Questions 49

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ATI Maternal Newborn 2023 Questions

Extract:

Three hours post cesarean section, the physician orders Toradol 30 mg IM every 6 hours for pain. Toradol is available in 60 mg/mL.


Question 1 of 5

How many mLs should be drawn up?

Correct Answer: A

Rationale: 30 mg ÷ 60 mg/mL = 0.5 mL. The nurse should draw up 0.5 mL of
Toradol.

Extract:

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip.


Question 2 of 5

The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

Correct Answer: C

Rationale: Late decelerations on the monitor strip during labor are indicative of uteroplacental insufficiency. This condition means that the placenta is not providing enough oxygen to the fetus.

Extract:

A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.


Question 3 of 5

The nurse should be aware that the most likely cause of the respiratory distress is which of the following?

Correct Answer: D

Rationale: Hyperinsulinemia, or high levels of insulin in the blood, is the most likely cause of respiratory distress in this case. High maternal glucose levels lead to fetal hyperinsulinemia, which can impair surfactant production, contributing to respiratory distress syndrome.

Extract:

A nurse is caring for a group of patients on an intrapartum unit.


Question 4 of 5

Which of the following findings should be reported to the healthcare provider immediately?

Correct Answer: C

Rationale: A patient with preeclampsia reporting epigastric pain and an unresolved headache indicates severe preeclampsia, which can lead to serious complications like eclampsia if not treated promptly.

Extract:

A nurse in a prenatal clinic is caring for a pregnant client who inquires about her estimated date of birth (EDB). If the client's last menstrual period started on July 27, what would be the client's EDB?


Question 5 of 5

What would be the client's EDB if her last menstrual period started on July 27?

Correct Answer: B

Rationale: Using Nägele's Rule: subtract 3 months from July 27 (April 27), add 7 days (May 4). The EDB in MMDD format is 0504.

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