ATI-MN ATI Maternal Newborn Exam - Set 2 - Part 3

Correct Answer: I will keep my blood sugar controlled

Keeping blood glucose within target range lowers the risk of a large infant and newborn complications, so this statement shows the client understands her care. Option a is incorrect because regular exercise helps control glucose, so stopping it works against the goal. Option c is incorrect because frequent checkups are needed to monitor the client and fetus throughout the pregnancy. Option d is incorrect because skipping meals can cause low blood glucose and ketones, which is unsafe for the fetus.

Correct Answer: Prompt birth of the fetus

Significant placental separation with bleeding threatens both lives, so prompt birth is the expected management to stop the bleeding and protect the fetus. Option b is incorrect because intravenous fluids are needed to support circulating volume during bleeding, not delayed. Option c is incorrect because frequent vaginal exams do not manage the bleeding and can worsen the situation. Option d is incorrect because active abruption is an emergency requiring hospital care and likely delivery, not home bed rest.

Correct Answer: Keep the room quiet and dim

A quiet, dim environment reduces stimulation that could trigger a seizure, so the nurse teaches the client to limit noise and bright light at home. Option a is incorrect because bright lighting is a stimulus that should be reduced, not increased. Option b is incorrect because frequent loud visitors increase stimulation, which raises the risk of a seizure. Option d is incorrect because loud music adds stimulation and works against the goal of a calm environment.

Correct Answer: Monitor for vaginal bleeding

Ongoing assessment for vaginal bleeding is essential with placenta previa, since sudden bleeding can occur and signals the need for immediate intervention. Option a is incorrect because intercourse can disturb the low-lying placenta and trigger bleeding, so it is avoided. Option c is incorrect because digital cervical checks can disrupt the placenta and cause hemorrhage. Option d is incorrect because vigorous exercise can provoke bleeding and is not appropriate with placenta previa.

Correct Answer: Urine ketones

Urine ketones reflect the breakdown of fat when intake is poor, making them an important early indicator of the severity of hyperemesis gravidarum. Option b is incorrect because the white blood cell count assesses infection, which is not the main concern here. Option c is incorrect because blood glucose is not the primary measure of dehydration and starvation in hyperemesis. Option d is incorrect because the platelet count relates to clotting and is not the priority finding in hyperemesis.

Correct Answer: Stop the oxytocin infusion

Contractions that are too long with inadequate rest reduce fetal oxygen, so the nurse stops the oxytocin first to relax the uterus and restore blood flow. Option a is incorrect because simply continuing ignores a dangerous contraction pattern that requires immediate action. Option b is incorrect because the supine position can lower blood pressure; side-lying is preferred, but stopping the oxytocin comes first. Option c is incorrect because increasing the rate would worsen the excessive contractions and further endanger the fetus.

Correct Answer: Dehydration can trigger contractions

Dehydration prompts the release of a hormone that can stimulate contractions, so staying well hydrated helps prevent the contractions of preterm labor. Option a is incorrect because water intake does not prevent gestational diabetes, which is a glucose disorder. Option b is incorrect because the goal is to slow or stop contractions, not to speed dilation. Option d is incorrect because the purpose of hydration here is to prevent contractions, not to raise blood pressure.

Correct Answer: Change positions slowly

Nifedipine can cause dizziness and low blood pressure when standing, so the nurse teaches the client to change positions slowly to prevent lightheadedness and falls. Option a is incorrect because the medication tends to cause flushing and a faster heart rate with low blood pressure, not a slowed rate. Option b is incorrect because lying flat is unnecessary and does not address the dizziness; rising slowly is what prevents the lightheadedness. Option c is incorrect because adequate fluids are encouraged in preterm labor, so a strict fluid limit would work against the client's care.

Correct Answer: Infection of the membranes

Once membranes rupture early, bacteria can travel upward and cause chorioamnionitis, so infection of the membranes is the most common complication to monitor for. Option a is incorrect because gestational diabetes is a glucose disorder that has no link to ruptured membranes. Option c is incorrect because postpartum depression is a mood disorder that arises after birth, not the immediate risk after early rupture. Option d is incorrect because iron-deficiency anemia stems from inadequate iron stores and is not the primary danger when membranes rupture early.

Correct Answer: Notify the provider immediately

Sudden shoulder pain with faintness suggests the ectopic pregnancy has ruptured and is bleeding internally, so the nurse notifies the provider at once for emergency care. Option b is incorrect because offering food does nothing for internal bleeding and could delay needed surgery. Option c is incorrect because walking raises activity and oxygen demand during possible internal bleeding, which would worsen the client's condition. Option d is incorrect because the shoulder pain is referred from blood irritating the diaphragm, so applying heat treats the wrong problem and wastes time.