ATI RN
ATI Maternal Newborn III Questions
Extract:
A client with gestational hypertension receiving magnesium sulfate
Question 1 of 5
A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication?
Correct Answer: B
Rationale: Deep tendon reflexes at 2+ indicate a therapeutic magnesium level, preventing seizures without toxicity. Difficulty arousing, low urinary output (below 40 mL/hr), or respiratory rate of 10 suggest toxicity, requiring intervention.
Extract:
A church-based group learning about HIV transmission
Question 2 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: D
Rationale: HIV spreads mainly through direct contact with infected fluids (blood, semen, vaginal fluid), like during sex or needle sharing. Mosquitoes, casual contact, and puncture wounds (rare) aren't primary modes.
Extract:
A pregnant woman during vaginal exam with softened lower uterine segment
Question 3 of 5
During a vaginal exam, the nurse notes that the lower uterine segment is softened. The nurse documents this finding as:
Correct Answer: D
Rationale: Hegar's sign is softening of the lower uterine segment, felt early in pregnancy. Ortolani's tests infant hips, Chadwick's is cervical discoloration, and Goodell's is cervical softening, not uterine.
Extract:
A client with Rh-negative blood and Rh-positive partner
Question 4 of 5
It is determined that a client's blood Rh is negative and her partner's is positive. To help prevent Rh isoimmunization, the nurse would expect to administer Rho(D) immune globulin at which time?
Correct Answer: C
Rationale: Rho(
D) immune globulin at 28 weeks and within 72 hours post-delivery prevents Rh isoimmunization effectively. Other schedules miss critical windows for blocking maternal antibody response.
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.