Questions 68

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ATI Pediatrics Final Exam Questions

Extract:

A client who is suspected of having a hydatidiform mole


Question 1 of 5

A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nurse expect to observe in this client?

Correct Answer: A

Rationale: A hydatidiform mole is characterized by abnormal and rapid growth of trophoblastic cells leading to uterine size that is large for gestational age.

Extract:

Newborn who has spinal bifida


Question 2 of 5

A nurse is planning care for a newborn who has spinal bifida. Which of the following actions should be included in the plan of care?

Correct Answer: D

Rationale: The newborn should be placed in prone position to prevent pressure to the lesion which may lead to damage to the contents of the sac.

Extract:

Gravida 4 Para 3, 32 weeks of gestation, BMI 32, History of two newborns weighing over 4.5 kg (10 lb), Family history of type one diabetes mellitus (maternal), Fetal heart tones 140/min via doppler


Question 3 of 5

Which of the following provider prescriptions should the nurse plan to implement?

Correct Answer: A,C,D

Rationale: Limiting carbohydrate intake, prescribing metformin, and conducting non-stress tests are appropriate for managing the risk of gestational diabetes in this high-risk client.

Extract:

A client who experienced a vaginal delivery


Question 4 of 5

A nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery. The nurse should explain to the client that the purpose of this medication is to prevent which of the following conditions?

Correct Answer: A

Rationale: Methylergonovine causes uterine contractions to prevent or treat postpartum hemorrhage.

Extract:

Newborn 1 hr following birth. 39-week gestation, Emergency cesarean birth for abruptio placenta and non-reassuring fetal heart rate, Apgar 5 at 1 min 8 at 5 min, Positive pressure ventilation given for 1 min followed by free flow oxygen


Question 5 of 5

Select the 5 findings the nurse should report to the provider.

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

Rationale: Due to the emergency cesarean and initial low Apgar score, monitoring hemoglobin, hematocrit, heart rate, serum glucose, and respiratory assessment is critical.

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