Questions 39

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ATI Maternal Newborn 2019 Exam 3 Questions

Extract:

A client who has hyperemesis gravidarum


Question 1 of 5

A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?

Correct Answer: D

Rationale: Urine ketones detect ketosis from prolonged vomiting in hyperemesis gravidarum, guiding treatment. Culture, reagin, and prothrombin tests are unrelated.

Extract:

A 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis


Question 2 of 5

A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?

Correct Answer: D

Rationale: Amniocentesis detects genetic disorders, not just fetal sex, and carries risks, requiring education. Age limits, immediate scheduling, or chorionic sampling are incorrect.

Extract:

A client who is pregnant and follows a vegan diet


Question 3 of 5

A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium?

Correct Answer: D

Rationale: Broccoli provides 62 mg of calcium per cup, higher than potato (10 mg), avocado (11 mg), or banana (6 mg), supporting vegan calcium needs.

Extract:

A client who is 2 days postpartum and wants to continue using her diaphragm for contraception


Question 4 of 5

A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: Postpartum changes in vaginal and cervical anatomy require diaphragm refitting for effectiveness. Sterile water, 4-hour retention, and oil-based lubricants are incorrect.

Extract:

A postpartum client who is experiencing uterine atony


Question 5 of 5

A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions?

Correct Answer: C,D,A,B

Rationale: Correct sequence: position client (
C), place hands (
D), massage fundus (
A), observe bleeding (
B) to effectively manage uterine atony and monitor hemorrhage.

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