Questions 68

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ATI Pediatrics Final Exam Questions

Extract:

A client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios


Question 1 of 5

A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?

Correct Answer: A

Rationale: Polyhydramnios refers to an excessive accumulation of amniotic fluid, which can occur for various reasons, including fetal anomalies, maternal diabetes, fetal anemia, or idiopathic causes.

Extract:

A client who is at 36 weeks of gestation. Reports a mild headache for the last several days as well as 'heartburn.' Denies visual disturbances. Also denies vaginal bleeding or leakage of fluid from the vagina. Reports occasional contraction and positive fetal movement. Reports they are unable to remove rings from fingers for the last several days. Reports headache is more severe and rates pain as a 5 on a 0 to 10 pain scale, Reports feeling dizzy when they got up from examination table


Question 2 of 5

Which of the following findings should the nurse report to the provider?

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

Rationale: The client’s headache, dizziness, swelling, and gastrointestinal symptoms suggest possible preeclampsia, requiring reporting of cerebral manifestations, gastrointestinal findings, respiratory rate, blood pressure, and fetal heart rate.

Extract:

A client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not'


Question 3 of 5

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?

Correct Answer: B

Rationale: True labor is characterized by characteristic lower abdominal pain that in frequency and intensity and radiate to the back with progressive changes in the cervix, including effacement and dilation.

Extract:

Gravida 1, Para 1, Spontaneous vaginal birth, 39 weeks of gestation, Breastfeeding


Question 4 of 5

Which of the following statements by the client indicates an understanding of the discharge teaching?

Correct Answer: B,D,F

Rationale: Frequent feeding, expecting yellow stools, and recognizing breast engorgement indicate understanding of discharge teaching.

Extract:

Newborn who has myelomeningocele


Question 5 of 5

A nurse is caring for a newborn who has myelomeningocele. Which of the following nursing goals has the priority in the care of this infant?

Correct Answer: C

Rationale: Maintaining the integrity of the sac is crucial to prevent complications such as meningitis and nerve damage in myelomeningocele.

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