ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor.
Question 1 of 5
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Positioning the client on her side is the priority action for late decelerations, as it reduces uterine pressure on the inferior vena cava and aorta, improving maternal and fetal circulation and oxygenation.
Extract:
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Question 2 of 5
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?
Correct Answer: B
Rationale: Insulin is the preferred medication for gestational diabetes mellitus as it does not cross the placenta, is safe for the fetus, and effectively controls maternal blood glucose levels.
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:
The patient has an area over the sacrum that is reddened around the edges with a blackened area in the center.
Question 4 of 5
The patient has an area over the sacrum that is reddened around the edges with a blackened area in the center. How would you document this wound?
Correct Answer: A
Rationale: An unstageable pressure ulcer is documented due to the presence of eschar (blackened area) in the wound bed, indicating full-thickness tissue loss that cannot be staged until the eschar is removed.
Extract:
A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia.
Question 5 of 5
A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Urinary output of 40 mL in 2 hr is below the expected amount and indicates renal impairment, a potential sign of magnesium toxicity or worsening pre-eclampsia, which should be reported to the provider.