ATI RN
ATI Maternal Newborn III Questions
Extract:
A client with Rh-negative blood and Rh-positive partner
Question 1 of 5
It is determined that a client's blood Rh is negative and her partner's is positive. To help prevent Rh isoimmunization, the nurse would expect to administer Rho(D) immune globulin at which time?
Correct Answer: C
Rationale: Rho(
D) immune globulin at 28 weeks and within 72 hours post-delivery prevents Rh isoimmunization by neutralizing fetal Rh-positive cells. Earlier or later timing risks ineffective prevention or antibody formation.
Extract:
A client at risk of developing complications based on medical record
Question 2 of 5
After reviewing the information provided in the client's medical record, which of the following complications should the nurse identify that the client is at risk of developing?
Correct Answer: B
Rationale: Gestational diabetes risk is linked to glucose intolerance, detectable by serum glucose levels, causing complications like macrosomia. Preeclampsia involves hypertension, not uric acid alone; eclampsia isn't tied to magnesium levels; placenta previa relates to prior surgeries, not hemoglobin.
Extract:
A pregnant woman with a pigmented line down the middle of her abdomen
Question 3 of 5
Assessment of a pregnant woman reveals a pigmented line down the middle of her abdomen. The nurse documents this as which finding?
Correct Answer: B
Rationale: Linea nigra is a dark line from umbilicus to pubis caused by increased melanin from hormonal changes. Striae gravidarum are stretch marks, vascular spiders are dilated vessels on face or chest, and melasma is facial pigmentation, none matching the abdominal line description.
Extract:
A client with Rh-negative blood and Rh-positive partner
Question 4 of 5
It is determined that a client's blood Rh is negative and her partner's is positive. To help prevent Rh isoimmunization, the nurse would expect to administer Rho(D) immune globulin at which time?
Correct Answer: C
Rationale: Rho(
D) immune globulin at 28 weeks and within 72 hours post-delivery prevents Rh isoimmunization by neutralizing fetal Rh-positive cells. Earlier or later timing risks ineffective prevention or antibody formation.
Extract:
A client who has had a spontaneous abortion and is crying
Question 5 of 5
Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client crying. Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: Saying 'I'm sorry you lost your baby' acknowledges the client's emotional loss empathetically. Asking why she's crying invalidates her feelings, focusing on physical pain ignores emotional needs, and claiming the baby wasn't formed is inaccurate and insensitive, as miscarriage involves loss at any stage.