ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A newborn who was exposed to cocaine in utero
Question 1 of 5
A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Cocaine exposure causes CNS irritability, leading to a high-pitched cry. Hypotonicity, reduced startle, or large head circumference are not typical.
Extract:
A client at risk for postpartum hemorrhage
Question 2 of 5
A nurse is discussing risk factors of postpartum hemorrhage with a newly licensed nurse. Which of the following conditions is a risk factor for postpartum hemorrhage that the nurse should include in the teaching?
Correct Answer: B
Rationale: Retained placental fragments prevent uterine contraction, leading to hemorrhage. Hypertension, oligohydramnios, and meconium do not directly cause postpartum bleeding.
Extract:
An antepartal client at 35 weeks of gestation
Question 3 of 5
A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: D
Rationale: Irregular, unfelt contractions suggest possible uterine hyperstimulation, warranting further testing for fetal distress. Fetal movements, no decelerations, and heart rate increase are reassuring.
Extract:
A newborn's Babinski reflex
Question 4 of 5
A nurse is performing an assessment of a newborn's Babinski reflex. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Dorsiflexion of the great toe is the normal Babinski reflex in newborns, persisting until about age 2. Other responses indicate abnormal reflexes.
Extract:
A client who is in preterm labor with a new prescription for terbutaline 0.25 mg subcutaneous
Question 5 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.