ATI RN
Maternal Disorders Questions
Question 1 of 5
The primary fetal risk when the mother has any type of anemia is for:
Correct Answer: D
Rationale: The correct answer is D: Reduced oxygen delivery. Anemia in the mother can lead to decreased oxygen-carrying capacity in the blood, resulting in reduced oxygen delivery to the fetus. This can lead to fetal hypoxia, affecting the baby's growth and development. Neonatal anemia (choice A) is a consequence of the mother's anemia affecting the baby after birth, not the primary risk. Elevated bilirubin level (choice B) is not directly related to maternal anemia but may occur in conditions like Rh incompatibility. Limited infection defenses (choice C) is not the primary fetal risk associated with maternal anemia, although it can be a concern in severe cases due to decreased immune response.
Question 2 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 3 of 5
A patient, 32 weeks pregnant with severe headache, is admitted to the hospital with preeclampsia. In addition to obtaining baseline vital signs and placing the client on bed rest, the physician ordered the following four items. Which of the orders should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A: Assess deep tendon reflexes. This is the priority because preeclampsia can progress to eclampsia, a life-threatening condition characterized by seizures. Assessing deep tendon reflexes helps in identifying signs of impending eclampsia. Obtaining a complete blood count (option B) and routine urinalysis (option D) are important in monitoring for complications of preeclampsia but do not address the immediate risk of seizures. Assessing baseline weight (option C) is also important but does not take precedence over assessing deep tendon reflexes in this scenario.
Question 4 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 5 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