ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A client who is at 30 weeks of gestation and is in preterm labor.
Question 1 of 5
A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new order for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?
Correct Answer: A
Rationale: Betamethasone enhances fetal lung surfactant production, reducing respiratory distress risk. It doesn't affect cervical dilation, heart rate, or stop contractions.
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 client who is at 37 weeks of gestation with severe preeclampsia. Laboratory results include a platelet count of 95,000/mm3, an aspartate aminotransferase (AST) level of 160 units/L, and a falling hematocrit.
Question 3 of 5
A nurse is caring for a client who is at 37 weeks of gestation with severe preeclampsia. Laboratory results include a platelet count of 95,000/mm3, an aspartate aminotransferase (AST) level of 160 units/L, and a falling hematocrit. Which of the following is the most likely cause of these findings?
Correct Answer: C
Rationale: HELLP syndrome explains low platelets, elevated AST, and falling hematocrit due to hemolysis and liver dysfunction, common in severe preeclampsia.
Extract:
A client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Question 4 of 5
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?
Correct Answer: C
Rationale: Glyburide is safe in pregnancy with low placental transfer, unlike glipizide, acarbose, or repaglinide, which pose fetal risks.
Extract:
A newborn who was born at 30 weeks of gestation.
Question 5 of 5
A nurse is preparing to administer oxygen via hood therapy to a newborn who was born at 30 weeks of gestation. Which of the following is an appropriate nursing action when providing care to this infant?
Correct Answer: B
Rationale: Maintaining 93-95% oxygen saturation ensures adequate oxygenation without hyperoxia risks. Trendelenburg, orogastric tubes, or hood removal are inappropriate.