Questions 119

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ATI Maternity Exam 3 Questions

Extract:

A newborn receiving phototherapy.


Question 1 of 5

Which of the following would the nurse include in the plan of care for a newborn receiving phototherapy?

Correct Answer: D

Rationale: Frequent feeding supports hydration and bilirubin excretion during phototherapy, unlike harmful lotion, dehydration, or static positioning.

Extract:

A 1-day-old newborn.


Question 2 of 5

The nurse assesses a 1-day-old newborn. Which finding indicates that the newborn's oxygenation needs are not being met?

Correct Answer: A

Rationale: Grunting and nasal flaring signal respiratory distress, indicating inadequate oxygenation, unlike normal findings like acrocyanosis or abdominal breathing.

Extract:

Clients in an antepartum unit


Question 3 of 5

A nurse in an antepartum unit is triaging clients. Which of the following clients should the nurse see first?

Correct Answer: D

Rationale: Painless vaginal bleeding at 28 weeks suggests placenta previa, a life-threatening condition requiring immediate assessment. Cough, spotting, and nausea are less urgent.

Extract:

A client who is at 28 weeks of gestation


Question 4 of 5

A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy, terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's current status?

Correct Answer: C

Rationale: GTPAL: Gravida 4 (current, twins, two abortions), Term 0, Preterm 1 (twins at 36 weeks), Abortions 2 (9 and 15 weeks), Living 2 (twins). Thus, 4-0-1-2-2.

Extract:

A client who smokes one pack of cigarettes per day at 6 weeks of gestation


Question 5 of 5

A nurse is completing a health history for a client who is at 6 weeks of gestation. The client informs the nurse that she smokes one pack of cigarettes per day. The nurse should advise the client that smoking places the client's newborn at risk for which of the following complications?

Correct Answer: D

Rationale: Smoking reduces placental blood flow, causing intrauterine growth restriction. It's not strongly linked to type 1 diabetes, hearing loss, or heart defects in this context.

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