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ATI RN · ATI Maternal Newborn · NCLEX Questions on Perinatal Loss

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse has administered Methergine (methylergonovine) 0.2 mg po to a grand multipara who delivered vaginally 30 minutes earlier. Which of the following outcomes indicates that the medication is effective?

A. Blood pressure 120/80.
B. Pulse rate 80 bpm and regular.
C. Fundus firm at umbilicus.
D. Increase in prothrombin time.

Expert Explanatory Rationale

Correct Answer: Fundus firm at umbilicus.

Question 2 of 5

The nurse is performing a vaginal examination on a client in labor. The client is found to be 5 cm dilated, 90% effaced, and station 2. Which of the following has the nurse palpated?

A. Thin cervix.
B. Bulging fetal membranes.
C. Head at the pelvic outlet.
D. Closed cervix.

Expert Explanatory Rationale

Correct Answer: Thin cervix.

Question 3 of 5

The nurse is circulating on a cesarean delivery of a G5P4004. All of the client's previous children were delivered via cesarean section. The physician declares after delivering the placenta that it appears that the client has a placenta accreta. Which of the following maternal complications would be consistent with this diagnosis?

A. Blood loss of 2000 mL.
B. Blood pressure of 160/110.
C. Jaundice skin color.
D. Shortened prothrombin time.

Expert Explanatory Rationale

Correct Answer: Blood loss of 2000 mL.

Question 4 of 5

The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child, who is male. The patient's mother has accompanied her to today's visit. During the nursing assessment, the patient mentions that she is no longer in a relationship with the baby's father but her mother plans to help her. However, the patient's mother asks whether this will have any impact on the child. Which should the nurse indicate the child is at increased risk of during his adolescence?

A. Hypertension
B. Diabetes
C. Alcohol abuse
D. Intraventricular bleeding

Expert Explanatory Rationale

Correct Answer: Alcohol abuse

Question 5 of 5

A pregnant woman weighs 90.9 kg. The nurse is educating the patient on complications that the patient may be at risk for during pregnancy. Which response by the patient indicates that she understands?

A. Due to my weight, there is a possibility that I may develop gestational diabetes.'
B. I am not overweight, but I am still at risk for gestational diabetes.'
C. My mother had preeclampsia during one of her pregnancies.'
D. I will need to do a glucose tolerance test in my second trimester.'

Expert Explanatory Rationale

Correct Answer: Due to my weight, there is a possibility that I may develop gestational diabetes.'

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