Questions 49

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ATI Maternal Newborn 2023 Questions

Extract:

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


Question 1 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:

A nurse is caring for a client who is in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum as the head is birthed.


Question 2 of 5

Which condition is the client most likely experiencing?

Correct Answer: A

Rationale: Retraction of the fetal head against the maternal perineum as the head is birthed is a classic sign of shoulder dystocia, where the baby's shoulder gets stuck behind the mother's pelvic bone during delivery.

Extract:

A nurse in a prenatal clinic is caring for a pregnant client who inquires about her estimated date of birth (EDB). If the client's last menstrual period started on July 27, what would be the client's EDB?


Question 3 of 5

What would be the client's EDB if her last menstrual period started on July 27?

Correct Answer: B

Rationale: Using Nägele's Rule: subtract 3 months from July 27 (April 27), add 7 days (May 4). The EDB in MMDD format is 0504.

Extract:

A nurse is caring for a client who is at 34 weeks of gestation. The client reports headache, dizziness, and blurred vision for 1 week. The nurse notes 3+ edema in lower extremities and deep tendon reflexes (DTRs) 3+ with positive clonus. The fetal heart rate (FHR) is 140 with minimal variability.


Question 4 of 5

Which condition is the client most likely experiencing?

Correct Answer: A

Rationale: The client's symptoms of headache, dizziness, blurred vision, 3+ edema in lower extremities, deep tendon reflexes (DTRs) 3+ with positive clonus, and a fetal heart rate (FHR) of 140 with minimal variability are indicative of preeclampsia.

Extract:

A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.


Question 5 of 5

Which of the following newborn complications should the nurse recognize as the priority focus of care?

Correct Answer: D

Rationale: Hypoglycemia is the priority focus of care for a newborn with macrosomia born to a mother with diabetes mellitus. The infant's high insulin levels, developed in response to maternal hyperglycemia, can cause a rapid drop in blood sugar after birth.

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