ATI RN
ATI Maternal Newborn Exam 2 Questions
Extract:
A client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia
Question 1 of 5
A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations is an adverse reaction to the medication?
Correct Answer: D
Rationale: Urine output of 20 mL/hr suggests oliguria, risking magnesium toxicity due to poor renal excretion, unlike hypertension (preeclampsia symptom), hypoglycemia (unrelated), or normal respiratory rate.
Extract:
A client who is 2 days postpartum following a vaginal delivery and reports constipation
Question 2 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: B
Rationale: A third-degree perineal laceration contraindicates suppositories to avoid further trauma and delayed healing, unlike distention, candidiasis, or afterpain, which are not contraindications.
Extract:
A client who is at 32 weeks of gestation and has gestational diabetes mellitus
Question 3 of 5
A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A fundal height of 38 cm at 32 weeks suggests macrosomia, a gestational diabetes complication, requiring reporting, unlike normal glucose, fetal movements, or edema.
Extract:
A postpartum client
Question 4 of 5
A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors places the client at risk for an infection?
Correct Answer: B
Rationale: Meconium-stained fluid increases maternal infection risk if it enters the bloodstream, unlike episiotomy (managed risk), hypertension, or previa (other complications).
Extract:
A client who is in labor and just received epidural anesthesia with blood pressure 90/50 mm Hg
Question 5 of 5
A nurse is caring for a client who is in labor and just received epidural anesthesia. The client's blood pressure is 90/50 mm Hg. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Turning the client to their side improves uterine blood flow, addressing epidural-induced hypotension, unlike amnioinfusion, naloxone (irrelevant), or monitoring alone.