Questions 68

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ATI Pediatrics Final Exam Questions

Extract:

Gravida 4 Para 3, 32 weeks of gestation, BMI 32, History of two newborns weighing over 4.5 kg (10 lb), Family history of type one diabetes mellitus (maternal), Fetal heart tones 140/min via doppler


Question 1 of 5

Which of the following provider prescriptions should the nurse plan to implement?

Correct Answer: A,C,D

Rationale: Limiting carbohydrate intake, prescribing metformin, and conducting non-stress tests are appropriate for managing the risk of gestational diabetes in this high-risk client.

Extract:

An 8-hour old, term newborn following a cesarean birth. The nurse observes that the newborn's skin is yellow


Question 2 of 5

A nurse is admitting an 8-hour old, term newborn following a cesarean birth. The nurse observes that the newborn's skin is yellow. This finding indicates the newborn is experiencing a complication related to which of the following?

Correct Answer: B

Rationale: Jaundice within 24 hours of birth is pathological and may indicate maternal/newborn blood group incompatibility.

Extract:

A client who is experiencing preterm labor


Question 3 of 5

A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client?

Correct Answer: C

Rationale: Magnesium sulphate toxicity can lead to respiratory depression, making respiratory rate the priority assessment.

Extract:

A client who is in her second trimester and has a new diagnosis of gestational diabetes


Question 4 of 5

A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates a need for further teaching?

Correct Answer: B

Rationale: Glyburide is not recommended for use in pregnancy due to safety concerns for the fetus.

Extract:

Gravida 4 Para 3, 32 weeks of gestation, BMI 32, History of two newborns weighing over 4.5 kg (10 lb), Family history of type one diabetes mellitus (maternal), Fetal heart tones 140/min via doppler


Question 5 of 5

Which of the following provider prescriptions should the nurse plan to implement?

Correct Answer: A,C,D

Rationale: Limiting carbohydrate intake, prescribing metformin, and conducting non-stress tests are appropriate for managing the risk of gestational diabetes in this high-risk client.

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