ATI Maternal Newborn 2023 | Nurselytic

Questions 49

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ATI Maternal Newborn 2023 Questions

Extract:

A nurse is monitoring a patient who is receiving magnesium sulfate to manage pre-eclampsia.


Question 1 of 5

Which of the following observations should the nurse report to the healthcare provider?

Correct Answer: D

Rationale: A urinary output of 40 mL in 2 hours is less than the normal range (at least 30 mL/hour). This could indicate kidney dysfunction, a serious complication of pre-eclampsia, and should be reported.

Extract:

A nurse is caring for a patient who is about to undergo a biophysical profile. The patient asks the nurse what aspects are evaluated during this test.


Question 2 of 5

Which of the following should the nurse include? (Select all that apply)

Correct Answer: C, D, E

Rationale: Fetal motion, fetal breathing, and amniotic fluid volume are evaluated during a biophysical profile to assess fetal well-being. Fetal neck translucency and gender are not part of this test.

Extract:

A nurse is admitting a patient with severe pre-eclampsia at 35 weeks of gestation and is reviewing the provider's orders.


Question 3 of 5

Which of the following orders requires clarification?

Correct Answer: C

Rationale: Ambulating twice daily may not be appropriate for a patient with severe pre-eclampsia at 35 weeks of gestation. Bed rest is often recommended to help lower blood pressure and reduce the risk of complications.

Extract:

Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?


Question 4 of 5

Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?

Correct Answer: B

Rationale: A significant increase in blood pressure from a baseline of 110/70 mmHg to a current BP of 145/85 mmHg could indicate a risk for pregnancy-induced hypertension.

Extract:

A nurse on the labor and delivery unit is caring for a patient following a vaginal examination by the provider which is documented as: -1.


Question 5 of 5

Which of the following interpretations of this finding should the nurse make?

Correct Answer: C

Rationale: The documentation “-1” in a vaginal examination indicates that the presenting part is 1 cm above the ischial spines, a common finding during labor.

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