Questions 53

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ATI RN Maternal Newborn Updated 2023 Questions

Extract:

A client who is at 15 weeks of gestation during a routine prenatal visit.


Question 1 of 5

Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? Select all that apply.

Correct Answer: D,E,F

Rationale: Weight loss of 2 kg (
D), elevated heart rate (E), and high urine-specific gravity (H) suggest hyperemesis gravidarum or dehydration, unlike the other mostly normal findings.

Extract:

A client who is at 32 weeks of gestation and has placenta previa exhibiting a large amount of vaginal bleeding.


Question 2 of 5

Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Obtaining serial hemoglobin and hematocrit assesses blood loss extent in placenta previa bleeding, guiding treatment, unlike the other contraindicated or less urgent actions.

Extract:

A client who is experiencing infertility and is requesting in vitro fertilization.


Question 3 of 5

Which of the following information should the nurse provide to the client?

Correct Answer: B

Rationale: Informing about possible multifetal reduction addresses a common IVF risk, unlike the other options, which misrepresent IVF procedures or options.

Extract:

A newborn immediately following birth.


Question 4 of 5

How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is improving, or an indication that the client's condition is worsening.

Finding Unrelated to diagnosis Indication client's condition is improving Indication client's condition is worsening
Color: Consistent with genetic background - Unrelated
Axillary temperature 36.3° C (97.4°F), Reflex irritability: cry - Improving
Muscle tone: flaccid - Worsening
Respiration effort: good cry - Improving
Heart rate 140/min - Improving

Correct Answer: A,B,C,D,E

Rationale: A: Color consistent with genetic background is unrelated to initial findings, suggesting normal adjustment. B: Normal temperature and cry indicate improvement. C: Flaccid tone suggests worsening, possibly neurological. D: Good cry shows respiratory improvement. E: Normal heart rate (140/min) indicates cardiovascular stability.

Extract:

A client about the purpose of her upcoming indirect Coombs' test.


Question 5 of 5

Which of the following statements should the nurse include in the teaching?

Correct Answer: B

Rationale: The indirect Coombs' test detects Rh-positive antibodies in maternal blood, identifying Rh incompatibility risk, unlike the other options, which describe unrelated tests.

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