Questions 53

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ATI RN Test Bank

ATI RN Maternal Newborn Updated 2023 Questions

Extract:

A client who reports methadone use during pregnancy.


Question 1 of 5

The nurse should expect the newborn to exhibit which of the following manifestations?

Correct Answer: A

Rationale: Poor feeding is a common sign of neonatal abstinence syndrome from maternal methadone use, unlike the other options, which are less specific or normal.

Extract:

A postpartum client who delivered vaginally 8 hr ago.


Question 2 of 5

Select the 3 findings that require immediate follow-up.

Correct Answer: B,C,D

Rationale: Lateral uterine deviation (
B), large lochia rubra (
C), and soft uterine tone (
D) indicate potential hemorrhage or atony, requiring immediate follow-up, unlike the other normal or less urgent findings.

Extract:

A client who is at 15 weeks of gestation during a routine prenatal visit.


Question 3 of 5

Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? Select all that apply.

Correct Answer: D,E,F

Rationale: Weight loss of 2 kg (
D), elevated heart rate (E), and high urine-specific gravity (H) suggest hyperemesis gravidarum or dehydration, unlike the other mostly normal findings.

Extract:

A client who is at 35 weeks of gestation.


Question 4 of 5

Which of the following findings should indicate to the nurse the need for further diagnostic testing?

Correct Answer: C

Rationale: Three fetal movements in 20 minutes suggest a nonreactive nonstress test (lacking adequate heart rate accelerations), indicating potential fetal compromise and need for further testing, unlike the other reassuring findings.

Extract:

A client who has chosen a diaphragm for birth control.


Question 5 of 5

Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Inserting the diaphragm up to 6 hours before intercourse allows spermicide activation, unlike the other incorrect instructions (leave in 6+ hours, avoid detergent, no lubricant).

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