ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion
Question 1 of 5
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Absent deep-tendon reflexes indicate magnesium toxicity, a serious adverse effect requiring immediate reporting. Decreased contractions are expected, elevated BP is common in preeclampsia, and 35 mL/hr urine output is normal.
Extract:
A client who is in preterm labor with a new prescription for terbutaline 0.25 mg subcutaneous
Question 2 of 5
A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?
Correct Answer: D
Rationale: Low BP (88/58 mm Hg) contraindicates terbutaline, which can worsen hypotension. Normal FHR, glucose, and urine output do not require withholding the drug.
Extract:
A client who is at 32 weeks of gestation and has gestational diabetes mellitus
Question 3 of 5
A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A fundal height of 38 cm at 32 weeks suggests macrosomia or polyhydramnios, complications of gestational diabetes, requiring reporting. Normal glucose, fetal movements, and edema are not concerning.
Extract:
A group of newly licensed nurses about maternal cytomegalovirus
Question 4 of 5
The nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: A
Rationale: CMV spreads through newborn saliva and urine, requiring hygiene precautions. Airborne precautions, acyclovir, and visible lesions are not associated with CMV.
Extract:
A client who is receiving medroxyprogesterone IM for contraception
Question 5 of 5
A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Medroxyprogesterone is administered every 12-13 weeks; returning in 8 weeks aligns with scheduling. Two shots, calcium increase, or stopping for spotting are incorrect.