ATI Maternal Newborn Nursing - Ch 3, 4, and 5-10 Application Questions with complete solution[2023/2024]

ATI Maternal Newborn Nursing - Ch 3, 4, and 5-10 Application Questions A nurse is caring for a client who is pregnant and states that her last menstrual period was April 1, 2013. Which of the following is the client's estimated date of delivery? A. Jan. 8, 2014 B. Jan. 15, 2014 C. Feb. 8, 2014 D. Feb. 15, 2014 - A. CORRECT: April 1, 2013, minus 3 months plus 7 days and 1 year equals an estimated date of delivery of Jan. 8, 2014. B. INCORRECT: This is incorrect using Nägele's rule. C. INCORRECT: This is incorrect using Nägele's rule. D. INCORRECT: This is incorrect using Nägele's rule. NCLEX® Connection: Health Promotion and Maintenance, Ante/Intra/Postpartum and Newborn Care A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information? (Select all that apply.) A. Client has delivered one newborn at term. B. Client has experienced no preterm labor. C. Client has been through active labor. D. Client has had two prior pregnancies. E. Client has one living child. - A. CORRECT: T1 indicates the client has delivered one newborn at term. B. INCORRECT: P0 indicates the client has had no preterm deliveries. C. INCORRECT: A1 indicates the client has had one miscarriage. D. CORRECT: G3 indicates the children has had two prior pregnancies and the client is currently pregnantE. CORRECT: L1 indicates the client has one living child. NCLEX® Connection: Health Promotion and Maintenance, Ante/Intra/Postpartum and Newborn Care A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following would be included? (Select all that apply.) A. Montgomery's glands B. Goodell's sign C. Ballottement D. Chadwick's sign E. Quickening - A. INCORRECT: Montgomery's glands are a presumptive sign of pregnancy. B. CORRECT: Goodell's sign is a probable sign of pregnancy. C. CORRECT: Ballottement is a probable sign of pregnancy. D. CORRECT: Chadwick's sign is a probable sign of pregnancy. E. INCORRECT: Quickening is a presumptive sign of pregnancy. NCLEX® Connection: Health Promotion and Maintenance, Developmental Stages and Transitions A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal hypotension. The client asks the nurse what causes these episodes. Which of the following is an appropriate response by the nurse? A. "This is due to an increase in blood volume." B. "This is due to pressure from the uterus on the diaphragm." C. "This is due to the weight of the uterus on the vena cava." D. "This is due to increased cardiac output." - A. INCORRECT: An increase in blood volume during pregnancy results in cardiac hypertrophy. B. INCORRECT: Pressure from the gravid uterus on the diaphragm may cause the client to experience shortness of breath. C. CORRECT: Maternal hypotension occurs when the client is lying in the supine position, and the weight of the gravid uterus places pressure on the vena cava, decreasing venous blood flow to