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ATI Maternity Exam 3

Total Questions : 55

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Question 1:

The primary factor that differentiates eclampsia from preeclampsia is:
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Answer and Explanation

A
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Question 2:

The nurse at a shelter is counseling a group of women experiencing domestic violence. What is most important for the nurse to emphasize?
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Question 3:

At 22 weeks' gestation, a client is diagnosed with placenta previa. The doctor tells the client that the placenta may move away from the cervix as the pregnancy progresses. This is classified as what type of previa?

Answer and Explanation

A
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Question 4:

A client who is breastfeeding her newborn tells the nurse, "I notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?" Which response by the nurse would be most appropriate?
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Question 5:

A couple who has had difficulty conceiving confides in the nurse at the infertility clinic that they feel overwhelmed with the decisions that face them. Which of the following nursing strategies would be most appropriate and therapeutic?
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Question 6:

The nurse administers vitamin K intramuscularly as prophylaxis to the newborn based on which of the following rationales?
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Question 7:

The nurse, working in labor and delivery, performs a sterile vaginal exam on a laboring woman. During the exam, she feels a loop of pulsating cord in the vagina. The nurse would anticipate:
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Answer and Explanation

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Question 8:

The nurse at a shelter is counseling a group of women experiencing domestic violence. What is most important for the nurse to emphasize?
Select one:

Answer and Explanation

A
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Question 9:

Obstetrical risks to consider for a pregnant teenager would be all of the following, EXCEPT: Select one:

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Question 10:

The parents of a newborn who is being treated for bacterial septicemia ask the nurse why their baby didn't seem very ill. The best response of the nurse is:
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Question 11:

A woman has just entered the third stage of labor. The nurse would focus care on which of the following? Select one:

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A
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Question 12:

During an observational experience in labor and delivery, the student nurse recognizes that thick meconium is present in the amniotic fluid. Upon delivery of the newborn, the student nurse understands that there are signs that indicate that the newborn will need resuscitation. These signs are:
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Answer and Explanation

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Question 13:

Why is it important for the nurse to assess the bladder regularly and encourage the laboring client to void every 2 hours?
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Question 14:

The nurse assesses a newborn at 36 weeks' gestation, and the following behaviors are noted: nasal flaring, labored breathing, and excessive mucus. The nurse is most concerned about:
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Question 15:

During a physical assessment of a newborn, the nurse observes bluish markings across the newborn's lower back. The nurse interprets this finding as:
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Question 16:

Post-term fetal risks include all of the following, EXCEPT: Select one:

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Question 17:

A woman with a history of crack cocaine use is admited to the Labor and Birthing Unit. While caring for the patient, the nurse notes a sudden onset of fetal bradycardia. The patient also complains of acute abdominal pain that is continuous and she has dark red vaginal bleeding. Which of the following would the nurse suspect?
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Answer and Explanation

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Question 18:

The nurse assesses a 1-day-old newborn. Which finding indicates that the newborn's oxygenation needs are not being met?
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Question 19:

A woman who is 12 hours postpartum had a pulse rate around 80 beats per minute during pregnancy. Now, the nurse finds a pulse of 60 beats per minute. Which of these actions should the nurse take?
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Question 20:

A woman is at 32 weeks' gestation. Her fundal height measurement at this clinic appointment is 26 centimeters. After reviewing her ultrasound results, the health care provider asks the nurse to schedule the client for a series of ultrasounds to be done every 2 weeks. The nurse should ensure that the client understands that the main purpose for this is to:
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Question 21:

The nurse's initial action when caring for an otherwise stable, full term infant with a slightly decreased temperature is to:
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Question 22:

The client at 42 weeks' pregnancy is admited for induction of her labor. Which statement indicates that she understands the Reasons for the induction?
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Answer and Explanation

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Question 23:

When the nurse is assessing a postpartum client approximately 6 hours after delivery, which finding would warrant further investigation?
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Question 24:

An adolescent patient at 20 weeks gestation states that it is important not to have a baby that weighs too much. She states this has been her rationale for limiting calories. Her weight has decreased from 110 pounds to 106 pounds.
What would be the best nursing response? Select one:

Answer and Explanation

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Question 25:

Following a normal spontaneous vaginal delivery (NSVD), a 28 year old G3 now P3 mother develops sudden onset shortness of breath, hypoxia and cyanosis. The delivery room nurse quickly recognizes these symptoms as possible:
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