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ATI RN · ATI Maternal Newborn · Antenatal complications

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient who was pregnant had a spontaneous abortion at approximately 4 weeks' gestation. At the time of the miscarriage, it was thought that all products of conception were expelled. Two weeks later, the patient presents at the clinic office complaining of “crampy” abdominal pain and a scant amount of serosanguineous vaginal drainage with a slight odor. The pregnancy test is negative. Vital signs reveal a temperature of 100°F, with blood pressure of 100/60 mm Hg, irregular pulse 88 beats/minute (bpm), and respirations, 20 breaths per minute. Based on this assessment data, what does the nurse anticipate as a clinical diagnosis?

A. Ectopic pregnancy
B. Uterine infection
C. Gestational trophoblastic disease
D. Endometriosis

Expert Explanatory Rationale

Correct Answer: Uterine infection

Question 2 of 5

What term describes a spontaneous abortion with no expulsion of the products of conception and a closed cervix?

A. incomplete abortion
B. threatened abortion
C. missed abortion
D. recurrent abortion

Expert Explanatory Rationale

Correct Answer: missed abortion

Question 3 of 5

Fraternal twins are delivered by your Rh-negative patient. Twin A is Rh-positive and twin B is Rh-negative. Prior to administering Rho(D) immune globulin (RhoGAM), the nurse should determine the results of the

A. direct Coombs test of twin A.
B. direct Coombs test of twin B.
C. indirect Coombs test of the mother.
D. transcutaneous bilirubin level for both twins.

Expert Explanatory Rationale

Correct Answer: indirect Coombs test of the mother.

Question 4 of 5

The nurse is caring for a patient admitted with vaginal bleeding and cramping who delivered a stillborn infant at 22 weeks' gestation. What data in the patient's health history are associated with this complication of pregnancy?

A. motor vehicle accident 1 year ago
B. hypertension times 4 years
C. appendectomy 2 years ago
D. nausea every day for the past 16 weeks

Expert Explanatory Rationale

Correct Answer: hypertension times 4 years

Question 5 of 5

What adverse fetal effect is associated with undernutrition?

A. hyperglycemia
B. impaired bone development
C. cardiovascular disorders
D. psychiatric disorders

Expert Explanatory Rationale

Correct Answer: impaired bone development

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