Questions 41

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ATI Maternal Newborn Exam Questions

Extract:

A 28-year-old female at 24 weeks gestation. The client reports feeling fatigued and has a history of mild anemia. She works as a cashier, which requires prolonged standing. She has two cats at home and consumes 2 cups of coffee daily. The client denies any recent illness or infections. Vital Signs: Temperature: 37.2°C (99.0°F), Heart rate: 82/min, Respiratory rate: 16/min, Blood pressure: 114/68 mm. Medical History: Hemoglobin: 10.8 g/dL (slightly low).


Question 1 of 5

For each client finding, click to specify if the finding is a biophysical, psychosocial, or environmental risk factor that increases the client’s risk for pregnancy complications.

Finding Biophysical Psychosocial Environmental
Ultrasound result.
Caffeine intake.
Job (cashier).
Pets (cats).
Medical history (anemia).

Correct Answer: A,B,C,D,E

Rationale: A: Ultrasound result (Biophysical). B: Caffeine intake (Biophysical). C: Job (cashier) (Psychosocial, Environmental). D: Pets (cats) (Environmental). E: Medical history (anemia) (Biophysical).

Extract:


Question 2 of 5

Which interventions are appropriate when managing a prolapsed umbilical cord during labor? (Select all that apply)

Correct Answer: A,D

Rationale: A: The knee-chest position relieves pressure on the umbilical cord, improving fetal blood flow. D: Administering oxygen to the mother increases oxygen delivery to the fetus.

Extract:

A newborn after a precipitous delivery.


Question 3 of 5

What physical assessment finding is expected in a newborn after a precipitous delivery?

Correct Answer: A

Rationale: Bruising on the head is common in newborns after a precipitous delivery due to rapid passage through the birth canal, causing trauma to the head.

Extract:

A client who is in preterm labor at 32 weeks of gestation.


Question 4 of 5

A nurse is assisting with providing care for a client who is in preterm labor at 32 weeks of gestation. Which of the following medications should the nurse anticipate the provider will prescribe to help with lung maturity?

Correct Answer: D

Rationale: Betamethasone is a corticosteroid that accelerates fetal lung development and surfactant production, promoting lung maturity in preterm infants.

Extract:

A client who is grieving the loss of their newborn.


Question 5 of 5

A nurse is caring for a client who is grieving the loss of their newborn. Which of the following interventions should the nurse include in the plan of care?

Correct Answer: D

Rationale: Allowing the client to hold or be with their newborn provides a tangible connection, facilitating the grieving process and helping them come to terms with their loss.

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