ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client 4 hours postpartum following a vaginal delivery, with brisk patellar deep tendon reflexes, moderate lochia, fundus at umbilicus, approximated episiotomy edges.
Question 1 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:
During preconception counseling regarding teratogen effects in first 8 weeks.
Question 2 of 5
During preconception counseling, the nurse explains that during the first 8 weeks the fetus is most vulnerable to the effects of teratogens. What is occurring during the first 8 weeks of gestation?
Correct Answer: C
Rationale: Organogenesis, the formation of major organs between weeks 3-8, is when the fetus is most vulnerable to teratogens, causing congenital anomalies.
Extract:
Client 5 hours postpartum after vaginal birth, pregnancy complicated by polyhydramnios.
Question 3 of 5
A nurse is caring for a client whose pregnancy was complicated by polyhydramnios and is now 5 hours postpartum following a vaginal birth. The nurse should recognize that this client is at risk for which of the following postpartum complications?
Correct Answer: A
Rationale: Polyhydramnios can overdistend the uterus, increasing the risk of uterine atony and postpartum hemorrhage.
Extract:
Client in preterm labor at 33 weeks, ordered betamethasone 12 mg IM every 24 hours.
Question 4 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:
Newborn with hyperbilirubinemia treated with phototherapy.
Question 5 of 5
A nurse is caring for a newborn with hyperbilirubinemia and is being treated with phototherapy. For each of the following nursing actions, specify if it is indicated or contraindicated with phototherapy treatment.
Correct Answer: B,D,E,F
Rationale: Indicated: Removing for assessment, maintaining eye mask, repositioning, and reporting sunken fontanels ensure safety and monitor for dehydration. Contraindicated: Lotion can interfere with phototherapy, and feedings every 8 hours are too infrequent.