ATI LPN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulphate via continuous IV infusion.
Question 1 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Absent deep tendon reflexes indicate magnesium toxicity, a serious complication requiring immediate reporting to the provider to prevent respiratory depression or cardiac arrest. Decreased contractions are a desired effect, high blood pressure is unrelated to magnesium toxicity, and urinary output of 35 mL/hr is low but not critical unless it persists.
Extract:
A nurse is caring for a client who is postpartum and experiencing hypovolemic shock.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Cool, clammy skin is a hallmark of hypovolemic shock due to vasoconstriction compensating for blood loss. A respiratory rate of 18/min is normal, bounding pulses are not typical, and urinary output of 30 mL/hr is low but not specific to shock.
Extract:
A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. The mother states, 'No, the baby is too tired to be held.'
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Demonstrating how to hold the newborn respects the mother's concerns while promoting safe feeding and bonding, allowing practice to build confidence. Taking the baby to the nursery, insisting on holding, or pushing breastfeeding disregards her preferences and may undermine trust.
Extract:
A nurse is assessing the results of a nonstress test for an antepartum client at 35 weeks of gestation.
Question 4 of 5
Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: A
Rationale: Three fetal movements in 20 minutes is insufficient for a reactive nonstress test, which requires at least two accelerations in fetal heart rate, indicating the need for further testing. No late decelerations, a heart rate increase, and irregular contractions are normal or non-concerning findings.
Extract:
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus.
Question 5 of 5
Which of the following information should the nurse manager include in the teaching?
Correct Answer: A
Rationale: CMV transmission can occur via newborn saliva and urine, requiring contact precautions, making this correct to include. Airborne precautions are not needed, acyclovir is not standard for CMV, and genital lesions are typical of herpes, not CMV.