Questions 74

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ATI Maternal Newborn Exam Final Questions

Extract:

A client who is experiencing preterm labor, receiving magnesium sulfate IV


Question 1 of 5

Which of the following is the priority nursing assessment for this client?

Correct Answer: C

Rationale: Respiratory rate is the priority due to magnesium sulfate's risk of respiratory depression. FHR, temperature, and bowel sounds are monitored but are less critical.

Extract:

A client who is at 22 weeks of gestation


Question 2 of 5

At which location should the nurse expect to palpate the fundus?

Correct Answer: D

Rationale: At 22 weeks, the fundus is typically slightly above the umbilicus, aligning with the rule that fundal height in centimeters approximates gestational age. Other options correspond to earlier or later gestational stages.

Extract:

A newborn who is postmature


Question 3 of 5

Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Postmature newborns have cracked, peeling skin due to prolonged amniotic fluid exposure and reduced vernix. Lanugo, short nails, and vernix are typical of preterm or term infants.

Extract:

A client who is suspected to have an ectopic pregnancy at 8 weeks of gestation


Question 4 of 5

What symptoms should the nurse expect to observe that are consistent with this diagnosis?

Correct Answer: A

Rationale: Unilateral, cramp-like pain is typical of ectopic pregnancy due to tubal irritation. Severe nausea, excessive uterine growth, and heavy bleeding are less common or indicate other conditions.

Extract:

A patient who has been admitted to the labor and delivery unit


Question 5 of 5

What condition is the patient most likely experiencing, what actions should the nurse take, and what parameters should the nurse monitor?

Correct Answer: A

Rationale: Preterm labor is likely, requiring tocolytics to reduce contractions, with contraction frequency monitored to assess progress. Specific details are lacking but align with the scenario.

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