ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Question 1 of 5
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?
Correct Answer: C
Rationale: Glyburide is safe in pregnancy with low placental transfer, unlike glipizide, acarbose, or repaglinide, which pose fetal risks.
Extract:
A client who is at 37 weeks of gestation with severe preeclampsia. Laboratory results include a platelet count of 95,000/mm3, an aspartate aminotransferase (AST) level of 160 units/L, and a falling hematocrit.
Question 2 of 5
A nurse is caring for a client who is at 37 weeks of gestation with severe preeclampsia. Laboratory results include a platelet count of 95,000/mm3, an aspartate aminotransferase (AST) level of 160 units/L, and a falling hematocrit. Which of the following is the most likely cause of these findings?
Correct Answer: C
Rationale: HELLP syndrome explains low platelets, elevated AST, and falling hematocrit due to hemolysis and liver dysfunction, common in severe preeclampsia.
Extract:
Several clients.
Question 3 of 5
A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?
Correct Answer: A
Rationale:
Tocolytics are safe and effective for preterm labor at 26 weeks to delay delivery. They're contraindicated or unnecessary in fetal death, post-term, or Braxton-Hicks cases.
Extract:
A client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina.
Question 4 of 5
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: Relieving cord pressure prevents fetal hypoxia, the immediate priority in cord prolapse. Other actions follow to support delivery.
Extract:
A client who is in the active phase of the first stage of labor.
Question 5 of 5
A nurse is caring for a client who is in the active phase of the first stage of labor. When monitoring the uterine contractions, which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Contractions lasting over 110 seconds suggest hyperstimulation, risking fetal distress, and should be reported. Normal frequency, intensity, and back pain are expected.