Questions 58

ATI RN

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ATI Custom Maternity Final 23D Questions

Extract:


Question 1 of 5

Which physical signs could indicate a risk for hyperbilirubinemia?

Correct Answer: C

Rationale: Cephalohematoma increases hyperbilirubinemia risk due to red blood cell breakdown releasing bilirubin. Tremors, newborn rash (erythema toxicum), and acrocyanosis are unrelated to bilirubin levels.

Extract:

Patient at 30 weeks gestation


Question 2 of 5

Forms of exercise appropriate for a pregnant patient are?

Correct Answer: A,C,D

Rationale: Swimming, walking, and yoga are low-impact, safe exercises for pregnancy, supporting fitness without joint stress. Scuba diving and skiing risk injury or decompression issues, unsuitable for pregnancy.

Extract:

Newborn delivered by vacuum extraction, swelling on head crossing suture line


Question 3 of 5

A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?

Correct Answer: A

Rationale: Caput succedaneum is swelling crossing suture lines from vacuum pressure, resolving quickly. Erythema toxicum is a rash, cephalhematoma is blood under the scalp not crossing sutures, and Mongolian spots are pigment patches, not swelling.

Extract:

Client with suspected hydatidiform mole


Question 4 of 5

A nurse is caring for a client who might have a hydatidiform mole. The nurse should monitor the client for which of the following findings?

Correct Answer: D

Rationale: Excessive uterine enlargement is a key sign of hydatidiform mole due to trophoblastic tissue overgrowth. Fetal heart rate irregularities are absent as there's typically no viable fetus, and hCG levels are high, not dropping. Bleeding, not whitish discharge, is common.

Extract:

Client with preeclampsia receiving magnesium sulfate, respiratory rate 8/min


Question 5 of 5

A nurse is assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?

Correct Answer: D

Rationale: Respiratory depression (8/min) indicates magnesium sulfate toxicity. Calcium gluconate is the antidote, stabilizing cell membranes and counteracting magnesium's effects. Protamine sulfate, naloxone, and flumazenil treat other overdoses, not magnesium toxicity.

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