ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Client experiencing preterm labor with a new prescription for terbutaline.
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 administration of this medication?
Correct Answer: A
Rationale: Terbutaline is contraindicated in heart disease because it can cause tachycardia and arrhythmias, worsening cardiac conditions. Cardiovascular side effects result from its beta-adrenergic agonist action.
Extract:
Question 2 of 5
A nurse is providing teaching to a group of clients about risk factors for ovarian cancer. Which of the following risk factors should the nurse include?
Correct Answer: A,C,E
Rationale: Nulliparity (
A) increases ovarian cancer risk by prolonging ovulation periods. Postmenopausal estrogen (
C) elevates risk by stimulating cell proliferation. History of breast cancer (E) correlates with increased risk due to shared genetic mutations like BRCA1/2.
Question 3 of 5
Drag words from the choices below to fill in each blank in the following sentence: The nurse should [option] as a potential complication.
Correct Answer: B
Rationale: Fallopian tube rupture is a critical complication of conditions like ectopic pregnancy, emphasizing the importance of timely diagnosis and intervention to prevent life-threatening internal bleeding and sepsis.
Extract:
Pregnant client with hypertension.
Question 4 of 5
For each of the following potential antihypertensive medications, indicate whether it is recommended or not recommended for use in a pregnant client.
Correct Answer: A,C,E
Rationale: Methyldopa (
A) is safe and effective for pregnancy-induced hypertension. Labetalol (
C) is recommended for hypertensive crises with a favorable safety profile. Hydralazine (E) is safe for severe hypertensive emergencies. Lisinopril (
B) and Losartan (
D) are contraindicated due to teratogenic risks.
Extract:
Newborn who is 32 hours old and has a cephalohematoma.
Question 5 of 5
A nurse is reviewing the laboratory results of a newborn who is 32 hours old and has a cephalohematoma. Which of the following findings should the nurse expect as a result of this condition?
Correct Answer: C
Rationale: A bilirubin level of 14.0 mg/dL is above the newborn normal range of 1.0 to 12.0 mg/dL. This indicates hyperbilirubinemia, commonly seen due to red blood cell breakdown in cephalohematoma.