Questions 68

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ATI Pediatrics Final Exam Questions

Extract:

Gravida 1, Para 1, Spontaneous vaginal birth, 39 weeks of gestation, Breastfeeding


Question 1 of 5

Which of the following statements by the client indicates an understanding of the discharge teaching?

Correct Answer: B,D,F

Rationale: Frequent feeding, expecting yellow stools, and recognizing breast engorgement indicate understanding of discharge teaching.

Extract:

A client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina


Question 2 of 5

A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?

Correct Answer: A

Rationale: Inserting a gloved hand to relieve pressure on the cord prevents compression and compromised blood flow to the fetus.

Extract:

A client who has a suspected ectopic pregnancy at 8 weeks of gestation


Question 3 of 5

A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?

Correct Answer: B

Rationale: Unilateral, cramp-like abdominal pain is a hallmark symptom of ectopic pregnancy.

Extract:

A client who is 2 hr postpartum following a vaginal birth


Question 4 of 5

A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?

Correct Answer: B

Rationale: One of the signs that the bladder may be distended is when the fundus is palpable to the right of the midline.

Extract:

A term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome


Question 5 of 5

A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following?

Correct Answer: A

Rationale: Elevated blood glucose levels in mothers with type 2 diabetes leads to increased levels of insulin in the blood. Hyperinsulinemia inhibits fetal lung maturation.

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