ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Newborn 4 hours after birth.
Question 1 of 5
A nurse is caring for a newborn 4 hours after birth. Which of the following actions should the nurse include in the plan of care to prevent jaundice?
Correct Answer: D
Rationale: Initiating early feeding promotes bowel movements, aiding bilirubin excretion and preventing jaundice.
Extract:
28-year-old, Gravida 3 Para 2, chronic hypertension, gestational diabetes, vacuum-assisted vaginal delivery, boggy fundus, heavy lochia, oxytocin infusion, BP 144/92, temperature 100.4°F.
Question 2 of 5
A nurse is caring for a 28-year-old female client in the fourth stage of labor after a vaginal delivery in the labor and delivery unit. Which of the following assessment findings require follow-up?
Correct Answer: A,B,C,F
Rationale: Elevated temperature, boggy fundus, heavy lochia, and high blood pressure indicate potential infection, hemorrhage, and preeclampsia risk.
Extract:
Client at 9 weeks pregnant, had a miscarriage at 7 weeks, an ectopic pregnancy at 6 weeks treated with methotrexate, five-year-old son born vaginally at 39 weeks, three-year-old daughter born vaginally at 35 weeks.
Question 3 of 5
The nurse in an OB clinic is completing an intake assessment of a client at the first prenatal appointment. The client is currently 9 weeks pregnant. She had a miscarriage at 7 weeks and an ectopic pregnancy at 6 weeks that was treated with methotrexate. Her five-year-old son was born vaginally at 39 weeks and her three-year-old daughter was born vaginally at 35 weeks. What is her GTPAL?
Correct Answer: C
Rationale: GTPAL is calculated as G5 (current pregnancy, miscarriage, ectopic, two births), T1 (39-week birth), P1 (35-week birth), A2 (miscarriage, ectopic), L2 (two living children), matching C.
Extract:
Postpartum client whose newborn's maternal grandmother was born deaf, asking how to tell if her newborn hears well.
Question 4 of 5
A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn's maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Routine hearing screenings using objective tests are the most reliable method to assess newborn hearing, ensuring accurate detection of potential issues.
Extract:
Client with HELLP syndrome.
Question 5 of 5
A nurse is caring for a patient with HELLP syndrome. Which of the following findings are consistent with a diagnosis of HELLP syndrome?
Correct Answer: D
Rationale: Elevated liver enzymes are a hallmark of HELLP syndrome, reflecting liver dysfunction.