ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular Fetal Heart Rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4 C (97.6° F).
Question 1 of 5
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4 C (97.6° F). Which of the following is the priority nursing action?
Correct Answer: B
Rationale: Initiating IV access is the priority to administer fluids and blood products to maintain blood pressure and perfusion, addressing potential hypovolemic shock from severe bleeding likely due to placenta previa.
Extract:
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.
Question 2 of 5
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: A
Rationale: Hyperinsulinemia, caused by exposure to high maternal glucose levels, increases respiratory demand in the newborn, leading to respiratory distress syndrome.
Extract:
A nurse midwife is examining a client who is primigravida at 42 weeks of gestation and states that she believes she is in labor.
Question 3 of 5
A nurse midwife is examining a client who is primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?
Correct Answer: B
Rationale: Cervical dilation is a definitive sign of labor, indicating the cervix is opening and thinning to allow fetal passage, measured in centimeters from 0 to 10.
Extract:
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline.
Question 4 of 5
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline. The nurse should suspect that the fetus is in which of the following positions?
Correct Answer: A
Rationale: A frank breech position, where the fetus's buttocks present at the cervix with legs extended upward, would result in fetal heart tones located above the umbilicus at midline, as observed.
Extract:
A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client's vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air.
Question 5 of 5
A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client's vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air. What are the two most important nursing interventions for this client?
Correct Answer: A, B
Rationale: Monitoring fetal heart rate and movement assesses fetal well-being, critical due to high-risk conditions. Administering magnesium sulfate prevents seizures in severe preeclampsia, addressing the client's high blood pressure and history.