Questions 67

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ATI RN Test Bank

ATI RN Maternal Newborn 2023 III Questions

Extract:

A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hours old. The newborn has a Coombs positive result and a glucose level of 50 mg/dL (40 to 60 mg/dL).


Question 1 of 5

What should the nurse anticipate?

Correct Answer: D

Rationale: A Coombs positive result suggests potential hemolysis, requiring monitoring for jaundice, a common complication.

Extract:

A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord.


Question 2 of 5

What clinical findings should the nurse expect?

Correct Answer: A

Rationale: Facial petechiae result from pressure on the face and neck from a nuchal cord, a common finding in such deliveries.

Extract:

A nurse is caring for a client who has a placenta previa.


Question 3 of 5

Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Painless vaginal bleeding is a classic sign of placenta previa, where the placenta covers the cervix, unlike painful conditions like abruptio placentae.

Extract:

A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia.


Question 4 of 5

Which of the following responses by the nurse is appropriate?

Correct Answer: C

Rationale: Magnesium sulfate prevents seizures in preeclampsia by its anticonvulsant properties, the primary therapeutic goal.

Extract:

A nurse is providing teaching to a client about the purpose of her upcoming indirect Coombs test.


Question 5 of 5

Which of the following statements should the nurse include in the teaching?

Correct Answer: B

Rationale: The indirect Coombs test detects Rh-positive antibodies in maternal blood, assessing Rh incompatibility risk.

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