Questions 41

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ATI Maternal Newborn Exam Questions

Extract:

Four clients.


Question 1 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 patient who is having hypertonic contractions during labor.


Question 2 of 5

Which of the following is a finding for a patient who is having hypertonic contractions during labor?

Correct Answer: B

Rationale: The uterus may not relax between contractions, leading to compromised fetal blood flow.

Extract:

A newborn delivered by vaginal birth with a vacuum assist.


Question 3 of 5

A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn’s mother asks about the swollen area on her son’s head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?

Correct Answer: C

Rationale: Caput succedaneum is edema of the newborn's scalp that crosses suture lines, commonly resulting from vacuum-assisted delivery.

Extract:

A newborn who is experiencing hyperbilirubinemia and is receiving phototherapy.


Question 4 of 5

A nurse is caring for a newborn who is experiencing hyperbilirubinemia and is receiving phototherapy. Which of the following findings indicate that the phototherapy is effective?

Correct Answer: B

Rationale: A decrease in transcutaneous bilirubin (Tc
B) levels shows effective phototherapy, as it converts bilirubin into water-soluble isomers.

Extract:

A client is ordered 380 mL of packed red blood cells over 4 hours.


Question 5 of 5

A client is ordered 380 mL of packed red blood cells over 4 hours. What is the rate of infusion to be set on the IV pump? (Round to a whole number.) (Med math question, no options provided.)

Correct Answer: 95 mL/hour

Rationale: 380 mL ÷ 4 hours = 95 mL/hour.

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