ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Newborns in the nursery: 26-hour-old with no urine output, 18-hour-old with acrocyanosis, 24-hour-old not passed meconium, 24-hour-old with blood glucose of 50.
Question 1 of 5
A nurse in the newborn nursery is caring for a group of newborns. Which of the following assessments requires the nurse to notify the provider?
Correct Answer: A
Rationale: No urine output for over 24 hours may indicate dehydration or renal issues, requiring immediate provider notification.
Extract:
Client with HELLP syndrome.
Question 2 of 5
A nurse is caring for a patient with HELLP syndrome. Which of the following findings are consistent with a diagnosis of HELLP syndrome?
Correct Answer: D
Rationale: Elevated liver enzymes are a hallmark of HELLP syndrome, reflecting liver dysfunction.
Extract:
28-year-old, Gravida 3 Para 2, chronic hypertension, gestational diabetes, vacuum-assisted vaginal delivery, boggy fundus, heavy lochia, oxytocin infusion, BP 144/92, temperature 100.4°F.
Question 3 of 5
A nurse is caring for a 28-year-old female client in the fourth stage of labor after a vaginal delivery in the labor and delivery unit. Complete the following sentence using the list of options: The client is at highest risk for developing ___ due to ___.
Correct Answer: A
Rationale: Heavy lochia with clots indicates postpartum hemorrhage risk, likely due to uterine atony.
Extract:
Client in labor at 39 weeks with oxytocin induction, uterine contractions every 2 minutes lasting 90 seconds, strong, FHR baseline 150/min with uniform decelerations at contraction peak.
Question 4 of 5
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 minutes, last 90 seconds each, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction, nadir after the peak of the contraction, and a return to baseline after the contraction is over. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Discontinuing oxytocin is necessary due to tachysystole and fetal heart rate decelerations, reducing uterine hyperstimulation and improving fetal oxygenation.
Extract:
31-year-old, Gravida 4 Para 3, 31 weeks gestation, cramping, low back pain, 2 cm dilation, 80% effacement, -1 station, contractions every 2-4 min, FHT 155/min.
Question 5 of 5
A nurse in the labor and delivery unit is caring for a 31-year-old pregnant female client who is at 31 weeks of gestation. The nurse is contacting the primary health care provider regarding the client's status. Which of the following interventions should the nurse anticipate?
Correct Answer: A,B,C
Rationale: Betamethasone, magnesium sulfate, and lateral positioning are anticipated to enhance fetal lung maturity, provide neuroprotection, and improve uteroplacental flow in preterm labor.