Questions 55

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ATI RN Test Bank

ATI Maternity Nur230 Questions

Extract:

Newborn born at 32 weeks of gestation with birth weight of 1,100 g


Question 1 of 5

A nurse is assisting with the assessment of a newborn who was born at 32 weeks of gestation. The newborn's birth weight is 1,100 g. What are the expected findings in this newborn? (Select all that apply.)

Correct Answer: C,D,E

Rationale: Preterm newborns at 32 weeks often have long nails, weak grasp reflex due to immature nervous systems, and lanugo due to incomplete shedding.

Extract:

Adolescent client at 38 weeks with preeclampsia


Question 2 of 5

A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

Correct Answer: A

Rationale: Deep tendon reflexes of +1 (hyporeflexia) are inconsistent with preeclampsia, which typically involves hyperreflexia.

Extract:

Client in labor experiencing incomplete uterine relaxation between hypertonic contractions


Question 3 of 5

A nurse is caring for a client in labor who is experiencing incomplete uterine relaxation between hypertonic contractions. What adverse effect does the nurse recognize as a result of this contraction pattern?

Correct Answer: B

Rationale: Incomplete uterine relaxation with hypertonic contractions can impede cervical dilation, slowing labor progression.

Extract:

6-month-old infant who underwent a cardiac catheterization for pulmonary stenosis


Question 4 of 5

A nurse is providing care for a 6-month-old infant who underwent a cardiac catheterization. The child was diagnosed with pulmonary stenosis early in infancy and was admitted today for a balloon angioplasty procedure. Which of the following should the nurse plan to include in the discharge teaching?

Correct Answer: C

Rationale: Administering acetaminophen or ibuprofen for pain management is appropriate post-catheterization to alleviate discomfort from the procedure site.

Extract:

Client in labor at 2 cm dilation, 50% effaced, fetus at -2 station


Question 5 of 5

A nurse in the labor and delivery unit is attending to a client in labor. The nurse applies an external fetal monitor and toco transducer. The FHR is around 140/min. Contractions are every 8 min and 30 to 40 seconds in duration. The nurse performs a vaginal exam and finds the cervix is 2 cm dilated, 50% effaced, and the fetus is at a -2 station. Which stage and phase of labor is this client experiencing?

Correct Answer: D

Rationale: The latent phase of the first stage involves mild, irregular contractions, 0-3 cm dilation, and 0-40% effacement, matching these findings.

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