ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A client who has anemia.
Question 1 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 at 36 weeks of gestation and who has a suspected placenta previa.
Question 2 of 5
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis?
Correct Answer: A
Rationale: Painless red bleeding is characteristic of placenta previa due to placental detachment near the cervix. Painful bleeding suggests other conditions like abruptio placentae.
Extract:
A pregnant woman at 37 weeks of gestation has had ruptured membranes for 26 hours. A cesarean section is performed for failure to progress. The fetal heart rate (FHR) before birth is 180 beats per minute with limited variability. At birth, the newborn has Apgar scores of 6 and 7 at 1 and 5 minutes and is noted to be pale and tachypneic.
Question 3 of 5
Based on the maternal history, what is the most likely cause of this newborn's distress?
Correct Answer: C
Rationale: Sepsis is the most likely cause due to the prolonged rupture of membranes, which increases infection risk, leading to symptoms like high FHR, low Apgar scores, pallor, and tachypnea. Hypoglycemia doesn't explain these symptoms; phrenic nerve injury is rare and unilateral; meconium aspiration typically involves low FHR and cyanosis.
Extract:
A client.
Question 4 of 5
A nurse is preparing to administer clindamycin 900 mg by intermittent IV bolus over 30 min. Available is clindamycin 900 mg in 100 mL dextrose 5% (D5W). The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: 200
Rationale: 100 mL over 0.5 hours equals 200 mL/hr, the correct pump setting with no trailing zero.
Extract:
A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours. On assessment, the nurse finds the following vital signs: temperature 37.3°C, pulse rate 88 beats per minute, respiratory rate 10 breaths per minute, BP 148/90 mm Hg, absent deep tendon reflexes (DTRs), and no ankle clonus. The client complains, 'I'm so thirsty and warm.'
Question 5 of 5
A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours. On assessment, the nurse finds the following vital signs: temperature 37.3°C, pulse rate 88 beats per minute, respiratory rate 10 breaths per minute, BP 148/90 mm Hg, absent deep tendon reflexes (DTRs), and no ankle clonus. The client complains, 'I'm so thirsty and warm.' What is the nurse's immediate action?
Correct Answer: C
Rationale: Absent reflexes and low respiratory rate indicate magnesium toxicity, requiring immediate infusion discontinuation to prevent respiratory arrest.