Questions 63

ATI RN

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ATI Maternal Newborn Exam 4 Questions

Extract:

A newborn who has developmental dysplasia of the hip (DDH).


Question 1 of 5

A nurse is assessing a newborn who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Asymmetric thigh folds result from hip dislocation in DDH. Plantar reflexes, lengthened thighs, or foot turning are unrelated or incorrect.

Extract:

A client who has severe preeclampsia at 35 weeks of gestation.


Question 2 of 5

A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?

Correct Answer: B

Rationale: Ambulation is contraindicated in severe preeclampsia, risking seizures or worsening hypertension. Other orders are standard and appropriate.

Extract:

A client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.


Question 3 of 5

A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?

Correct Answer: C

Rationale: Glyburide is safe in pregnancy with low placental transfer, unlike glipizide, acarbose, or repaglinide, which pose fetal risks.

Extract:

A client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not accompanied by contractions. The client is not in distress and she states that she can 'feel the baby moving'. An ultrasound is scheduled stat.


Question 4 of 5

A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not accompanied by contractions. The client is not in distress and she states that she can 'feel the baby moving'. An ultrasound is scheduled stat. The nurse should explain to the client that the purpose of the ultrasound is to determine which of the following?

Correct Answer: A

Rationale: Ultrasound identifies placenta previa, indicated by painless bleeding, to guide delivery planning. Other measurements are unrelated to the bleeding cause.

Extract:

A client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling very sad, having no energy, and wanting to cry.


Question 5 of 5

A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling very sad, having no energy, and wanting to cry. Which of the following is a priority action by the nurse?

Correct Answer: B

Rationale: Assessing for harm risk ensures infant and maternal safety, critical in suspected postpartum depression. Other actions are secondary.

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