ATI LPN
PN ATI Capstone Maternal Newborn Questions
Question 1 of 5
A nurse is caring for a client who is pregnant for the fourth time. The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation. The nurse should document the client's obstetrical history as which of the following?
Correct Answer: D
Rationale: Gravida refers to the total number of pregnancies (4), and Para refers to the number of viable births (2 full-term + 0 preterm = 2). The correct documentation is Gravida 4, Para 2.
Question 2 of 5
An antepartal client is Rh negative and understands that she will receive a RhoGAM injection during her pregnancy. The client asks the nurse if she will also receive a RhoGAM injection after the birth of her baby. The client will receive RhoGAM after the birth if blood tests are:
Correct Answer: D
Rationale: If the baby is Rh positive and the mother is Rh negative, the mother may develop antibodies against the baby's blood. RhoGAM is administered to prevent the mother's immune system from becoming sensitized to Rh-positive blood.
Question 3 of 5
A nurse is caring for a client who is in the transition phase of labor. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Encouraging the client to use a pant-blow breathing pattern helps manage pain and anxiety during the transition phase, which is characterized by intense contractions and emotional responses.
Question 4 of 5
A nurse is performing a newborn assessment and notes a soft, swollen area on the newborn's scalp that does not cross the suture line. Which of the following should the nurse document?
Correct Answer: A
Rationale: A cephalohematoma is a collection of blood between the periosteum and the skull that does not cross the suture line. It results from trauma during birth and typically resolves on its own.
Question 5 of 5
A laboring client's membranes have just ruptured. What is the nurse's next action?
Correct Answer: A
Rationale: When a client's membranes rupture, there is a risk that the umbilical cord could become compressed, affecting blood flow to the fetus. The nurse's priority action is to assess the fetal heart rate to ensure that the fetus is not in distress.
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