Questions 63

ATI RN

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ATI Maternal Newborn Exam 4 Questions

Extract:

A nurse is preparing to administer an injection of Rh0 (D) immunoglobulin.


Question 1 of 5

A nurse is preparing to administer an injection of Rh0 (D) immunoglobulin. The nurse should understand that the purpose of this injection is to prevent which of the following newborn complications?

Correct Answer: A

Rationale: Rh0 (
D) immunoglobulin prevents maternal antibody formation against Rh-positive fetal blood, reducing erythroblastosis fetalis risk in future pregnancies.

Extract:

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


Question 2 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: C

Rationale: Polyhydramnios is defined as excessive amniotic fluid (>2,000 mL or AFI >25 cm), potentially causing complications but not directly indicating other options.

Extract:

A client who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads with blood in the past 30 min.


Question 3 of 5

A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads with blood in the past 30 min. The nurse caring for her suspects placenta previa. Which of the following is an appropriate nursing action?

Correct Answer: C

Rationale: Cesarean birth is appropriate for placenta previa with heavy bleeding to prevent fetal hypoxia and hemorrhage. Pushing and examination worsen bleeding; magnesium is unrelated.

Extract:

A client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site.


Question 4 of 5

A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?

Correct Answer: D

Rationale: Abruptio placentae can trigger DIC, indicated by petechiae and bleeding, due to widespread clotting and consumption of coagulation factors.

Extract:

A client who is pregnant.


Question 5 of 5

Which assessments are included in the fetal biophysical profile (BPP)?

Correct Answer: A,B,C,D

Rationale: BPP includes AFI, fetal heart rate, movement, and tone to assess fetal well-being. Placental grade is not part of BPP.

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