Questions 74

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ATI Maternal Newborn Exam Final Questions

Extract:

A client who is suspected of having a hydatidiform mole


Question 1 of 5

Which of the following findings should the nurse expect to observe in this client?

Correct Answer: D

Rationale: Excessive uterine enlargement is characteristic of a hydatidiform mole due to trophoblastic overgrowth. High hCG levels, grape-like vaginal bleeding, and absence of a fetus are typical, not the other options.

Extract:

A newborn


Question 2 of 5

Which of the following should the nurse understand is a clinical manifestation of pyloric stenosis?

Correct Answer: A

Rationale: Projectile vomiting is a hallmark of pyloric stenosis due to obstruction at the pylorus. Bowel sounds are present, sodium levels are typically low, and the mass is in the right upper quadrant.

Extract:

A client who is considering several methods of contraception


Question 3 of 5

Which of the following methods of contraception should the nurse identify as being most reliable?

Correct Answer: D

Rationale: IUDs are highly reliable due to long-term effectiveness and minimal user error. Condoms, oral contraceptives, and diaphragms have higher failure rates due to inconsistent use.

Extract:

A client, Gravida 4 Para 3, 32 weeks of gestation, BMI of 32, history of two newborns weighing over 4.5 kg, family history of type one diabetes mellitus (maternal), fetal heart tones 140/min via doppler


Question 4 of 5

Which of the following provider prescriptions should the nurse plan to implement?

Correct Answer: A,B,D

Rationale: A: Non-stress tests monitor fetal well-being in high-risk pregnancies. B: Limiting carbohydrates to 40% helps control glucose levels. D: Metformin may be prescribed for gestational diabetes risk. C: Random glucose checks are less effective than targeted monitoring.

Extract:

A client who is 2 hr postpartum following a vaginal birth


Question 5 of 5

Which of the following findings indicates the client's bladder is distended?

Correct Answer: A

Rationale: A distended bladder displaces the fundus to the right due to pressure on the uterus. Contractions, thirst, and minimal lochia are not related to bladder distension.

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