ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client at 40 weeks of gestation in labor with fetus small for gestational age (SGA)
Question 1 of 5
A nurse is caring for a client who is at 40 weeks of gestation and is in labor. The client's ultrasound examination indicates that the fetus is small for gestational age (SGA). Which of the following interventions should be included in the newborn's plan of care?
Correct Answer: C
Rationale: SGA newborns are at risk for meconium aspiration syndrome due to intrauterine stress, requiring monitoring of respiratory secretions.
Extract:
Client reporting severe abdominal pain in the left lower quadrant with suspected ruptured ectopic pregnancy
Question 2 of 5
A nurse in the emergency department is caring for a client who comes to the emergency department reporting severe abdominal pain in the left lower quadrant. The provider suspects a ruptured ectopic pregnancy. Which of the following signs indicates to the nurse that the client has blood in the peritoneum?
Correct Answer: A
Rationale: Cullen's sign (periumbilical bruising) indicates peritoneal bleeding, consistent with a ruptured ectopic pregnancy.
Extract:
Newborn's parent
Question 3 of 5
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Sponge baths keep the cord stump dry, promoting healing and preventing infection, unlike petroleum jelly or covering with a diaper, which can retain moisture.
Extract:
Client at 38 weeks of gestation with severe preeclampsia
Question 4 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: A
Rationale: Severe headaches are a common symptom of preeclampsia due to hypertension and cerebral edema, indicating a need for immediate management.
Extract:
Client receiving magnesium sulfate for suspected placenta previa
Question 5 of 5
A nurse is assessing a client who is receiving magnesium sulfate to treat a suspected placenta previa. Which of the following findings must the nurse report to the provider?
Correct Answer: D
Rationale: Urinary output <30 mL/hr indicates potential renal insufficiency, a serious magnesium sulfate side effect requiring immediate reporting.