Questions 75

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ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions

Extract:

Newborn who is 24 hr old


Question 1 of 5

A nurse is reviewing the laboratory report of a newborn who is 24 hr old. Which of the following results should the nurse report to the provider?

Correct Answer: A blood glucose level of 30 mg/dL is significantly low, indicating hypoglycemia, which requires immediate reporting to prevent neurologic complications in the newborn.

Rationale:

Extract:

Client at 22 weeks of gestation, reports blotchy hyperpigmentation on forehead


Question 2 of 5

A nurse is caring for a client who is at 22 weeks of gestation and reports concern about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take?

Correct Answer: Explaining that hyperpigmentation (melasma) is a normal pregnancy change due to hormonal shifts reassures the client and addresses her concern.

Rationale:

Extract:

Client who is a primigravida, at term, unsure if in labor


Question 3 of 5

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?

Correct Answer: Cervical changes, such as dilation and effacement, are the definitive signs of true labor, distinguishing it from false labor.

Rationale:

Extract:

Client in labor, Leopold maneuvers determine fetus in RSA position


Question 4 of 5

A nurse is performing Leopold maneuvers on a client who is in labor and determines the fetus is in an RSA position. Which of the following fetal presentations should the nurse document in the client's medical record?

Correct Answer: RSA (right sacrum anterior) indicates a breech presentation, where the sacrum is the presenting part, aligned with the mother's right side.

Rationale:

Extract:

Client in labor, provider performs amniotomy


Question 5 of 5

A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy. Which of the following is the priority action by the nurse following the procedure?

Correct Answer: Assessing the fetal heart rate is the priority post-amniotomy to detect cord prolapse or compression, ensuring fetal well-being.

Rationale:

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