ATI RN Maternal Newborn 2023 III

Extract:

A nurse is providing teaching to a client about the purpose of her upcoming indirect Coombs test.

Question 1 of 5

Which of the following statements should the nurse include in the teaching?

Correct Answer: B

Rationale: The indirect Coombs test detects Rh-positive antibodies in maternal blood, assessing Rh incompatibility risk.

Extract:

A 28-year-old female at 12 weeks gestation admitted with excessive vomiting for 48 hours, lost 2.3 kg. Reports unable to keep food/fluids down. Dry mucous membranes, poor skin turgor, amber urine 20 mL/hr.

Question 2 of 5

The nurse is assessing the client 24 hours later. How should the nurse interpret the findings? Options: A. Urine pH 5.0, B. Urine specific gravity 1.050, C. 3+ ketones, D. Urinary output 40 mL/hr, E. HR 130/min, F. WBC 10,000/mmÂ³

A. A: Improving, B: Worsening, C: Worsening, D: Improving, E: Worsening, F: Unrelated B. A: Unrelated, B: Improving, C: Improving, D: Worsening, E: Unrelated, F: Worsening C. A: Worsening, B: Unrelated, C: Unrelated, D: Improving, E: Improving, F: Improving D. A: Improving, B: Improving, C: Worsening, D: Worsening, E: Worsening, F: Unrelated

Correct Answer: A

Rationale: Urine pH 5.0 and output 40 mL/hr improving (hydration); specific gravity 1.050, 3+ ketones, HR 130/min worsening (dehydration); WBC 10,000/mmÂ³ unrelated (normal range).

Extract:

A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord.

Question 3 of 5

What clinical findings should the nurse expect?

A. Facial petechiae B. Periauricular papillomas C. Erythema toxicum D. Telangiectatic nevi

Correct Answer: A

Rationale: Facial petechiae result from pressure on the face and neck from a nuchal cord, a common finding in such deliveries.

Extract:

A nurse is caring for a client who is in labor. The nurse notes that the umbilical cord is protruding from the client's vagina.

Question 4 of 5

Which of the following actions should the nurse take first?

A. Administer a tocolytic medication B. Wrap the cord in a sterile towel and moisten with warm sterile normal saline C. Apply oxygen via facemask to the client D. Exert upward pressure on the presenting part

Correct Answer: D

Rationale: Exerting upward pressure on the presenting part relieves cord compression, restoring fetal blood flow as the priority action.

Extract:

A nurse is assessing a newborn who is 2 hours old.

Question 5 of 5

Which of the following findings is an indication of hypoglycemia? (Select all that apply)

A. Abdominal distention B. Temperature instability C. Acrocyanosis D. Hypotonia

Correct Answer: B, D

Rationale: Temperature instability and hypotonia are signs of hypoglycemia, affecting thermoregulation and muscle tone due to low blood sugar.

ATI RN Maternal Newborn 2023 III | Nurselytic

Nurselytic

ATI RN

ATI RN