PN ATI Maternal Newborn 2020 | Nurselytic

Questions 47

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PN ATI Maternal Newborn 2020 Questions

Extract:


Question 1 of 5

A nurse is reinforcing teaching about risk factors for preeclampsia with a group of clients who are pregnant. Which of the following risk factors should the nurse include in the teaching?

Correct Answer: D

Rationale: Chronic hypertension is a well-established risk factor for preeclampsia.

Extract:

Client in the first trimester of pregnancy.


Question 2 of 5

A nurse is reinforcing teaching with a client about how to minimize nausea in the first trimester of pregnancy. Which of the following instructions should the nurse give to the client?

Correct Answer: A

Rationale: Eating dry toast before rising stabilizes the stomach, reducing nausea associated with morning sickness.

Extract:

Client who is 19 years old and is at 18 weeks of gestation, reports nausea and vomiting for several weeks, worsened, unable to retain clear fluids for 48 hr, history of migraines and asthma.


Question 3 of 5

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress. Action to Take: A. Assist with preparing the client for surgery. B. Inspect mucous membranes. C. Insert a peripheral venous access device. D. Check fundal height. Potential Condition: A. Hydatidiform mole. B. Hyperemesis gravidarum. C. Gestational diabetes mellitus. D. Ectopic pregnancy. Parameter to Monitor: A. Keihauer-Betke values. B. Electrolyte values. C. Blood glucose results. D. Urine ketones.

Action to Take

Assist with preparing the client for surgery.
inspect mucous membranes
insert a peripheral venous access device
Check fundal height

Potential Condition

Hydatidiform mole
Hyperemesis gravidarum
Gestational diabetes mellitus
Ectopic pregnancy

Parameter to Monitor

Keihauer-Betke values
Electrolyte values
Urine ketones

Correct Answer:

Rationale: Hyperemesis gravidarum causes severe nausea and vomiting, requiring IV fluids (via venous access) and monitoring of mucous membranes for dehydration. Electrolyte values and urine ketones assess dehydration and metabolic status.

Extract:

Client who is at 12 weeks of gestation.


Question 4 of 5

A nurse is auscultating fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation. Where should the nurse expect to auscultate the fetal heart tones?

Correct Answer: C

Rationale: At 12 weeks, the uterus is low in the pelvis, so fetal heart tones are best heard in the suprapubic area.

Extract:

Newborn who was born 2 hr ago.


Question 5 of 5

A nurse is collecting data from a newborn who was born 2 hr ago. Which of the following findings should the nurse report to the provider?

Correct Answer: B

Rationale: Hypotonia suggests potential neurological issues, requiring immediate provider notification.

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