Questions 68

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ATI Maternal Newborn Final Exam moitoso Questions

Extract:

Client with a new diagnosis of a vaginal fistula, states, 'I don't understand how I got this.'


Question 1 of 5

A nurse is caring for a client with a new diagnosis of a vaginal fistula. The client states, 'I don't understand how I got this.' Which of the following is a potential cause of a vaginal fistula?

Correct Answer: B

Rationale: Tissue trauma from childbirth, such as prolonged labor or obstetric interventions, can cause vaginal fistulas by damaging vaginal tissue.

Extract:

Four newborns in a special care nursery: 8-hour-old with blue coloring of hands and feet, newborn with small raised pearly spots on nose, newborn with apical heart rate of 140 bpm, newborn with nasal flaring and grunting.


Question 2 of 5

A nurse is caring for four newborns in a special care nursery. Which of the following newborn assessment findings requires immediate intervention?

Correct Answer: D

Rationale: Nasal flaring and grunting indicate respiratory distress, requiring immediate intervention to ensure the newborn's airway and breathing are supported.

Extract:

Nurse hears fetal heart rate dropping, interprets monitor strip.


Question 3 of 5

A nurse is walking by a client's room and can hear the fetal heart rate dropping. The nurse observes the heartbeat and interprets the monitor strip as indicating which of the following?

Correct Answer: B

Rationale: A sudden drop in fetal heart rate suggests variable decelerations, typically caused by umbilical cord compression.

Extract:

Client with suspected ectopic pregnancy at 8 weeks of gestation.


Question 4 of 5

A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?

Correct Answer: D

Rationale: Unilateral, cramp-like abdominal pain is a hallmark symptom of ectopic pregnancy due to the implantation of the fertilized egg outside the uterus, typically in a fallopian tube.

Extract:

Client with a new diagnosis of a vaginal fistula, states, 'I don't understand how I got this.'


Question 5 of 5

A nurse is caring for a client with a new diagnosis of a vaginal fistula. The client states, 'I don't understand how I got this.' Which of the following is a potential cause of a vaginal fistula?

Correct Answer: B

Rationale: Tissue trauma from childbirth, such as prolonged labor or obstetric interventions, can cause vaginal fistulas by damaging vaginal tissue.

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