ATI RN
ATI Maternity Nur230 Questions
Extract:
Newborn born at 32 weeks of gestation with birth weight of 1,100 g
Question 1 of 5
A nurse is assisting with the assessment of a newborn who was born at 32 weeks of gestation. The newborn's birth weight is 1,100 g. What are the expected findings in this newborn? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Preterm newborns at 32 weeks often have long nails, weak grasp reflex due to immature nervous systems, and lanugo due to incomplete shedding.
Extract:
Adolescent client at 38 weeks with preeclampsia
Question 2 of 5
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: A
Rationale: Deep tendon reflexes of +1 (hyporeflexia) are inconsistent with preeclampsia, which typically involves hyperreflexia.
Extract:
Client in labor experiencing incomplete uterine relaxation between hypertonic contractions
Question 3 of 5
A nurse is caring for a client in labor who is experiencing incomplete uterine relaxation between hypertonic contractions. What adverse effect does the nurse recognize as a result of this contraction pattern?
Correct Answer: B
Rationale: Incomplete uterine relaxation with hypertonic contractions can impede cervical dilation, slowing labor progression.
Extract:
6-month-old infant who underwent a cardiac catheterization for pulmonary stenosis
Question 4 of 5
A nurse is providing care for a 6-month-old infant who underwent a cardiac catheterization. The child was diagnosed with pulmonary stenosis early in infancy and was admitted today for a balloon angioplasty procedure. Which of the following should the nurse plan to include in the discharge teaching?
Correct Answer: C
Rationale: Administering acetaminophen or ibuprofen for pain management is appropriate post-catheterization to alleviate discomfort from the procedure site.
Extract:
Client in labor at 2 cm dilation, 50% effaced, fetus at -2 station
Question 5 of 5
A nurse in the labor and delivery unit is attending to a client in labor. The nurse applies an external fetal monitor and toco transducer. The FHR is around 140/min. Contractions are every 8 min and 30 to 40 seconds in duration. The nurse performs a vaginal exam and finds the cervix is 2 cm dilated, 50% effaced, and the fetus is at a -2 station. Which stage and phase of labor is this client experiencing?
Correct Answer: D
Rationale: The latent phase of the first stage involves mild, irregular contractions, 0-3 cm dilation, and 0-40% effacement, matching these findings.