ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is assessing a client who is pregnant for preeclampsia.
Question 1 of 5
A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: B
Rationale: Elevated blood pressure is a hallmark of preeclampsia, requiring further evaluation to confirm the diagnosis and prevent complications like eclampsia or placental abruption.
Extract:
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation.
Question 2 of 5
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?
Correct Answer: C
Rationale: Ambulating twice daily is inappropriate for severe preeclampsia, as it may increase the risk of bleeding, seizures, or placental abruption; bed rest is typically recommended.
Extract:
A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client's vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air.
Question 3 of 5
A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client's vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air. Based on the information provided, what is the most likely diagnosis for the client?
Correct Answer: B
Rationale: Chronic hypertension with superimposed preeclampsia is likely due to the client's pre-existing hypertension, high BP at 34 weeks, and proteinuria, indicating severe preeclampsia.
Extract:
The nurse caring for the pregnant patient understands that the hormone essential for maintaining pregnancy is:
Question 4 of 5
The nurse caring for the pregnant patient understands that the hormone essential for maintaining pregnancy is:
Correct Answer: D
Rationale: Progesterone is essential for maintaining pregnancy by preventing uterine contractions and immune responses against the fetus, produced by the corpus luteum and later the placenta.
Extract:
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular Fetal Heart Rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4 C (97.6° F).
Question 5 of 5
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4 C (97.6° F). Which of the following is the priority nursing action?
Correct Answer: B
Rationale: Initiating IV access is the priority to administer fluids and blood products to maintain blood pressure and perfusion, addressing potential hypovolemic shock from severe bleeding likely due to placenta previa.