Maternal Newborn ATI Practice Questions

Maternal Newborn ATI Practice Questions Related

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Which will indicate a concealed hemorrhage in an abruptio placenta?

  • A. Hard board-like abdomen
  • B. Decreased fundal height
  • C. Bradycardia
  • D. Decreased abdominal pain
Correct Answer: A

Rationale: A concealed hemorrhage in abruptio placentae, also known as a concealed retroplacental hematoma, can cause rapid, significant bleeding behind the placenta with limited visible external bleeding. This internal bleeding can lead to significant blood loss and can cause the uterus to become tense and firm, resulting in a hard board-like abdomen upon palpation. This clinical sign is a key indicator of a concealed hemorrhage in abruptio placentae and should prompt immediate medical attention to prevent maternal and fetal complications. The other choices, such as decreased fundal height, bradycardia, and decreased abdominal pain, are not typically associated with a concealed hemorrhage in abruptio placentae.

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The nurse is caring for a client with gestational diabetes. What fetal complication should the nurse monitor for after birth?

  • A. Hyperglycemia.
  • B. Macrosomia.
  • C. Hypoglycemia.
  • D. Hyperbilirubinemia.
Correct Answer: C

Rationale: Newborns of mothers with gestational diabetes are at risk for hypoglycemia due to high insulin levels after birth.

Which statement by the patient helps the nurse know

  • A. Follicle-stimulating hormone she understands the teaching about condom use?
  • B. Gonadotropin-releasing hormone
  • C. A condom can be worn for two sexual encounters
  • D. Progesterone as long as it does not break.
Correct Answer: A

Rationale: The statement "Condoms come in different sizes; it is important I get the right size to ensure proper protection" indicates that the patient understands the teaching about condom use. This statement shows an understanding of the importance of choosing the appropriate condom size for effective protection during sexual encounters. It reflects the patient's grasp of the information provided by the nurse regarding condom use, which is crucial in promoting safe practices to prevent sexually transmitted infections and unintended pregnancies.

A nurse is caring for a client who is receiving prenatal care and is at her 24- week appointment. Which of the following laboratory tests should the nurse plans to conduct?

  • A. Group B strep culture
  • B. 1-hr glucose tolerance test
  • C. Rubella titer
  • D. Blood type and Rh
Correct Answer: D

Rationale: At the 24-week prenatal appointment, it is essential to conduct the blood type and Rh test for the pregnant client. Determining the mother's blood type (A, B, AB, O) and Rh factor (positive or negative) is crucial as it helps identify if the mother is Rh-negative and at risk for Rh incompatibility with her baby. This information is vital for appropriate management to prevent potential complications such as hemolytic disease of the newborn. Conducting the blood type and Rh test at this stage allows healthcare providers to take necessary precautions to protect both the mother and the fetus.

The nurse is teaching a prenatal class about kick counts. When should the client contact the healthcare provider?

  • A. Fewer than 10 movements in 2 hours.
  • B. Fewer than 5 movements in 1 hour.
  • C. No movements after a meal.
  • D. No movements for 6 hours.
Correct Answer: A

Rationale: Fewer than 10 movements in 2 hours is concerning and warrants further evaluation.

The nurse is assessing a client with suspected gestational diabetes. What is the most reliable diagnostic test?

  • A. Random blood glucose test.
  • B. Oral glucose tolerance test (OGTT).
  • C. Fasting blood glucose test.
  • D. Hemoglobin A1C.
Correct Answer: B

Rationale: The oral glucose tolerance test (OGTT) is the standard for diagnosing gestational diabetes.

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