ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A client who is in labor and just received epidural anesthesia with blood pressure 90/50 mm Hg
Question 1 of 5
A nurse is caring for a client who is in labor and just received epidural anesthesia. The client's blood pressure is 90/50 mm Hg. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Turning the client to their side relieves vena cava compression, improving blood flow and correcting hypotension. Amnio-infusion, naloxone, and monitoring alone do not address the immediate issue.
Extract:
A 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis
Question 2 of 5
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Amniocentesis detects genetic disorders, not just fetal sex, and carries risks, requiring education. Age limits, immediate scheduling, or chorionic sampling are incorrect.
Extract:
An adolescent client offering her newborn a bottle while he is lying in the bassinet
Question 3 of 5
A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. When the nurse offers to pick the newborn up and place him in the client's arms, the mother states, 'No, the baby is too tired to be held.' Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Taking the newborn to the nursery ensures safe feeding, addressing the risk of unattended bottle-feeding. Insisting, demonstrating, or persuading does not prioritize immediate safety.
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 4 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Cleansing with povidone-iodine prevents infection at the leaking myelomeningocele site, the priority action. Monitoring, antibiotics, or delayed surgery are secondary.
Extract:
An antepartal client at 35 weeks of gestation
Question 5 of 5
A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: D
Rationale: Irregular, unfelt contractions suggest possible uterine hyperstimulation, warranting further testing for fetal distress. Fetal movements, no decelerations, and heart rate increase are reassuring.