ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client in preterm labor with terbutaline prescription
Question 1 of 5
A nurse is caring for a client who is experiencing preterm labor and has a new prescription for terbutaline. Which of the following findings is a contraindication for the administration of this medication?
Correct Answer: A
Rationale: Terbutaline, a tocolytic, can exacerbate heart disease with cardiovascular side effects like tachycardia, making it contraindicated.
Extract:
Client at 38 weeks of gestation with continuous abdominal pain, vaginal bleeding, and cocaine use history
Question 2 of 5
A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding. The client has a history of cocaine use. The nurse should identify that the client is likely experiencing which of the following complications?
Correct Answer: A
Rationale: Abruptio placentae matches symptoms of pain and bleeding, exacerbated by cocaine's vascular effects, distinguishing it from previa, preterm labor, or molar pregnancy.
Extract:
Client undergoing Papanicolaou (Pap) test
Question 3 of 5
A nurse is providing teaching to a client about the Papanicolaou (Pap) test. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Avoiding intercourse 24 hours before a Pap test ensures accurate cervical cell sampling, unlike incorrect frequency, ovarian status, or viral detection claims.
Extract:
Client in first trimester of pregnancy
Question 4 of 5
A nurse is providing education to a client in the first trimester of pregnancy. What information should the nurse include regarding the cause of indigestion and heartburn?
Correct Answer: D
Rationale: Progesterone relaxes the cardiac sphincter, causing acid reflux, the primary cause of pregnancy heartburn, unlike pancreatic, estrogen, or uterine pressure effects.
Extract:
Client at 38 weeks of gestation with continuous abdominal pain, vaginal bleeding, and cocaine use history
Question 5 of 5
A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding. The client has a history of cocaine use. The nurse should identify that the client is likely experiencing which of the following complications?
Correct Answer: A
Rationale: Cocaine-related vasoconstriction and pain with bleeding suggest abruptio placentae, unlike painless previa, preterm labor at term, or molar pregnancy's distinct features.