QUESTIONS AND CORRECT ANSWER (GRADED A+) REAL ATI
RN
MATERNAL NEWBORN REAL EXAM —100% GURANTEED
PASS!!.
RN ATI Maternal Newborn
A nurse is teaching a client who is at 12 wks gestation about manifestations of
potential complications that she should report to her provider. What info should the
nurse include in the teaching?
a. intermittent nausea
b. white vaginal discharge
c. swelling of the face
d. urinary frequency - - ANS - -c. swelling of the face
A nurse is teaching a client who is at 10 wks gestation about an abd. ultrasound in
the first trimester. What info should the nurse include in the teaching?
a. you will need to have a full bladder during the ultrasound
b. you will have a non stress test prior to the ultrasound
c. the ultrasound will determine the length of your cervix
d. you will experience uterine cramping during the ultrasound - - ANS - -a. you
will need to have a full bladder during the ultrasound
MY ANSWER
,The nurse should tell the client that a full bladder helps to lift the gravid uterus
out of the pelvis during the examination. Therefore, it is important to ensure that
the client has a full bladder to obtain the most accurate image of the fetus.
,A nurse is assessing a client who is 34 wks gestation and has mild placental
abruption. What finding should the nurse expect?
a. decreased urinary output
b. fetal distress
c. dark red vaginal bleeding
d. increased platelet count - - ANS - -c. dark red vaginal bleeding
The nurse should expect the client who has a mild placental abruption to have
minimal dark red vaginal bleeding.
A nurse is caring for a client whose last menstrual period began july 8. Using
Nageles rule, the nurse should identify the client's estimated DOB as what?
a. oct 15
b. april 15
c. oct 1
d. april 1 - - ANS - -b. april 15
A nurse is caring for a client who is at 39 wks gestation and is in the active phase
of labor. The nurse observes late decels in the FHR. What finding should the
nurse identify as the cause of late decels?
a. umbilical cord compression
b. fetal head compression
c. uteroplacental insufficiency
d. fetal ventricular septal defect - - ANS - -c. uteroplacental insufficiency
, A nurse is assessing a client who is at 35 wks gestation and is receiving
magnesium sulfate via continuous IV infusion for severe pre-eclampsia. What
finding should the nurse report to the provider?
a. DTR 2+
b. resp 16
c. BP 150/96
d. urinary output 20 mL/hr - - ANS - -d. urinary output 20 mL/hr
The nurse should report a urinary output of 20 mL/hr because this can indicate
inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A
decrease in urinary output can also indicate a decrease in renal perfusion
secondary to a worsening of the client's pre-eclampsia.
A nurse is teaching a client who is at 13 wks gestation about the treatment of
incompetent cervix with cervical cerclage. What statement by the client indicates
an understanding of teaching?
a. I should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in place
c. I am sad that I won't be able to get pregnant again
d. I can resume having sex as soon as I feel up to it - - ANS - -a. I should go
to the hospital if I think I may be in labor
Cervical cerclage prevents premature opening of the cervix during pregnancy. The
client should immediately go to a facility for evaluation if she experiences any
manifestations of labor while the cerclage is in place. If the client experiences
preterm uterine contractions she might require tocolytic therapy.