ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in isolation.
Question 1 of 5
A nurse is caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in isolation. Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: The newborn might be actively shedding the rubella virus, which is highly contagious, necessitating isolation to prevent transmission to other susceptible individuals.
Extract:
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption.
Question 2 of 5
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?
Correct Answer: B
Rationale: Hypertension is the most common risk factor for placental abruption, as it can damage uterine vessels, leading to bleeding and separation of the placenta from the uterine wall.
Extract:
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Blood pressure 80/56 mm Hg, Temperature 38.2°C (100.8°F), reports weakness of the lower extremities, reports profuse itching.
Question 3 of 5
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: Blood pressure 80/56 mm Hg indicates hypotension, a serious complication of epidural analgesia that can compromise maternal and fetal perfusion, making it the priority finding requiring immediate intervention.
Extract:
A nurse is caring for a group of clients on an intrapartum unit. A client who has a diagnosis of preeclampsia reports epigastric pain and unresolved headache; A client who has a diagnosis of preeclampsia has 2+ proteinuria and 2+ patellar reflexes; A client who is at 28 weeks of gestation and receiving terbutaline reports fine tremors; A tearful client who is at 32 weeks of gestation and is experiencing irregular, frequent contractions.
Question 4 of 5
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?
Correct Answer: A
Rationale: Epigastric pain and unresolved headache in a client with preeclampsia indicate severe preeclampsia, which can progress to eclampsia, requiring immediate reporting and intervention.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.
Question 5 of 5
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis?
Correct Answer: D
Rationale: Painless red vaginal bleeding is characteristic of placenta previa, where the placenta covers the cervix, causing bleeding without pain as the cervix dilates.