Questions 71

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ATI Maternal Newborn 2019 with NGN Questions

Extract:

Four clients on antepartum unit


Question 1 of 5

A nurse on an antepartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first?

Correct Answer: B

Rationale: Epigastric pain and headache at 34 weeks may indicate preeclampsia, a serious condition requiring immediate assessment to prevent complications like seizures.

Extract:

Full-term newborn upon admission to nursery


Question 2 of 5

A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?

Correct Answer: C

Rationale: A single palmar crease may be associated with chromosomal disorders like Down syndrome, requiring further evaluation and reporting to the provider.

Extract:

Newborn with breast tissue that has a flat areola with no bud


Question 3 of 5

A nurse is performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud. The nurse should identify that this finding indicates which of the following conditions?

Correct Answer: B

Rationale: A flat areola with no breast bud is a characteristic finding in preterm newborns. Breast tissue development correlates with gestational age, and the lack of a breast bud indicates prematurity.

Extract:

Client undergoing indirect Coombs' test


Question 4 of 5

A nurse is providing teaching to a client about the purpose of her upcoming indirect Coombs' test. Which of the following statements should the nurse include in the teaching?

Correct Answer: C

Rationale: The indirect Coombs' test detects Rh-positive antibodies in the mother's blood, which can cause hemolytic disease of the newborn in Rh-positive fetuses.

Extract:

Client at 35 weeks of gestation undergoing a nonstress test


Question 5 of 5

A nurse is monitoring a client who is undergoing a nonstress test at 35 weeks of gestation. Which of the following findings requires intervention by the nurse?

Correct Answer: A

Rationale: Three uterine contractions in 20 minutes may indicate preterm labor, requiring immediate intervention to assess for signs like pelvic pressure or vaginal discharge and to prepare for possible tocolytic therapy.

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