Questions 74

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ATI Maternal Newborn Exam Final Questions

Extract:

A newborn delivered via emergency cesarean birth for abruptio placenta and non-reassuring fetal heart rate, Apgar score 5 at 1 min, positive pressure ventilation given for 1 min followed by free flow oxygen


Question 1 of 5

What finding should the nurse report to the provider?

Correct Answer: D

Rationale: Respiratory assessment is critical due to the low Apgar score and ventilation needs, indicating potential distress. Hemoglobin, hematocrit, glucose, and temperature are less immediate concerns.

Extract:

An adolescent client who has pelvic inflammatory disease due to a sexually transmitted infection, concerned about parental disclosure


Question 2 of 5

Which of the following responses should the nurse make?

Correct Answer: A

Rationale: Acknowledging the client's fear validates emotions and supports autonomy, respecting confidentiality laws. Other responses risk undermining privacy or pressuring disclosure.

Extract:

A client who is 36 hours postpartum, breasts soft, warm, tender, no nipple discomfort, fundus boggy, 1 cm above umbilicus, deviated to right, becomes firm with massage, abdominal cramping pain rated 8/10, moderate lochia rubra, given analgesic


Question 3 of 5

Which of the following complications poses the greatest risk for the client?

Correct Answer: A

Rationale: A boggy fundus indicates uterine atony, a leading cause of postpartum hemorrhage, posing the greatest risk. Infection, thrombophlebitis, and embolism are less likely based on the findings.

Extract:

A client who is at 34 weeks of gestation and at risk for placental abruption


Question 4 of 5

What is the most common risk factor for abruption?

Correct Answer: D

Rationale: Hypertension (chronic or gestational) is the most common risk factor for placental abruption, damaging uterine vessels. Trauma, smoking, and cocaine are less common causes.

Extract:

A patient who has been admitted to the labor and delivery unit


Question 5 of 5

What condition is the patient most likely experiencing, what actions should the nurse take, and what parameters should the nurse monitor?

Correct Answer: A

Rationale: Preterm labor is likely, requiring tocolytics to reduce contractions, with contraction frequency monitored to assess progress. Specific details are lacking but align with the scenario.

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