Questions 41

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ATI Maternal Newborn Exam Questions

Extract:

Clients who have a diagnosis of placental abruption.


Question 1 of 5

A nurse is reviewing charts for clients who have a diagnosis of placental abruption. Which of the following clients needs an emergent cesarean section?

Correct Answer: C

Rationale: Hemorrhaging at 38 weeks with a fetal demise and cervix dilated at 4 cm indicates a medical emergency requiring rapid intervention like a cesarean section.

Extract:

A postpartum client who delivered their third infant 2 days ago.


Question 2 of 5

A nurse is caring for a postpartum client who delivered their third infant 2 days ago. Which of the following manifestations could indicate postpartum depression?

Correct Answer: C

Rationale: Flat affect signifies reduced emotional expression, common in depression. Depressed individuals exhibit lack of response to pleasurable activities, social withdrawal, and emotional blunting.

Extract:

A client has been diagnosed with a ruptured ectopic pregnancy.


Question 3 of 5

A client has been diagnosed with a ruptured ectopic pregnancy. Which of the following signs or symptoms is characteristic of this diagnosis?

Correct Answer: C

Rationale: Referred shoulder pain is a hallmark symptom of a ruptured ectopic pregnancy due to diaphragmatic irritation from internal bleeding.

Extract:

A 32-year-old female at 28 weeks gestation. The client reports occasional dizziness and fatigue. She has a history of hypertension and is currently on antihypertensive medication. She works as a teacher and has a sedentary lifestyle. She has no pets and consumes 1 cup of coffee daily. Vital Signs: Blood pressure: 132/86 mmHg. Medical History: History of chronic hypertension, Previous pregnancy with preeclampsia.


Question 4 of 5

Which of the following findings increase the client’s risk for pregnancy complications? Select the 2 findings that increase the client’s risk for pregnancy complications.

Correct Answer: A,B

Rationale: A: Chronic hypertension increases risks like preeclampsia. B: Sedentary lifestyle can lead to gestational diabetes and thromboembolism.

Extract:

Four clients.


Question 5 of 5

A nurse has received a change-of-shift report for four clients. Which of the following clients should the nurse identify as being at the highest risk for a complication of pregnancy?

Correct Answer: B

Rationale: Elevated blood pressure and a high BMI significantly increase the risk for complications like preeclampsia and gestational diabetes.

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