ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A client who has pre-gestational diabetes mellitus
Question 1 of 5
A nurse is caring for a client who has pre-gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?
Correct Answer: B
Rationale: Increased urination (polyuria) is a hallmark of hyperglycemia due to glucose-driven diuresis. Dizziness, sweating, and double vision are less specific or indicate severe cases.
Extract:
An antepartal client at 35 weeks of gestation
Question 2 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 2 days postpartum and wants to continue using her diaphragm for contraception
Question 3 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Postpartum changes in vaginal and cervical anatomy require diaphragm refitting for effectiveness. Sterile water, 4-hour retention, and oil-based lubricants are incorrect.
Extract:
Four newborns in a nursery
Question 4 of 5
A nurse in a newborn nursery is receiving a change-of-shift report for four newborns. Which of the following newborns should the nurse assess first?
Correct Answer: D
Rationale: Tachypnea in a newborn signals potential respiratory distress, requiring immediate assessment. Feeding issues, delayed stool, and blood-tinged discharge are less urgent.
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.