ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client in labor with external fetal monitoring, FHR slows at contraction start, nadir at contraction peak, returns to baseline at contraction end.
Question 1 of 5
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow at the start of a contraction and the nadir is at the same time as the peak of the contraction. The FHR returns to the FHR baseline at the same time that the contraction ends. The nurse should document this finding as which of the following?
Correct Answer: C
Rationale: Early decelerations mirror contractions, with nadir at the peak, typically benign and due to fetal head compression.
Extract:
Client in fourth stage of labor, BP 144/92, pulse 99, respirations 17, pulse ox 97%, temperature 100.4 F, pain score 1/10.
Question 2 of 5
A nurse is caring for a client in the fourth stage of labor after a vaginal delivery. History and Physical: BP: 144/92 mmHg. Pulse: 99 bpm. Respirations: 17/min. Pulse Ox: 97%. Temperature: 100.4 F (38.0 C). Pain score: 1/10. The nurse should first address the client's ____________ (assessment finding), followed by the client's ____________ (assessment finding).
Correct Answer: A
Rationale: Elevated BP (144/92 mmHg) is a priority due to potential preeclampsia, followed by temperature (100.4°F) indicating possible infection.
Extract:
Postpartum client with chronic hypertension.
Question 3 of 5
A nurse is receiving a report on a new postpartum admission. Her medical history includes chronic hypertension. The client is asking about postpartum orders. Which of the following would be contraindicated based on the client's medical history?
Correct Answer: A
Rationale: Methylergonovine is contraindicated in hypertension due to its potential to cause severe hypertension.
Extract:
Client receiving intravenous magnesium sulfate for preeclampsia.
Question 4 of 5
A nurse is caring for a client who is receiving intravenous magnesium sulfate for preeclampsia. Which assessment finding would alert the nurse to suspect magnesium toxicity?
Correct Answer: D
Rationale: Absent deep tendon reflexes indicate magnesium toxicity, as high magnesium levels depress neuromuscular function, requiring immediate intervention.
Extract:
Newborn 1 hour post-birth via emergency cesarean, Apgar 5 at 1 min, 8 at 5 min, positive pressure ventilation, acrocyanosis, mild grunting, nasal flaring, intermittent retractions, restless, hemoglobin 9 g/dL, hematocrit 35%, glucose 38 mg/dL.
Question 5 of 5
A nurse is caring for a newborn 1 hour following birth in the emergency unit. Select the 5 findings the nurse should report to the provider.
Correct Answer: A,B,D,F,G
Rationale: Respiratory distress, low hemoglobin, low glucose, elevated heart rate, and low hematocrit indicate potential complications requiring provider attention.