ATI RN
ATI Maternal Newborn 5 Questions
Extract:
A 22-year-old homeless woman seeking pregnancy confirmation, 12-week gestational uterus, BP 110/70, BMI 17.5, admits to using cocaine, has history of early pregnancy losses
Question 1 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, low BMI, lack of prenatal care, and history of miscarriages increase risks for complications like preterm birth and low birth weight.
Extract:
A group of nurses working at the women's health facility about spontaneous abortion
Question 2 of 5
A nurse is conducting an in-service program for a group of nurses working at the women's health facility about the causes of spontaneous abortion. The nurse determines that the teaching was successful when the group identifies which condition as the most common cause of first trimester abortions?
Correct Answer: C
Rationale: Fetal genetic abnormalities, like chromosomal errors, cause up to 70% of first trimester abortions, making it the most common etiology.
Extract:
A pregnant woman who has undergone genetic testing informs the nurse that her baby will be born with Down syndrome
Question 3 of 5
While talking with a pregnant woman who has undergone genetic testing, the woman informs the nurse that her baby will be born with Down syndrome. The nurse understands that Down syndrome is an example of:
Correct Answer: A
Rationale: Down syndrome is caused by trisomy 21, an extra chromosome 21, classifying it as a trisomy numeric abnormality.
Extract:
A woman hospitalized with severe preeclampsia is being treated with hydralazine
Question 4 of 5
A woman hospitalized with severe preeclampsia is being treated with hydralazine to control blood pressure. Which finding would lead the nurse to suspect that the client is having an adverse effect associated with this drug?
Correct Answer: C
Rationale: Tachycardia is a known adverse effect of hydralazine due to reflex response to vasodilation, potentially worsening cardiac strain.
Extract:
A client who is receiving magnesium sulfate to treat severe preeclampsia
Question 5 of 5
Which compound would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia?
Correct Answer: D
Rationale: Calcium gluconate is the antidote for magnesium toxicity, reversing effects like respiratory depression in preeclampsia treatment.