ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client's vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air. The client's physical examination shows: Respirations even and unlabored, Awake, alert, and oriented to person, place, and time, Pedal pulse strong and regular bilaterally, 3+ edema in lower extremities.
Question 1 of 5
A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client's vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air. The client's physical examination shows: Respirations even and unlabored, Awake, alert, and oriented to person, place, and time, Pedal pulse strong and regular bilaterally, 3+ edema in lower extremities. What are the two most important nursing diagnoses for this client?
Correct Answer: A, B
Rationale: Risk for injury due to seizures is critical in severe preeclampsia, as seizures can cause maternal and fetal harm. Impaired gas exchange due to potential pulmonary edema is significant given the client's fluid overload risk from high BP and edema.
Extract:
A nurse midwife is examining a client who is primigravida at 42 weeks of gestation and states that she believes she is in labor.
Question 2 of 5
A nurse midwife is examining a client who is primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?
Correct Answer: B
Rationale: Cervical dilation is a definitive sign of labor, indicating the cervix is opening and thinning to allow fetal passage, measured in centimeters from 0 to 10.
Extract:
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.
Question 3 of 5
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: A
Rationale: Hyperinsulinemia, caused by exposure to high maternal glucose levels, increases respiratory demand in the newborn, leading to respiratory distress syndrome.
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 in an antepartum unit is triaging clients.
Question 5 of 5
A nurse in an antepartum unit is triaging clients. Which of the following clients should the nurse see first?
Correct Answer: B
Rationale: A client at 28 weeks of gestation with painless vaginal bleeding is the most urgent case, as this could indicate placenta previa, which can cause severe hemorrhage and fetal distress, requiring immediate attention.