Questions 66

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ATI Maternal Newborn Final Exam Questions

Extract:

A nurse is caring for several clients.


Question 1 of 5

The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?

Correct Answer: D

Rationale:
Tocolytic therapy is safe and appropriate for preterm labor at 26 weeks to delay delivery and enhance fetal lung maturity, unlike post-term pregnancy, Braxton-Hicks contractions, or fetal death, where it is not indicated.

Extract:

A nurse is admitting a term newborn following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow.


Question 2 of 5

This finding indicates the newborn is experiencing a complication related to which of the following?

Correct Answer: B

Rationale: Slightly yellow skin in a term newborn suggests physiologic jaundice, common due to immature liver function, unlike vitamin K deficiency, cocaine exposure, or blood group incompatibility.

Extract:

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.'


Question 3 of 5

Which of the following should the nurse recognize as a sign of true labor?

Correct Answer: D

Rationale: Cervical changes (effacement and dilation) are the most reliable sign of true labor, unlike contraction patterns, station, or membrane rupture, which are less definitive.

Extract:

A nurse is caring for an adolescent client who is gravida 1, para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia.


Question 4 of 5

Which of the following findings should the nurse identify as inconsistent with preeclampsia?

Correct Answer: D

Rationale: Deep tendon reflexes of +1 are normal and inconsistent with preeclampsia, which typically shows hyperreflexia (>+2), unlike elevated BP, proteinuria, or edema.

Extract:

A nurse is caring for a client who is 2 hours postpartum following a vaginal birth.


Question 5 of 5

Which of the following findings indicates the client's bladder is distended?

Correct Answer: A

Rationale: A fundus displaced to the right indicates bladder distension, which can push the uterus aside, unlike lochia amount, thirst, or contractions, which are unrelated.

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