is important not to tilt the bottle as it can cause the baby to swallow air, leading to gas and discomfort. A: Keeping the baby's head elevated helps prevent choking. B: Allowing the baby to burp reduces gas and discomfort. D: Soft, formed yellow stools indicate a healthy digestive system. Thus, C is the only statement that may lead to issues and requires further instruction.