ATI Maternal Newborn 2023 | Nurselytic

Questions 49

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ATI Maternal Newborn 2023 Questions

Extract:

A nurse is caring for a client who is at 34 weeks of gestation. The client reports headache, dizziness, and blurred vision for 1 week. The nurse notes 3+ edema in lower extremities and deep tendon reflexes (DTRs) 3+ with positive clonus. The fetal heart rate (FHR) is 140 with minimal variability.


Question 1 of 5

Which condition is the client most likely experiencing?

Correct Answer: A

Rationale: The client is most likely experiencing preeclampsia. Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to other organs, typically after 20 weeks of pregnancy. The key indicators are hypertension, proteinuria, and edema. Chronic hypertension (
B) is high blood pressure that existed before pregnancy or that occurs before 20 weeks of pregnancy. Neurologic status (
C) and liver function studies (
D) may be affected by preeclampsia, but they are not the primary condition.

Extract:

Three hours post cesarean section, the physician orders Toradol 30 mg IM every 6 hours for pain. Toradol is available in 60 mg/mL.


Question 2 of 5

How many mLs should be drawn up?

Correct Answer: A

Rationale: 30 mg ÷ 60 mg/mL = 0.5 mL. The nurse should draw up 0.5 mL of
Toradol.

Extract:

A nurse is caring for a patient who is about to undergo a biophysical profile. The patient asks the nurse what aspects are evaluated during this test.


Question 3 of 5

Which of the following should the nurse include? (Select all that apply)

Correct Answer: C, D, E

Rationale: Fetal motion, fetal breathing, and amniotic fluid volume are evaluated during a biophysical profile to assess fetal well-being. Fetal neck translucency and gender are not part of this test.

Extract:

A nurse is caring for a client who is at 36 weeks of gestation and suspected of having placenta previa.


Question 4 of 5

Which of the following symptoms would support this diagnosis?

Correct Answer: D

Rationale: Painless red vaginal bleeding is a classic symptom of placenta previa, where the placenta covers the cervix, typically occurring in the third trimester.

Extract:

A nurse on the labor and delivery unit is caring for a patient following a vaginal examination by the provider which is documented as: -1.


Question 5 of 5

Which of the following interpretations of this finding should the nurse make?

Correct Answer: C

Rationale: The documentation “-1” in a vaginal examination indicates that the presenting part is 1 cm above the ischial spines, a common finding during labor.

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