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Exam Review

ATI RN Maternal Newborn 2023

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Total Questions : 74

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Question 1:

Complete the following statement.

The client is at risk of developing

due to the client’s

 

Answer and Explanation

Explanation

Hyperemesis gravidarum is a condition characterized by severe nausea, vomiting, weight loss, and dehydration during pregnancy. The client's laboratory results show signs consistent with dehydration and electrolyte imbalances, such as a low potassium level (3.3 mEq/L) and an elevated blood urea nitrogen (BUN) level (28 mg/dL).

Additionally, the presence of ketones in the urine (not explicitly mentioned in the provided laboratory results but commonly associated with hyperemesis gravidarum) indicates that the body is breaking down fat for energy due to inadequate oral intake and dehydration.

These findings suggest that the client is experiencing significant fluid and electrolyte disturbances, which are commonly seen in hyperemesis gravidarum. Therefore, the client is at risk of developing hyperemesis gravidarum based on the laboratory results indicating dehydration and electrolyte imbalances.


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Question 2:

A nurse manager is revising a policy in the maternal unit to ensure proper identification of newborns. What should the nurse include in the policy?

Answer and Explanation

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Question 3:

A nurse is caring for a postpartum client who just delivered a newborn weighing 4.5 kg (10 lb). Which of the following signs should the nurse recognize as a potential indication of hemorrhage?

Answer and Explanation

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Question 4:

A postpartum nurse is caring for a client and their newborn.
Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?

Answer and Explanation

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Question 5:

A nurse is caring for a client who is in labor.
Which of the following findings should prompt the nurse to reassess the client?

Answer and Explanation

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Question 6:

A nurse is caring for a client who is in labor.The nurse observes late decelerations of the fetal heart rate on the external fetal monitor.
After placing the client in a side-lying position, which of the following actions should the nurse take?

Answer and Explanation

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Question 7:

A nurse is administering a 500 mL bolus of lactated Ringer’s for a client who is in labor and has a prescription for spinal anesthesia.
Which of the following findings indicates that the IV bolus was effective?

Answer and Explanation

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Question 8:

A nurse is caring for a client in labor who is experiencing abruptio placentae. What findings should the nurse expect?

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Question 9:

A nurse is caring for a newborn with jaundice who has a new prescription for phototherapy. What actions should the nurse take?

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Question 10:

A nurse is assessing a newborn of a client who reported methadone use during pregnancy. What manifestations should the nurse expect the newborn to exhibit?

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