Questions 50

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ATI Maternity Exam 1 Questions

Extract:

A 1-day-old newborn.


Question 1 of 5

A nurse is collecting data on a 1-day-old newborn. Which of the following findings should the nurse identify as requiring follow-up?

Correct Answer: D

Rationale: A large, deep sacral dimple may indicate spinal abnormalities like spina bifida, requiring further evaluation.

Extract:

A client who is at 30 weeks of gestation with a blood pressure reading of 160/116 mm Hg and reports blurred vision and a persistent frontal headache.


Question 2 of 5

A nurse is assisting in the care of a client at 30 weeks of gestation who has a blood pressure reading of 160/116 mm Hg and 4 hours previously it was 164/114 mm Hg. The client reports blurred vision and a persistent frontal headache. Which of the following complications of gestation should the nurse suspect?

Correct Answer: B

Rationale: Severe hypertension with symptoms like blurred vision and headache indicates preeclampsia with severe features.

Extract:

A client who is at 28 weeks of gestation with a history of one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks of gestation.


Question 3 of 5

A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The client's history reveals one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks of gestation. The nurse should document which of the following as the client's present parity?

Correct Answer: B

Rationale: Parity counts viable deliveries; twins at 36 weeks count as one parity.

Extract:

A client at 12 weeks gestation who decided not to proceed with genetic testing or further genetic counseling.


Question 4 of 5

A nurse is following up with a client at 12 weeks gestation who was seen for genetic counseling but decided not to proceed with genetic testing or any further genetic counseling. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Respecting the client's autonomy is essential in declining genetic testing.

Extract:

A client who is postpartum with Rh status.


Question 5 of 5

A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

Correct Answer: D

Rationale: Rho(
D) immune globulin prevents Rh sensitization in Rh-negative mothers with Rh-positive newborns.

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