ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A client who is at 34 weeks of gestation and at risk for placental abruption.
Question 1 of 5
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?
Correct Answer: B
Rationale: Hypertension, affecting 50% of cases, is the most common risk factor for placental abruption due to vasospasm reducing placental blood flow.
Extract:
A primigravida at 40 weeks of gestation is having uterine contractions every 1.5 to 2 minutes and states that they are very painful. Her cervix is dilated 2 cm and has not changed in 3 hours.
Question 2 of 5
A primigravida at 40 weeks of gestation is having uterine contractions every 1.5 to 2 minutes and states that they are very painful. Her cervix is dilated 2 cm and has not changed in 3 hours. The woman is crying and wants an epidural. What is the likely status of this woman's labor?
Correct Answer: A
Rationale: Frequent, painful contractions without cervical change indicate hypertonic dysfunction, risking fetal distress, unlike normal latent, precipitous, or hypotonic labor.
Extract:
A client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg.
Question 3 of 5
A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Evaluating uterine firmness identifies atony, the likely cause of postpartum hemorrhage causing hypotension, guiding immediate intervention.
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 primigravida is being monitored at the prenatal clinic for preeclampsia.
Question 5 of 5
A primigravida is being monitored at the prenatal clinic for preeclampsia. Which finding is of greatest concern to the nurse?
Correct Answer: A
Rationale: Significant proteinuria (3+) indicates renal damage, a critical preeclampsia sign, risking eclampsia or HELLP syndrome. Other findings are less concerning.