Maternal Newborn ATI Quizlet

Maternal Newborn ATI Quizlet Related

Review Maternal Newborn ATI Quizlet related questions and content

A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn's mother asks about the swollen area on her son's head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?

  • A. "Mongolian spots can be found on the skin of many newborns."
  • B. "A caput succedaneum occurs due to compression of blood vessels."
  • C. "This is a cephalhematoma, which can occur spontaneously."
  • D. "This is erythema toxicum, which is a transient condition."
Correct Answer: C

Rationale: The correct answer is C: "This is a cephalhematoma, which can occur spontaneously."
1. Cephalhematoma is a subperiosteal hemorrhage that does not cross suture lines and is due to trauma during delivery.
2. Caput succedaneum (choice B) occurs due to pressure during labor and resolves within a few days.
3. Mongolian spots (choice A) are benign bluish-grey birthmarks commonly found in newborns and are not related to head swelling.
4. Erythema toxicum (choice D) is a common rash in newborns, not related to head swelling.

In summary, the correct choice is C because it accurately describes the condition observed in the newborn after vacuum-assisted delivery.

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A client with a history of hypertension is at 28 weeks' gestation. What complication is she at greatest risk for?

  • A. Placenta previa.
  • B. Gestational diabetes.
  • C. Abruptio placentae.
  • D. Preterm labor.
Correct Answer: C

Rationale: The correct answer is C: Abruptio placentae. At 28 weeks, the client with hypertension is at greater risk for abruptio placentae due to increased vascular resistance, leading to potential placental detachment. Placenta previa (A) is more common in the third trimester. Gestational diabetes (B) is more common in later pregnancy and not directly related to hypertension. Preterm labor (D) can be a risk with chronic hypertension but is not the greatest risk at 28 weeks.

The nurse assures the breastfeeding mother that she will know that her infant is getting an adequate supply of breast milk if the infant gains weight and:

  • A. Rarely sucks on a pacifier.
  • B. Ha several hard stools daily
  • C. Voids 6 or more times a day
  • D. Awakens to feed every 4 hours
Correct Answer: C

Rationale: The correct answer is C: Voids 6 or more times a day. Adequate breast milk intake is indicated by frequent urination (6 or more times/day) in infants. This shows the infant is hydrated and receiving enough milk. The other choices are incorrect because A) pacifier use doesn't indicate milk supply, B) hard stools can be a sign of dehydration or other issues, and D) feeding every 4 hours is a general guideline but not a definitive indicator of milk supply.

What is one difference between the copper IUC and the LNG-IUC?

  • A. efficacy
  • B. placement in the uterus
  • C. presence of a normal period
  • D. shape
Correct Answer: B

Rationale: The correct answer is B: placement in the uterus. The copper IUC and LNG-IUC differ in where they are positioned in the uterus. The copper IUC is a T-shaped device placed in the uterus to prevent pregnancy through copper ions, while the LNG-IUC releases hormones and is also placed in the uterus but is a different shape, typically a smaller T or a rounded shape. The placement of the device is crucial for its effectiveness and type of hormone release. Other choices (A) efficacy, (C) presence of a normal period, and (D) shape, do not directly differentiate between the two types of IUCs.

People in extended families can live together for many reasons. What can the nurse do to provide the best care for a person living with an extended family?

  • A. Assume the family is poor and needs information on financial assistance.
  • B. Ask the person if they would like the family members to remain in the room during the exam.
  • C. Set a limit on who is allowed in the room with the person regardless of the circumstances.
  • D. Address the family first then the patient.
Correct Answer: B

Rationale: The correct answer is B because it respects the person's autonomy and preferences by asking if they want family members present during the exam. This approach ensures the person's comfort and privacy while also promoting family involvement in care. Choice A assumes financial need without evidence. Choice C limits family support. Choice D may neglect the person's immediate needs.

A client at 39 weeks' gestation reports sudden gush of fluid. What is the nurse's priority action?

  • A. Perform a sterile vaginal exam.
  • B. Assess fetal heart rate.
  • C. Check maternal vital signs.
  • D. Administer IV fluids.
Correct Answer: B

Rationale: The correct answer is B: Assess fetal heart rate. The priority action in this situation is to assess the well-being of the fetus since the client reported a sudden gush of fluid, which could indicate rupture of membranes. Assessing the fetal heart rate helps determine if the fetus is experiencing distress. Performing a sterile vaginal exam (A) can introduce infection and is not the priority. Checking maternal vital signs (C) can be done after assessing the fetal well-being. Administering IV fluids (D) is not the priority until the fetal status is determined.

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