ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
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.
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: B
Rationale: Insulin is the preferred medication for gestational diabetes mellitus as it does not cross the placenta, is safe for the fetus, and effectively controls maternal blood glucose levels.
Extract:
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension? Baseline BP 140/85, current BP 129/80; Baseline BP 110/70, current BP 145/85; Baseline BP 120/80, current BP 126/85; Baseline BP 110/60, current BP 120/63.
Question 2 of 5
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?
Correct Answer: B
Rationale: An increase in BP from baseline by 30 mm Hg systolic or 15 mm Hg diastolic indicates a risk for pregnancy-induced hypertension. A current BP of 145/85 mm Hg from a baseline of 110/70 mm Hg shows a significant elevation, suggesting a risk for complications.
Extract:
In terms of the incidence and classification of diabetes, maternity nurses should know that:
Question 3 of 5
In terms of the incidence and classification of diabetes, maternity nurses should know that:
Correct Answer: B
Rationale: Type 2 diabetes often goes undiagnosed due to its insidious onset and lack of symptoms, accounting for 90-95% of diabetes cases, making it critical for maternity nurses to recognize.
Extract:
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline.
Question 4 of 5
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline. The nurse should suspect that the fetus is in which of the following positions?
Correct Answer: A
Rationale: A frank breech position, where the fetus's buttocks present at the cervix with legs extended upward, would result in fetal heart tones located above the umbilicus at midline, as observed.
Extract:
A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use.
Question 5 of 5
A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: This response emphasizes the importance of a healthcare provider's role in determining the best contraceptive method after a physical examination, respecting the client's privacy and autonomy.