ATI RN
ATI Maternal Newborn Questions
Question 1 of 5
A client at 37 weeks' gestation reports swollen feet and hands. What assessment finding requires immediate intervention?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure of 150/95 mmHg. This finding indicates gestational hypertension, which can progress to preeclampsia, a serious condition that requires immediate intervention to prevent complications for both the mother and baby. High blood pressure can lead to organ damage and placental insufficiency. B: Weight gain of 1 pound in a week is within the normal range for late pregnancy and may not require immediate intervention. C: Mild nausea after eating is a common pregnancy symptom and does not indicate an urgent issue. D: Regular fetal movements are a positive sign of fetal well-being and do not require immediate intervention.
Question 2 of 5
A client at 37 weeks' gestation reports severe itching without a rash. What condition should the nurse suspect?
Correct Answer: B
Rationale: The correct answer is B: Cholestasis of pregnancy. Severe itching without a rash in a pregnant client at 37 weeks' gestation is concerning for cholestasis of pregnancy, a condition characterized by impaired bile flow. This can lead to elevated bile acids, causing itching. Preeclampsia (choice A) presents with hypertension and proteinuria. Gestational diabetes (choice C) manifests with high blood sugar levels. Fungal infection (choice D) typically presents with visible skin changes like a rash, which is absent in this case. In summary, cholestasis of pregnancy is the most likely explanation for severe itching in this scenario.
Question 3 of 5
The nurse is educating a client about gestational diabetes. What is the most important teaching point?
Correct Answer: C
Rationale: The correct answer is C: Monitor blood sugar regularly as prescribed. This is crucial in managing gestational diabetes to ensure blood sugar levels are within target range, preventing complications for both mother and baby. Regular monitoring helps track the effectiveness of treatment and dietary adjustments. Avoiding all carbohydrates (A) is not recommended as some are necessary for energy. Checking blood sugar only when symptomatic (B) is insufficient as it may miss important fluctuations. Increasing physical activity significantly (D) is beneficial but not the most important teaching point compared to consistent blood sugar monitoring.
Question 4 of 5
A client at 30 weeks' gestation is receiving magnesium sulfate for preterm labor. What assessment finding indicates magnesium toxicity?
Correct Answer: B
Rationale: The correct answer is B: Respiratory rate of 10 breaths per minute. Magnesium sulfate toxicity can lead to respiratory depression, resulting in a decreased respiratory rate. This is a critical sign of magnesium toxicity and should be addressed promptly. Explanation for other choices: A: Deep tendon reflexes +3 are actually a common finding in clients receiving magnesium sulfate due to its muscle relaxant effects. C: Urine output of 40 mL/hour is within the normal range and does not indicate magnesium toxicity. D: Blood pressure of 120/80 mmHg is also within the normal range and is not a sign of magnesium toxicity.
Question 5 of 5
A patient is seen in the primary care clinic for a sinus infection and is prescribed antibiotics. The only other medication that this patient currently takes is an oral contraceptive. What is the most important education the nurse must give to the patient regarding her medications?
Correct Answer: B
Rationale: Step 1: Antibiotics can reduce the effectiveness of oral contraceptives by altering gut flora. Step 2: Failure to use a backup method can lead to unintended pregnancy. Step 3: Therefore, it is crucial for the nurse to educate the patient on using a backup method to prevent pregnancy. Summary: Choice A is incorrect as nausea is not the main concern. Choice C is incorrect as not all antibiotics interact with oral contraceptives. Choice D is incorrect as there is a potential interaction between antibiotics and oral contraceptives.