ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A client who is suspected of having a hydatidiform mole.
Question 1 of 5
A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nurse expect to observe in this client?
Correct Answer: D
Rationale: Excessive uterine enlargement is expected due to trophoblastic tissue growth in a hydatidiform mole. No fetal heart rate, elevated hCG, and vaginal bleeding with vesicles are typical, not clear discharge.
Extract:
A client reporting severe abdominal cramping and heavy bleeding at 10 weeks gestation. Cervical examination reveals heavy bleeding, the cervical os is open and tissue is present.
Question 2 of 5
A client comes to the emergency room reporting severe abdominal cramping and heavy bleeding at 10 weeks gestation. Cervical examination reveals heavy bleeding, the cervical os is open and tissue is present. Which type of abortion is the client experiencing?
Correct Answer: B
Rationale: Incomplete miscarriage involves partial tissue expulsion with open os and bleeding, as described. Missed, inevitable, and complete have different presentations.
Extract:
A client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Question 3 of 5
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?
Correct Answer: C
Rationale: Glyburide is safe in pregnancy with low placental transfer, unlike glipizide, acarbose, or repaglinide, which pose fetal risks.
Extract:
A client who has a suspected ectopic pregnancy at 8 weeks of gestation.
Question 4 of 5
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
Correct Answer: B
Rationale: Unilateral pain from tubal stretching is typical in ectopic pregnancy. Excessive uterine growth, severe nausea, or heavy bleeding are not consistent.
Extract:
A nurse is preparing to administer an injection of Rh0 (D) immunoglobulin.
Question 5 of 5
A nurse is preparing to administer an injection of Rh0 (D) immunoglobulin. The nurse should understand that the purpose of this injection is to prevent which of the following newborn complications?
Correct Answer: A
Rationale: Rh0 (
D) immunoglobulin prevents maternal antibody formation against Rh-positive fetal blood, reducing erythroblastosis fetalis risk in future pregnancies.