Questions 41

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ATI Maternal Newborn Exam Questions

Extract:

A client has been diagnosed with a ruptured ectopic pregnancy.


Question 1 of 5

A client has been diagnosed with a ruptured ectopic pregnancy. Which of the following signs or symptoms is characteristic of this diagnosis?

Correct Answer: C

Rationale: Referred shoulder pain is a hallmark symptom of a ruptured ectopic pregnancy due to diaphragmatic irritation from internal bleeding.

Extract:

A client who gave birth 2 hours ago.


Question 2 of 5

A nurse is reviewing the medical record of a client who gave birth 2 hours ago. Which of the following findings increases the client’s risk for postpartum hemorrhage?

Correct Answer: A

Rationale: A boggy uterus indicates uterine atony, a leading cause of postpartum hemorrhage.

Extract:

A 4-hour-old newborn born to a client who has a prenatal history of substance use disorder.


Question 3 of 5

A nurse is planning care for a 4-hour-old newborn born to a client who has a prenatal history of substance use disorder. Which of the following interventions should the nurse include in the plan of care?

Correct Answer: B

Rationale: Non-nutritive sucking with a pacifier provides comfort and soothes newborns experiencing withdrawal symptoms.

Extract:

Four clients.


Question 4 of 5

A nurse has received a change-of-shift report for four clients. Which of the following clients should the nurse identify as being at the highest risk for a complication of pregnancy?

Correct Answer: B

Rationale: Elevated blood pressure and a high BMI significantly increase the risk for complications like preeclampsia and gestational diabetes.

Extract:

A 28-year-old female at 24 weeks gestation. The client reports feeling fatigued and has a history of mild anemia. She works as a cashier, which requires prolonged standing. She has two cats at home and consumes 2 cups of coffee daily. The client denies any recent illness or infections. Vital Signs: Temperature: 37.2°C (99.0°F), Heart rate: 82/min, Respiratory rate: 16/min, Blood pressure: 114/68 mm. Medical History: Hemoglobin: 10.8 g/dL (slightly low).


Question 5 of 5

For each client finding, click to specify if the finding is a biophysical, psychosocial, or environmental risk factor that increases the client’s risk for pregnancy complications.

Finding Biophysical Psychosocial Environmental
Ultrasound result.
Caffeine intake.
Job (cashier).
Pets (cats).
Medical history (anemia).

Correct Answer: A,B,C,D,E

Rationale: A: Ultrasound result (Biophysical). B: Caffeine intake (Biophysical). C: Job (cashier) (Psychosocial, Environmental). D: Pets (cats) (Environmental). E: Medical history (anemia) (Biophysical).

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