Questions 75

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ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions

Extract:

Client who reports that her menstrual period is 2 weeks late


Question 1 of 5

A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make?

Correct Answer: Exploring the client's menstrual cycle history acknowledges other causes of a missed period, such as stress or hormonal changes, and helps guide further assessment.

Rationale:

Extract:

Client at 18 weeks of gestation, post-amniocentesis


Question 2 of 5

A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?

Correct Answer: Leakage of fluid from the vagina post-amniocentesis suggests amniotic sac rupture, a serious complication risking preterm labor, requiring immediate reporting.

Rationale:

Extract:

Client at 24 weeks of gestation, preparing for a 1-hr glucose tolerance test


Question 3 of 5

A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose tolerance test. Which of the following statements should the nurse include in the teaching?

Correct Answer: A blood glucose level of 130 to 140 mg/dL is considered a positive screening result for the 1-hour glucose tolerance test, indicating the need for further testing to diagnose gestational diabetes.

Rationale:

Extract:

Client at 22 weeks of gestation, reports blotchy hyperpigmentation on forehead


Question 4 of 5

A nurse is caring for a client who is at 22 weeks of gestation and reports concern about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take?

Correct Answer: Explaining that hyperpigmentation (melasma) is a normal pregnancy change due to hormonal shifts reassures the client and addresses her concern.

Rationale:

Extract:

Client with pregestational type 1 diabetes mellitus


Question 5 of 5

A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: Continuing insulin during nausea and vomiting ensures stable blood glucose levels, critical for maternal and fetal health, reflecting an understanding of diabetes management in pregnancy.

Rationale:

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