Questions 41

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ATI Maternal Newborn Exam Questions

Extract:

A client at 28 weeks of gestation who has a blood pressure reading of 162/108 mm Hg, and 4 hours previously it was 148/98 mm Hg.


Question 1 of 5

A nurse is caring for a client at 28 weeks of gestation who has a blood pressure reading of 162/108 mm Hg, and 4 hours previously it was 148/98 mm Hg. Which of the following orders should the nurse anticipate receiving? (Select all that apply)

Correct Answer: A,B,C,D

Rationale: A: CBC detects anemia or infection related to preeclampsia. B: Elevated AST/ALT indicate liver damage. C: Serum creatinine assesses kidney function. D: Fetal ultrasound monitors fetal growth and placental function.

Extract:

During a delivery complicated by shoulder dystocia.


Question 2 of 5

During a delivery complicated by shoulder dystocia, the baby’s head retracts back against perineum after it emerges, a phenomenon known as ‘turtling’. Which of the following is the most appropriate immediate action for the healthcare provider to take?

Correct Answer: B

Rationale: The McRoberts maneuver, involving hyperflexion of the mother's legs, widens the pelvis, facilitating shoulder delivery in cases of shoulder dystocia.

Extract:

A client is ordered 380 mL of packed red blood cells over 4 hours.


Question 3 of 5

A client is ordered 380 mL of packed red blood cells over 4 hours. What is the rate of infusion to be set on the IV pump? (Round to a whole number.) (Med math question, no options provided.)

Correct Answer: 95 mL/hour

Rationale: 380 mL ÷ 4 hours = 95 mL/hour.

Extract:

A laboring client.


Question 4 of 5

Which of the following would lead the nurse to suspect that a laboring client is experiencing Amniotic Fluid Embolism?

Correct Answer: A

Rationale: Amniotic fluid embolism is characterized by the sudden onset of respiratory distress due to the entry of amniotic fluid into the maternal circulation.

Extract:


Question 5 of 5

Which interventions are appropriate when managing a prolapsed umbilical cord during labor? (Select all that apply)

Correct Answer: A,D

Rationale: A: The knee-chest position relieves pressure on the umbilical cord, improving fetal blood flow. D: Administering oxygen to the mother increases oxygen delivery to the fetus.

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