ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
An antepartal client at 35 weeks of gestation
Question 1 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 client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion
Question 2 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 pregnant and follows a vegan diet
Question 3 of 5
A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium?
Correct Answer: D
Rationale: Broccoli provides 62 mg of calcium per cup, higher than potato (10 mg), avocado (11 mg), or banana (6 mg), supporting vegan calcium needs.
Extract:
A client who is at her 24-week prenatal appointment
Question 4 of 5
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Correct Answer: D
Rationale: The 1-hour glucose tolerance test screens for gestational diabetes at 24-28 weeks. Group B strep, rubella, and blood type are tested earlier or later.
Extract:
A client who is at 30 weeks of gestation
Question 5 of 5
A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines?
Correct Answer: C,D
Rationale: Tdap (27-36 weeks) protects against pertussis, and influenza vaccine prevents severe flu in pregnancy. HPV, varicella, and MMR are contraindicated during pregnancy.