Questions 52

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ATI NUR 223 Maternal Newborn Exam 1 Questions

Extract:

A patient scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation


Question 1 of 5

Which explanations about this test should the nurse provide to the patient?

Correct Answer: A

Rationale: The test screens for neural tube defects via alpha-fetoprotein levels, not general well-being, Rh incompatibility, or lung maturity.

Extract:

Four clients reviewing contraception options


Question 2 of 5

Which client has a contraindication for receiving oral contraceptives?

Correct Answer: A

Rationale: Smoking over age 35 increases cardiovascular risks with oral contraceptives, unlike PID, benign breast disease, or non-aura migraines.

Extract:

An antepartum client with a negative rubella titer


Question 3 of 5

What is the correct interpretation of this data?

Correct Answer: C

Rationale: A negative titer indicates no immunity, requiring post-delivery vaccination to protect future pregnancies.

Extract:

A client at 15 weeks of gestation scheduled for an amniocentesis


Question 4 of 5

The nurse should explain that the purpose of this test is to identify which of the following conditions?

Correct Answer: A,C,E

Rationale: Amniocentesis detects chromosomal anomalies, gender, and neural tube defects, not cephalopelvic disproportion or Rh incompatibility.

Extract:

A client in her first trimester with a positive pregnancy test


Question 5 of 5

The nurse should instruct the client to call the clinic if she experiences which of the following manifestations?

Correct Answer: D

Rationale: Facial edema may indicate preeclampsia, requiring immediate evaluation, unlike common first-trimester symptoms.

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