ATI Maternal Newborn 2023 | Nurselytic

Questions 49

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ATI Maternal Newborn 2023 Questions

Extract:

A nurse is preparing to administer methylergonovine IM to a client who has just had a vaginal delivery.


Question 1 of 5

The nurse should inform the client that this medication is intended to prevent which of the following conditions?

Correct Answer: A

Rationale: Methylergonovine is used to prevent postpartum hemorrhage by increasing uterine contractions to reduce bleeding after delivery.

Extract:

A nurse is attending to a client in active labor and observes late decelerations on the fetal monitor.


Question 2 of 5

What should be the nurse's priority action?

Correct Answer: D

Rationale: Positioning the client on her side is the priority action to improve uteroplacental blood flow and address late decelerations, which indicate uteroplacental insufficiency.

Extract:

A nurse is caring for a client who is at 34 weeks of gestation. The client is a 41-year-old Gravida 4 Para 3 with a history of gestational diabetes, eclampsia with a previous pregnancy, and chronic hypertension for 5 years. The client was admitted to the antepartum unit from the provider's office with elevated blood pressure, 3+ edema in the lower extremities, and 3+ proteinuria.


Question 3 of 5

What condition is the client most likely experiencing?

Correct Answer: A

Rationale: The client's symptoms of elevated blood pressure, 3+ edema, and 3+ proteinuria, combined with her history, indicate preeclampsia, requiring seizure precautions and monitoring of neurological status and liver function.

Extract:

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation.


Question 4 of 5

Which of the following explanations about this test should the nurse provide to the client?

Correct Answer: A

Rationale: The correct answer is A because the given test is likely referring to the maternal serum alpha-fetoprotein (MSAFP) screening test. This test is commonly used to screen for neural tube defects and other spinal abnormalities in the fetus. The other choices are incorrect because B is usually assessed through tests like lecithin/sphingomyelin ratio, C is typically identified through Rh factor testing, and D is evaluated through tests like non-stress test or biophysical profile.
Therefore, the most appropriate explanation to provide to the client is that the test is a screening test for spinal defects in the fetus.

Extract:

A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4 C (97.6° F). The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions.


Question 5 of 5

What is the priority nursing action?

Correct Answer: B

Rationale: Initiating IV access is the priority to allow rapid administration of fluids and medications to stabilize the client's condition, likely due to placenta previa causing significant bleeding.

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