ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
2-day-old septic preterm infant weighing 2800 grams.
Question 1 of 5
A neonatologist prescribes gentamicin for a 2-day-old, septic preterm infant who weighs 2800 grams. The dosage of gentamicin for babies under 1 week of age is 2.5 mg/kg every 24 hours. The nurse calculates the safe daily dosage of this medication as?
Correct Answer: A
Rationale: Calculation: 2800 g = 2.8 kg; 2.8 kg x 2.5 mg/kg = 7 mg daily.
Extract:
Newborn weighing 4300 grams receiving ampicillin.
Question 2 of 5
A newborn who weighs 4300 grams is receiving ampicillin 2mg/kg IV once per day. The vial reads 20mg/mL. How much will the nurse draw up in the syringe for one dose?
Correct Answer: A
Rationale: Calculation: 4300 g = 4.3 kg; 4.3 kg x 2 mg/kg = 8.6 mg; 8.6 mg / 20 mg/mL = 0.43 mL.
Extract:
Client in prolonged labor with severe backache.
Question 3 of 5
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following interventions should the nurse assist with?
Correct Answer: C
Rationale: Counterpressure to the sacrum relieves back pain, especially in occiput posterior positions.
Extract:
Question 4 of 5
A nurse is caring for several clients. The nurse should recognize that it is appropriate to administer tocolytic therapy to which of the following clients?
Correct Answer: D
Rationale:
Tocolytics delay preterm labor at 32 weeks to enhance fetal development.
Extract:
34-year-old female, gravida 2, para 1, at 34 weeks gestation with gestational diabetes, clear fluid leakage, mild cramping.
Question 5 of 5
A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation in the antepartum unit. What is the most appropriate action the nurse should take next?
Correct Answer: D
Rationale: Corticosteroids enhance fetal lung maturity at 34 weeks, critical for preterm delivery risk.