ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A client who is at 37 weeks of gestation with severe preeclampsia. Laboratory results include a platelet count of 95,000/mm3, an aspartate aminotransferase (AST) level of 160 units/L, and a falling hematocrit.
Question 1 of 5
A nurse is caring for a client who is at 37 weeks of gestation with severe preeclampsia. Laboratory results include a platelet count of 95,000/mm3, an aspartate aminotransferase (AST) level of 160 units/L, and a falling hematocrit. Which of the following is the most likely cause of these findings?
Correct Answer: C
Rationale: HELLP syndrome explains low platelets, elevated AST, and falling hematocrit due to hemolysis and liver dysfunction, common in severe preeclampsia.
Extract:
A client who is at 38 weeks of gestation and has severe preeclampsia.
Question 2 of 5
A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?
Correct Answer: B
Rationale: Headache is expected in severe preeclampsia due to cerebral edema or vasospasm. Polyuria, tachycardia, and absent clonus are not typical; instead, oliguria, bradycardia, and positive clonus may occur.
Extract:
A client who is in premature labor and is receiving terbutaline.
Question 3 of 5
A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?
Correct Answer: C
Rationale: Dyspnea indicates potential pulmonary edema, a serious terbutaline side effect requiring immediate reporting. Nervousness, tremors, and headaches are common and less urgent.
Extract:
A client who is at 36 weeks of gestation and has pregnancy-induced hypertension. Suddenly, the client reports continuous abdominal pain and vaginal bleeding.
Question 4 of 5
A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has pregnancy-induced hypertension. Suddenly, the client reports continuous abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications?
Correct Answer: D
Rationale: Abruptio placentae causes painful bleeding and is associated with hypertension, unlike painless previa, cord prolapse, or painless cervical issues.
Extract:
A client who is 12 hr postpartum.
Question 5 of 5
A nurse is caring for a client who is 12 hr postpartum. Which of the following findings should alert the nurse to the possibility of a postpartum complication?
Correct Answer: C
Rationale: Tachycardia (160/min) suggests complications like hemorrhage or infection, requiring urgent evaluation. Other findings are normal postpartum.