Questions 61

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ATI RN Maternal Newborn 2023 Questions

Extract:

A nurse is caring for a term newborn who is 48 hr old. Physical Examination: High-pitched cry, Mild tremors when disturbed, Increased muscle tone, Sneezing six times within 1 hr, Excessive sucking, Color: Consistent with genetic background, Excoriation of the chin, Watery stools, Projectile vomiting, Hyperactive Moro reflex.


Question 1 of 5

The nurse is assessing the newborn 24 hr later. How should the nurse interpret the findings? (Select one representative finding)

Correct Answer: D

Rationale: A continuous high-pitched cry suggests worsening neonatal abstinence syndrome, indicating increased irritability.

Extract:

A nurse is assessing a newborn following a forceps-assisted birth.


Question 2 of 5

Which of the following clinical manifestations should the nurse identify as a complication of this birth method?

Correct Answer: B

Rationale: Facial palsy is a known complication of forceps-assisted birth due to pressure on the facial nerve. The other options are not directly related to forceps use.

Extract:

A nurse is assessing a client who is 6 hr postpartum and has endometritis.


Question 3 of 5

Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: Uterine tenderness is a hallmark of endometritis, an infection of the uterine lining, often accompanied by fever and foul-smelling lochia, though not listed here.

Extract:

A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis.


Question 4 of 5

Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: Trichomoniasis typically causes a malodorous, frothy discharge, not thick white discharge, lesions, or urinary frequency alone.

Extract:

A nurse is collecting data from a client who is at 30 weeks of gestation.


Question 5 of 5

Which of the following findings should the nurse identify as a manifestation of pyelonephritis?

Correct Answer: B

Rationale: Flank pain is a classic sign of pyelonephritis, a kidney infection common in pregnancy due to urinary stasis.

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