ATI RN
Maternal Disorders Questions
Question 1 of 5
The correct injection technique for infants of mothers who are known carriers of hepatitis B virus is to:
Correct Answer: A
Rationale: The correct answer is A because infants born to mothers who are known carriers of hepatitis B virus should receive the hepatitis B vaccine within 12 hours of birth. Delaying intramuscular injections until 1 month of age increases the risk of vertical transmission of the virus. Choice B is incorrect because diluting injections with normal saline is unnecessary and may compromise the effectiveness of the vaccine. Choice C is incorrect as mixing all injections in a single syringe can lead to contamination and inaccurate dosing. Choice D is incorrect as bathing the injection site does not prevent vertical transmission of the virus.
Question 2 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 3 of 5
A client has severe preeclampsia. The nurse would expect the primary health care practitioner to order tests to assess the fetus for which of the following?
Correct Answer: D
Rationale: The correct answer is D: Intrauterine growth restriction (IUGR). In severe preeclampsia, there is a risk of placental insufficiency leading to reduced blood flow to the fetus, resulting in IUGR. The primary concern is monitoring the fetus's growth and well-being. A: Severe anemia is not typically a direct result of severe preeclampsia and is not a primary concern in this situation. B: Hypoprothrombinemia refers to a deficiency in blood clotting factors and is not directly related to fetal well-being in the context of severe preeclampsia. C: Craniosynostosis is a condition where the bones in an infant's skull fuse too early, which is a congenital issue and not typically related to preeclampsia. In summary, the primary concern in severe preeclampsia is assessing fetal growth and well-being due to placental insufficiency, making IUG
Question 4 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 5 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.