ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Question 1 of 5
Which of the following are contraindications for VBAC?
Correct Answer: C,E
Rationale: Maternal obesity and macrosomic fetus are relative contraindications for VBAC, increasing risks like uterine rupture or failure. Prior vaginal delivery and one prior cesarean are favorable, and 42 weeks gestation is not a direct contraindication.
Extract:
Postpartum client, vaginal birth, newborn weighing 4252 g
Question 2 of 5
A nurse is caring for a postpartum client following a vaginal birth of a newborn weighing 4252 g (9 lb 6 oz). The nurse should identify that this client is at risk for which of the following postpartum complications?
Correct Answer: A
Rationale: A large newborn (macrosomia) increases the risk of uterine atony due to overdistension, which can prevent proper uterine contraction and lead to hemorrhage. Other complications are possible but less directly linked to newborn size.
Extract:
Question 3 of 5
What are the signs and symptoms of Thalassemia? Select all that apply.
Correct Answer: A,B
Rationale: Slow growth and fatigue are common symptoms of thalassemia due to anemia from reduced hemoglobin production, affecting oxygen delivery and growth. Hematoma and pruritus are not typical symptoms, though bleeding risks or iron overload side effects may occur but are less direct.
Question 4 of 5
Which of the following are contraindications for VBAC?
Correct Answer: C,E
Rationale: Maternal obesity and macrosomic fetus are relative contraindications for VBAC, increasing risks like uterine rupture or failure. Prior vaginal delivery and one prior cesarean are favorable, and 42 weeks gestation is not a direct contraindication.
Extract:
Breastfed newborn diagnosed with galactosemia
Question 5 of 5
A breastfed newborn has just been diagnosed with galactosemia. The therapeutic management for this newborn is to:
Correct Answer: A
Rationale: Galactosemia requires stopping breastfeeding to avoid galactose accumulation, which can cause liver damage and other issues. Other options do not address the metabolic defect or worsen the condition.