Questions 35

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ATI RN Maternal Newborn 2023 IV Questions

Extract:

A nurse is reviewing the history of a client who is pregnant.


Question 1 of 5

Which of the following clinical data indicates the client is at risk for preterm delivery?

Correct Answer: A

Rationale: A history of cervical cerclage indicates cervical insufficiency, a known risk factor for preterm delivery. The other findings do not directly correlate with preterm risk.

Extract:

A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain.


Question 2 of 5

Which of the following Information should the nurse Include?

Correct Answer: A

Rationale: Hypnosis is more effective for labor pain control if practiced prenatally, enhancing relaxation and pain perception alteration. Breathing and body control are not mandatory, and hypnosis can be effective.

Extract:

A nurse is caring for a client who is in labor. The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position.


Question 3 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Late decelerations suggest uteroplacental insufficiency. Administering oxygen via face mask increases maternal oxygen levels, improving fetal oxygenation, and is the priority after repositioning.

Extract:

A nurse is assessing a client who is at 28 weeks of gestation and has a Clostridium difficile infection.


Question 4 of 5

The nurse should initiate which of the following types of isolation precautions for the client?

Correct Answer: D

Rationale: C. difficile is transmitted via contact with contaminated surfaces or fecal-oral route, requiring contact precautions (gloves, gown, hand hygiene) to prevent spread.

Extract:

A nurse is assessing a newborn who is 2 hr old.


Question 5 of 5

Which of the following findings is an indication of hypoglycemia? (Select all that apply.)

Correct Answer: D, E

Rationale: Hypotonia (
D) and jitteriness (E) are common signs of hypoglycemia in newborns due to low glucose affecting muscle tone and neurological function. The others are not specific to hypoglycemia.

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