ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client being assessed for breast cancer risk.
Question 1 of 5
A nurse is assessing a client's risk of breast cancer. Which of the following would not be included in the education about risks?
Correct Answer: D
Rationale: Age less than 25 years is not a risk factor for breast cancer, as risk increases with age, unlike family history, radiation exposure, or oral contraceptive use.
Extract:
Client in preterm labor at 33 weeks, ordered betamethasone 12 mg IM every 24 hours.
Question 2 of 5
A nurse is caring for a client who was admitted in preterm labor at 33 weeks gestation. The provider has ordered betamethasone 12 mg IM every 24 hours. Before administering the medication, what should the nurse include in client teaching?
Correct Answer: A
Rationale: Betamethasone enhances fetal lung maturity by increasing surfactant production.
Extract:
Client 4 hours postpartum following a vaginal delivery, with brisk patellar deep tendon reflexes, moderate lochia, fundus at umbilicus, approximated episiotomy edges.
Question 3 of 5
A nurse is assessing a client who is 4 hours postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: Brisk patellar deep tendon reflexes may indicate central nervous system irritability, potentially linked to preeclampsia, requiring priority assessment.
Extract:
Client at 36 weeks with SROM after epidural, reports shortness of breath, then goes into cardiorespiratory failure.
Question 4 of 5
A nurse in Labor and Delivery is caring for a client who just experienced SROM (spontaneous rupture of membranes) after her epidural. The client immediately states she is short of breath. The nurse lays the patient back and places oxygen on her when the client goes into complete cardiorespiratory failure. The nurse should recognize that this client is experiencing which of the following obstetrical emergencies?
Correct Answer: A
Rationale: Anaphylactoid syndrome of pregnancy (amniotic fluid embolism) causes sudden cardiorespiratory failure post-SROM, triggered by amniotic fluid entering the maternal bloodstream.
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 5 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.