ATI RN
ATI Maternal Newborn III Questions
Extract:
A client receiving 1 liter of 0.9% sodium chloride IV over 8 hr with 15 gtts/mL tubing
Question 1 of 5
A nurse is preparing to infuse 1 liter of 0.9% sodium chloride IV over 8 hr with a tubing set that delivers 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many drops/min?
Correct Answer: A
Rationale: Formula: gtts/min = (volume x drop factor) / time. (1000 mL x 15 gtts/mL) / (8 x 60 min) = 15000 / 480 = 31.25, rounded to 31 gtts/min. Other options miscalculate the rate.
Extract:
A 22-year-old homeless woman with a 12-week gestational uterus, BP 110/70, BMI 17.5, cocaine use, and prior early pregnancy losses
Question 2 of 5
A 22-year-old homeless woman arrives at a walk-in clinic seeking pregnancy confirmation. The nurse notes on assessment a 12-week gestational uterus, a BP of 110/70, a BMI of 17.5. The client admits to using cocaine a few times. She has been pregnant before and indicates she 'loses them early.' What characteristics place the client in the high-risk pregnancy category? Select all that apply.
Correct Answer: A,D,E,F
Rationale: Homelessness increases risks via poor nutrition and stress; BMI 17.5 indicates malnutrition; lack of prenatal care raises complication risks; prior losses suggest underlying issues. Age (22) is optimal, and BP 110/70 is normal, not risks.
Extract:
A woman in her first trimester
Question 3 of 5
When assessing a woman in her first trimester, which emotional response would the nurse most likely expect to find?
Correct Answer: B
Rationale: Emotional lability is typical in the first trimester from hormonal changes causing irritability or crying. Ambivalence is less common unless conflicted, introversion isn't pregnancy-specific, and acceptance grows over time.
Extract:
A church-based group learning about HIV transmission
Question 4 of 5
A nurse is planning a presentation about HIV for a church-based group. Which of the following information about HIV transmission should the nurse include?
Correct Answer: C
Rationale: HIV is primarily transmitted through sexual contact involving infected fluids like semen or vaginal secretions. Mosquitoes, respiratory droplets, and puncture wounds (rare) don't commonly spread HIV.
Extract:
A woman suspecting pregnancy with probable signs
Question 5 of 5
A woman comes to the prenatal clinic suspecting that she is pregnant, and assessment reveals probable signs of pregnancy. Which findings would the nurse most likely assess? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Probable signs include softening of the cervix (Goodell's), positive pregnancy test (hCG), amenorrhea, and ballottement (fetal rebound). Ultrasound and fetal heartbeat are positive signs, confirming pregnancy definitively.