ATI RN
ATI Maternal Newborn 2019 Exam 3 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 as an adverse reaction to the medication?
Correct Answer: D
Rationale: Urine output of 20 mL/hr indicates oliguria, an adverse effect of magnesium sulfate signaling potential toxicity. Hypertension is preeclampsia-related, hyperglycemia is unrelated, and 16/min respiration is normal.
Extract:
A client who is at 32 weeks of gestation and has gestational diabetes mellitus
Question 2 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 or polyhydramnios, complications of gestational diabetes, requiring reporting. Normal glucose, fetal movements, and edema are not concerning.
Extract:
A client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia
Question 3 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 as an adverse reaction to the medication?
Correct Answer: D
Rationale: Urine output of 20 mL/hr indicates oliguria, an adverse effect of magnesium sulfate signaling potential toxicity. Hypertension is preeclampsia-related, hyperglycemia is unrelated, and 16/min respiration is normal.
Extract:
A client who is in preterm labor with a new prescription for terbutaline 0.25 mg subcutaneous
Question 4 of 5
A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?
Correct Answer: D
Rationale: Low BP (88/58 mm Hg) contraindicates terbutaline, which can worsen hypotension. Normal FHR, glucose, and urine output do not require withholding the drug.
Extract:
A newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy
Question 5 of 5
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: D
Rationale: Congenital CMV commonly causes hearing loss in newborns. Macrosomia, cataracts, and urinary infections are not typical CMV manifestations.