ATI MATERNAL NEWBORN EXAM WITH RATIONALE

ATI MATERNAL NEWBORN EXAM WITH RATIONALE
A nurseis teachinga client whois at 30 weeksof gestationabout warningsignsof complicationsthat
sheshouldreport toherprovider. Whichof thefollowingfindingsshouldsheincludeinher teaching?
A) Mildconstipation
B) Nasalcongestion
C)Vaginalbleeding
D) 10 fetal movementsperhour
C)Vaginalbleeding
-Vaginal bleedingcanbeanabnormal findingduringpregnancy that might indicatea complication
suchasplacental abruption, placentaprevia, or preterm labor.
-note: fetal movementshouldbe 3 or moremovementsperhour=normal finding. Nasal congestionis
alsoanexpectedfindingduetotheincreasecirculationof estrogen.
A nurseisassessinga client whois 34 weeksof gestationandhasa mildplacental abruption. Whichof
thefollowingfindingsshould thenurseexpect?
A) Increasedplateletcount
B)Fetaldistress
C) Decreasedurinaryoutput
D) Darkredvaginalbleeding
D) Darkredvaginalbleeding
-Note: mildfetal abruptionshouldhavea reassuringfetal heartrate.
-urinaryoutput shouldbe withintheexpectedreferencerange.
A nurseiscaringfor a client whois at 32 weeksof gestationandis experiencingpretermlabor. Which
of thefollowing medicationsshouldthenurseplantoadminister?
A) Betamethasone
B) Misoprostol
C) Methylergonovine
D) Poractant Alfa
A) Betamethasone
-ThenurseshouldplantoadministerbetamethasoneIM, a glucocorticoid, tostimulate fetal lung
maturityandtherebyprevent respiratorydepression.
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Differencebetween Betamethasoneand Poractant Alfa:
~Betamethasoneis givento stimulateFETALlung maturity to*PREVENTrespiratorydepression.
~Poractant Alfa, a syntheticlungsurfactant, is giventoa pretermNEWBORNwhois experiencing
respiratorydistress.
A nurseis reviewingthe medical recordof a client whois at 39 weeksof gestationandhas
polyhydramnios. Whichof thefollowingshould thenurseexpect?
A)Fundal heightof 34cm
B)Total pregnancy weightgainof 3.6 kg
C) Gestationalhypertension
D)Fetalgastrointestinalanomaly
D)Fetal gastrointestinalanomaly
-Polyhydramniosis thepresenceofexcessiveamnioticfluidsurroundingtheunbornfetus.
Gastrointestinalmalformationsandneurologicdisordersareexpectedfindingsfora fetusexperiencing
theeffectsofpolyhydramnios.
A nurseis teachinga clientaboutpre-eclampsiaandis toreceive magnesium sulfateviacontinuous
IVinfusionaboutexpectedadverseeffects. Whichof thefollowingadverseeffectsshouldthenurse
includeinher teaching?
A)Elevatedbloodpressure
B)Feelingof warmth
C) Hyperactivity
D) Generalizedpruritus
B)Feelingof warmth
-Thenurseshouldtell theclient toexpect thefeelingof warmthalloverherbody while magnesium
sulfateis infusing.
A nurseis teachinga client whois at 12 weeksgestationabout manifestationsof potential
complicationsthatsheshouldreport toherprovider. Whichof thefollowinginformationshouldthe
nurseincludeinherteaching?
A) Swellingof theface
B) Urinaryfrequency
C) Whitedischarge
D) Intermittentnausea
A) Swellingof theface
-Thenurseshouldinstruct thefacetoreportswellingof thefacebecausethisis anindicatorof
hypertensivedisorder or preeclampsia.
A pregnantpatient whohasa negativerH factor shouldreceive Rhimmuneglobulin when?
at 28 weeksgestationandthenafter delivery, within72hoursof deliveryif thenewbornis rH positive.
A nurseis caringfora client whohasoligohydramnios. Whichof thefollowingfetal anomaliesshould
thenurse expect