ATI RN
ATI Maternal Newborn III Questions
Extract:
A client with hyperemesis gravidarum admitted after unsuccessful home care
Question 1 of 5
A client with hyperemesis gravidarum is admitted to the facility after being cared for at home without success. What would the nurse expect to include in the client's plan of care?
Correct Answer: C
Rationale: Hyperemesis gravidarum causes severe vomiting, risking dehydration and malnutrition.
Total parenteral nutrition delivers complete nutrients intravenously, addressing these risks when oral intake fails. Clear liquids or nothing by mouth worsen malnutrition, and diethylstilbestrol, a discontinued drug, is irrelevant.
Extract:
A pregnant woman whose baby will have Down syndrome
Question 2 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, a numeric abnormality. Multifactorial inheritance involves genes and environment, X-linked affects males primarily, and deletions miss chromosome parts, none fitting Down syndrome.
Extract:
A client with gestational hypertension receiving magnesium sulfate
Question 3 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 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 by neutralizing fetal Rh-positive cells. Earlier or later timing risks ineffective prevention or antibody formation.
Extract:
A woman in her first prenatal visit with bluish coloration of cervix and vaginal mucosa
Question 5 of 5
On the first prenatal visit, an examination of the woman's internal genitalia reveals a bluish coloration of the cervix and vaginal mucosa. The nurse documents this finding as:
Correct Answer: A
Rationale: Chadwick's sign is bluish discoloration of the cervix and vagina from increased blood flow, seen early in pregnancy. Goodell's is cervical softening, Hegar's is uterine softening, and Homan's indicates thrombosis, not pregnancy.