Questions 66

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ATI Maternal Newborn Final Exam Questions

Extract:

A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU).


Question 1 of 5

Which of the following foods should the nurse instruct the client to eliminate from her diet?

Correct Answer: A

Rationale: Peanut butter, high in phenylalanine, must be eliminated for PKU clients to prevent harmful accumulation, unlike potatoes, apple juice, or broccoli, which are low in phenylalanine and safe.

Extract:

A nurse is caring for a client who is 6 hours postpartum. The client is Rh-negative and her newborn is Rh-positive. The client asks why an indirect Coombs test was ordered by the provider.


Question 2 of 5

Which of the following is an appropriate response by the nurse?

Correct Answer: A

Rationale: The indirect Coombs test detects maternal antibodies that could cause hemolytic disease in an Rh-positive newborn, unlike newborn antibody tests, kernicterus risk, or maternal antibodies in the newborn.

Extract:

A nurse is preparing to administer liquid mycostatin 600,000 units PO TID. Available is mycostatin 100,000 units/mL.


Question 3 of 5

How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: A

Rationale:
To administer 600,000 units with mycostatin at 100,000 units/mL, divide 600,000 by 100,000, yielding 6 mL per dose.

Extract:

A nurse is caring for a client who is postpartum and has received methylergonovine.


Question 4 of 5

Which of the following findings indicates that the medication was effective?

Correct Answer: A

Rationale: A firm fundus indicates effective uterine contractions from methylergonovine, preventing hemorrhage, unlike breast pain, increased lochia, or blood pressure changes.

Extract:

A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes.


Question 5 of 5

Which of the following statements by the client indicates a need for further teaching?

Correct Answer: D

Rationale: Limiting carbohydrates to 50% is not a universal recommendation for gestational diabetes; individualized dietary plans are needed, unlike the accurate statements about exercise, diabetes risk, or glyburide.

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