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ATI Maternal Newborn III

Total Questions : 47

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Question 1:

A nurse suspects that a pregnant client may be experiencing placenta abruption based on the assessment of which finding? Select all that apply.

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Question 2:

A pregnant client in her second trimester has a hemoglobin level of 11 g/dL. The nurse interprets this as indicating

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Question 3:

A nurse is providing prenatal care to a pregnant client. At which time would the nurse expect to screen the client for group B streptococcus infection?

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Question 4:

A nurse is providing teaching about nutrition to a client at her first prenatal visit. Which of the following statements by the nurse should be included in the teaching?

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Question 5:

Assessment of a pregnant woman reveals a pigmented line down the middle of her abdomen. The nurse documents this as which finding?

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Question 6:
A client with hyperemesis gravidarum is admitted to the facility after being cared for at home without success. What would the nurse expect to include in the client's plan of care?

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Question 7:

A client is suspected of having a ruptured ectopic pregnancy. Which assessment would the nurse identify as the priority?

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Question 8:
Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client crying. Which response by the nurse would be most appropriate?

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Question 9:

Assessment of a pregnant woman reveals that she compulsively craves ice. The nurse documents this finding as

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Question 10:

After reviewing the information provided in the client's medical record, which of the following complications should the nurse identify that the client is at risk of developing?

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Question 11:

A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has 7-year-old twins who were born at 34 weeks gestation, a 2-year-old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as:

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Question 12:

A nurse is preparing to infuse 1 liter of 0.9% sodium chloride IV over 8 hr with a tubing set that delivers 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many drops/min? Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.

Answer and Explanation
Correct Answer: 31 gtts/min

Explanation

Infusion rate (gtts/min) = Volume (mL) x Drop factor (gtts/mL) / Time (min)

Plugging in the given values, we get:

Infusion rate (gtts/min) = 1000 mL x 15 gtts/mL / 480 min

Infusion rate (gtts/min) = 31.25 gtts/min

Rounding to the nearest whole number, we get 31 gtts/min.


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Question 13:

A nurse is preparing to administer penicillin G benzathine 1.2 million units IM now. The amount available is penicillin G benzathine 600,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: 2mL mL

Explanation

The correct answer is 2 mL. To calculate the volume to administer, the nurse should use the following formula:

Volume (mL) = Dose (units) / Concentration (units/mL)

Plugging in the given values, we get:

Volume (mL) = 1,200,000 units / 600,000 units/mL

Volume (mL) = 2 mL

Rounding to the nearest whole number, we get 2 mL.


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Question 14:
When describing perinatal education to a pregnant woman and her partner, the nurse emphasizes which goal as the primary one?

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Question 15:

While talking with a pregnant woman who has undergone genetic testing, the woman informs the nurse that her baby will be born with Down syndrome. The nurse understands that Down syndrome is an example of:

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Question 16:
A 22-year-old homeless woman arrives at a walk-in clinic seeking pregnancy confirmation. The nurse notes on assessment a 12-week gestational uterus, a BP of 110/70, a BMI of 17.5. The client admits to using cocaine a few times. She has been pregnant before and indicates she "loses them early." What characteristics place the client in the high-risk pregnancy category? Select all that apply.

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Question 17:

A client comes to the prenatal clinic for her first visit. When determining the client's estimated due date, the nurse understands which method is the most accurate.

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Question 18:

A client's last menstrual period was April 11. Using Nägele's rule, her estimated date of birth (EDB. would be:

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Question 19:
A client's last menstrual period was April 11. Using Naegele's rule, her estimated date of birth (EDB. would be:

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Question 20:
A nurse is assessing a client who may be pregnant. The nurse reviews the client's history for presumptive signs. Which signs would the nurse most likely note? Select all that apply.

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Question 21:

A pregnant client in her second trimester has a hemoglobin level of 11 g/dL. The nurse interprets this as indicating:

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Question 22:

On the first prenatal visit, an examination of the woman's internal genitalia reveals a bluish coloration of the cervix and vaginal mucosa. The nurse documents this finding as:

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Question 23:
A pregnant woman undergoes a triple/quadruple screen at 16 to 18 weeks' gestation. What would the nurse suspect if the woman's alpha-fetoprotein (AFP) level is decreased?

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Question 24:

Which compound would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia?

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Question 25:
A woman comes to the prenatal clinic suspecting that she is pregnant, and assessment reveals probable signs of pregnancy. Which findings would the nurse most likely assess? Select all that apply.

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