ATI Maternal Newborn

ATI Maternal Newborn Related

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A client at 28 weeks' gestation is undergoing a glucose tolerance test. What is the purpose of this test?

  • A. To detect anemia.
  • B. To screen for gestational diabetes.
  • C. To assess fetal growth.
  • D. To evaluate placental function.
Correct Answer: B

Rationale: The correct answer is B: To screen for gestational diabetes. The glucose tolerance test during pregnancy helps to identify women at risk for developing gestational diabetes, a condition that can lead to complications for both the mother and baby. By measuring blood sugar levels after consuming a glucose solution, healthcare providers can assess how the body processes sugar during pregnancy. This test is specifically designed to detect abnormalities in glucose metabolism during pregnancy.

Choice A: To detect anemia - Anemia is not typically identified through a glucose tolerance test. Anemia is usually diagnosed through a blood test that measures hemoglobin levels.
Choice C: To assess fetal growth - Fetal growth is usually monitored through ultrasound scans and measurements, not through a glucose tolerance test.
Choice D: To evaluate placental function - Placental function is evaluated through other tests like Doppler ultrasound, not through a glucose tolerance test.

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A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff members to report to the provider?

  • A. Contraction durations of 95 to 100 seconds
  • B. Contraction frequency of 2 to 3 min apart
  • C. Absent early deceleration of fetal heart rate
  • D. Fetal heart rate is 140/min
Correct Answer: A

Rationale: The correct answer is A: Contraction durations of 95 to 100 seconds. Prolonged contractions can indicate uterine hyperstimulation, leading to decreased fetal oxygenation. Staff should report this to the provider for further evaluation and management.

Explanation:
1. Contraction durations of 95 to 100 seconds are prolonged and may indicate uterine hyperstimulation, potentially compromising fetal oxygenation.
2. Reporting this finding to the provider allows for timely intervention to prevent fetal distress.
3. Choices B, C, and D do not directly indicate a concern for fetal well-being during labor and would not require immediate reporting to the provider.

A client at 37 weeks' gestation reports severe itching without a rash. What condition should the nurse suspect?

  • A. Preeclampsia.
  • B. Cholestasis of pregnancy.
  • C. Gestational diabetes.
  • D. Fungal infection.
Correct Answer: B

Rationale: The correct answer is B: Cholestasis of pregnancy. Severe itching without a rash in a pregnant client at 37 weeks' gestation is concerning for cholestasis of pregnancy, a condition characterized by impaired bile flow. This can lead to elevated bile acids, causing itching. Preeclampsia (choice A) presents with hypertension and proteinuria. Gestational diabetes (choice C) manifests with high blood sugar levels. Fungal infection (choice D) typically presents with visible skin changes like a rash, which is absent in this case. In summary, cholestasis of pregnancy is the most likely explanation for severe itching in this scenario.

What is an advantage of the internal condom?

  • A. It can be used by those who have a latex allergy.
  • B. It can be used for repeated acts of intercourse.
  • C. It has a lower failure rate than external condoms.
  • D. It can be used for pleasure purposes.
Correct Answer: A

Rationale: The correct answer is A because the internal condom is made of nitrile, which is a non-latex material. This makes it suitable for individuals with latex allergies. Choice B is incorrect because both internal and external condoms can be used for repeated acts of intercourse. Choice C is incorrect because internal condoms do not necessarily have a lower failure rate than external condoms. Choice D is incorrect because while condoms can enhance pleasure during intercourse, the primary purpose of the internal condom is for protection rather than pleasure.

A nurse is reviewing the laboratory results for a client who is at 29 weeks.... the provider?

  • A. WBC count
  • B. 11,000/mm³ Hgb
  • C. 11,2 g/Dl
  • D. Hct 34% Platelets 140,000/mm³
Correct Answer: B

Rationale: The correct answer is B: 11,000/mm³ Hgb. At 29 weeks of gestation, hemoglobin (Hgb) levels are crucial to monitor for anemia in pregnant women. A Hgb level of 11,000/mm³ is within the normal range for a pregnant woman. Anemia during pregnancy can lead to adverse outcomes for both the mother and the baby, such as preterm birth and low birth weight.

Rationale for other choices:
A: WBC count - While monitoring white blood cell (WBC) counts is important for detecting infections, it is not the most relevant parameter to review in this scenario.
C: 11,2 g/Dl - This choice is incomplete and doesn't provide a specific parameter or context for interpretation.
D: Hct 34% Platelets 140,000/mm³ - Hematocrit (Hct) and platelet levels are important, but in this case, the Hgb level is more pertinent

A nurse is caring for a client who is in active labor and notes late decelerations in the FRH on the external fetal.... Which of the following actions should the nurse take first?

  • A. Change the client's position.
  • B. Palpate the uterus to assess for tachysystole.
  • C. Increase the client's IV infusion rate.
  • D. Administer oxygen at 10 L/min via nonrebreather mask.
Correct Answer: A

Rationale: The correct answer is A: Change the client's position. Late decelerations indicate uteroplacental insufficiency, which can be caused by pressure on the vena cava from the uterus. Changing the client's position can alleviate this pressure, improving fetal oxygenation. Palpating the uterus or increasing IV infusion rate may not address the underlying issue. Administering oxygen is important but should come after addressing the positional issue to ensure optimal oxygen delivery to the fetus.