ATI RN · ATI Maternal Newborn · Antenatal complications
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Showing all 5 practice questions with expert explanatory rationales.
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?
Expert Explanatory Rationale
Correct Answer: Uterine infection
What term describes a spontaneous abortion with no expulsion of the products of conception and a closed cervix?
Expert Explanatory Rationale
Correct Answer: missed abortion
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
Expert Explanatory Rationale
Correct Answer: indirect Coombs test of the mother.
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?
Expert Explanatory Rationale
Correct Answer: hypertension times 4 years
What adverse fetal effect is associated with undernutrition?
Expert Explanatory Rationale
Correct Answer: impaired bone development
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