ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A client who is at 32 weeks of gestation and has gestational diabetes mellitus
Question 1 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 received epidural analgesia during labor and is 4 hr postpartum
Question 2 of 5
A nurse is caring for a client who received epidural analgesia during labor and is 4 hr postpartum. Which of the following client reports should the nurse address first?
Correct Answer: D
Rationale: Inability to void suggests bladder dysfunction from epidural effects, risking distention or infection, and takes priority. Tingling, cramps, and itching are less urgent.
Extract:
A client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus
Question 3 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus. Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: B
Rationale: MRSA requires contact precautions to prevent spread via contaminated surfaces or hands. Droplet, airborne, and protective environments are inappropriate.
Extract:
A client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion
Question 4 of 5
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Absent deep-tendon reflexes indicate magnesium toxicity, a serious adverse effect requiring immediate reporting. Decreased contractions are expected, elevated BP is common in preeclampsia, and 35 mL/hr urine output is normal.
Extract:
A newborn following delivery
Question 5 of 5
A nurse is caring for a newborn following delivery. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Applying identification bands ensures newborn safety and correct matching with the mother, taking precedence over weight, vitamin K, or eye ointment.