Questions 119

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ATI Maternity Exam 3 Questions

Extract:

A client who is at 12 weeks gestation


Question 1 of 5

A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?

Correct Answer: D

Rationale: Progesterone relaxes the cardiac sphincter and slows gastric emptying, causing heartburn. Bile retention, estrogen, and uterine pressure are not primary causes.

Extract:

Reviewing causes of late postpartum hemorrhage.


Question 2 of 5

When reviewing the causes of late postpartum hemorrhage, which of the following would the nurse identify as the most common cause?

Correct Answer: A

Rationale: Retained placental fragments are the most common cause of late postpartum hemorrhage, disrupting uterine involution, unlike lacerations, inversion, or atony which are less frequent.

Extract:

A client who is in the first stage of labor and is using pattern-paced breathing


Question 3 of 5

A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing. The client says she feels lightheaded, and her fingers are tingling. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Lightheadedness and tingling indicate hyperventilation; breathing into a paper bag corrects respiratory alkalosis. Oxygen, chin tucking, or faster breathing worsen the issue.

Extract:

A 1-day-old newborn.


Question 4 of 5

The nurse assesses a 1-day-old newborn. Which finding indicates that the newborn's oxygenation needs are not being met?

Correct Answer: A

Rationale: Grunting and nasal flaring signal respiratory distress, indicating inadequate oxygenation, unlike normal findings like acrocyanosis or abdominal breathing.

Extract:

A woman at 32 weeks' gestation with a fundal height measurement of 26 centimeters.


Question 5 of 5

A woman is at 32 weeks' gestation. Her fundal height measurement at this clinic appointment is 26 centimeters. After reviewing her ultrasound results, the health care provider asks the nurse to schedule the client for a series of ultrasounds to be done every 2 weeks. The nurse should ensure that the client understands that the main purpose for this is to:

Correct Answer: D

Rationale: A smaller-than-expected fundal height suggests possible growth restriction, necessitating ultrasounds to monitor fetal growth, unlike the other options which are less relevant.

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