ATI RN
Maternal Disorders Questions
Question 1 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.
Question 2 of 5
The test used to screen for gestational diabetes is the:
Correct Answer: B
Rationale: The correct answer is B: Glucose challenge test. This test is used to screen for gestational diabetes as it involves drinking a glucose solution and measuring blood sugar levels afterward. This test is specifically designed to assess how well the body processes sugar during pregnancy. The other choices are incorrect because: A: Glycosylated hemoglobin test measures average blood sugar levels over the past 2-3 months and is not specific for gestational diabetes. C: Oral glucose tolerance test is used to diagnose gestational diabetes, not to screen for it. D: Postprandial glucose test measures blood sugar levels after a meal and is not the recommended screening test for gestational diabetes.
Question 3 of 5
Intrapartum nursing care for a woman who has sickle cell disease focuses on:
Correct Answer: A
Rationale: The correct answer is A because maintaining oxygenation is crucial due to the risk of vaso-occlusive crisis in sickle cell disease. Dehydration can worsen sickling of red blood cells. Choice B is incorrect because pain control is important but not the primary focus. Choice C is incorrect as excess exertion can trigger a crisis, and limiting visitors is not a priority. Choice D is incorrect as calorie intake and internal monitoring are not directly related to intrapartum care for sickle cell disease.
Question 4 of 5
The pregnant woman who becomes infected with chickenpox should be taught to report promptly:
Correct Answer: A
Rationale: The correct answer is A: Cough or dyspnea. Chickenpox can lead to pneumonia in pregnant women, causing cough or dyspnea. Prompt reporting is crucial for timely intervention. B: Severe itching is common in chickenpox but not a critical symptom. C: Joint pain is not a typical complication of chickenpox. D: Increased urination is not directly related to chickenpox complications during pregnancy. It's important for the pregnant woman to be aware of respiratory symptoms as they can indicate a serious complication that requires immediate medical attention.
Question 5 of 5
For HIV treatment, the pregnant woman should be expected to receive:
Correct Answer: C
Rationale: Rationale: 1. Zidovudine (AZT) is recommended for HIV-infected pregnant women to reduce the risk of vertical transmission to the baby. 2. It inhibits viral replication and decreases viral load in the mother, reducing transmission to the fetus. 3. Antibiotics are not effective for HIV treatment. Protease analogues are not typically used in pregnancy due to safety concerns. Acyclovir is used for herpes simplex virus, not HIV.