ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A client who is in her second trimester and has a new diagnosis of gestational diabetes.
Question 1 of 5
A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Reducing exercise to 3 days a week is inadequate; daily exercise improves glycemic control. Other statements align with gestational diabetes management.
Extract:
A client who has anemia.
Question 2 of 5
A nurse is administering a unit of RBC 350 mL over 3 hr to a client who has anemia. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: 117
Rationale: 350 mL divided by 3 hours equals 116.67 mL/hr, rounded to 117 mL/hr, the nearest whole number.
Extract:
A client who is in her second trimester and has a new diagnosis of gestational diabetes.
Question 3 of 5
A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Reducing exercise to 3 days a week is inadequate; daily exercise improves glycemic control. Other statements align with gestational diabetes management.
Extract:
A term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.
Question 4 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: B
Rationale: Hyperinsulinemia from maternal hyperglycemia impairs surfactant synthesis, causing respiratory distress. Anemia, viscosity, and nerve injuries don't directly cause RDS.
Extract:
A client who is in the active phase of the first stage of labor.
Question 5 of 5
A nurse is caring for a client who is in the active phase of the first stage of labor. When monitoring the uterine contractions, which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Contractions lasting over 110 seconds suggest hyperstimulation, risking fetal distress, and should be reported. Normal frequency, intensity, and back pain are expected.