ATI RN Maternal Newborn 2023 Retake | Nurselytic

Questions 46

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ATI RN Maternal Newborn 2023 Retake Questions

Extract:

A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.


Question 1 of 5

Which of the following findings should the nurse report to the provider?

Correct Answer: B

Rationale: A fasting blood glucose of 180 mg/dL is elevated, suggesting gestational diabetes, which requires reporting. Hematocrit, creatinine, and WBC are within normal ranges for pregnancy.

Extract:

A nurse is caring for a patient who is 1 hour postpartum and has uterine atony. The patient is exhibiting a large amount of vaginal bleeding.


Question 2 of 5

What action should the nurse take?

Correct Answer: B

Rationale: Misoprostol is a medication that can be used to treat uterine atony by promoting uterine contractions to reduce bleeding. A Kleihauer-Betke test assesses fetal-maternal hemorrhage, not immediate bleeding management; betamethasone is for fetal lung maturity, not atony; and avoiding vaginal exams doesn't address the bleeding.

Extract:

A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.


Question 3 of 5

Which of the following findings should the nurse report to the provider?

Correct Answer: B

Rationale: A fasting blood glucose of 180 mg/dL is elevated, suggesting gestational diabetes, which requires reporting. Hematocrit, creatinine, and WBC are within normal ranges for pregnancy.

Extract:

A nurse in a prenatal clinic is caring for a group of clients.


Question 4 of 5

Which of the following clients should the nurse recognize as having a contraindication for a contraction stress test?

Correct Answer: D

Rationale: A previous classical uterine incision increases rupture risk, contraindicating a contraction stress test. Other conditions don't pose this risk.

Extract:

A nurse is reviewing the medical record of a patient who had a vaginal delivery 3 hours ago.


Question 5 of 5

Which findings place the patient at risk for postpartum hemorrhage? (Select all that apply)

Correct Answer: A, C, D

Rationale: Vacuum-assisted delivery can cause trauma increasing bleeding risk; oxytocin induction can lead to uterine atony; and a history of uterine atony is a direct risk factor. A newborn weight of 2.948 kg is normal, and HPV doesn't affect hemorrhage risk.

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