ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A client who is in the latent phase of the first stage of labor and is in pain
Question 1 of 5
A nurse is caring for a client who is in the latent phase of the first stage of labor and is in pain. Which of the following nursing interventions are appropriate to reduce pain?
Correct Answer: A,C,D
Rationale: Nitrous oxide, counterpressure, and hydrotherapy reduce labor pain effectively. Ambulation may not suit the latent phase, and Leopold maneuvers assess position, not pain.
Extract:
A client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia
Question 2 of 5
A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication?
Correct Answer: D
Rationale: Urine output of 20 mL/hr indicates oliguria, an adverse effect of magnesium sulfate signaling potential toxicity. Hypertension is preeclampsia-related, hyperglycemia is unrelated, and 16/min respiration is normal.
Extract:
A newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy
Question 3 of 5
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: D
Rationale: Congenital CMV commonly causes hearing loss in newborns. Macrosomia, cataracts, and urinary infections are not typical CMV manifestations.
Extract:
A client who received epidural analgesia during labor and is 4 hr postpartum
Question 4 of 5
A nurse is caring for a client who received epidural analgesia during labor and is 4 hr postpartum. Which of the following client reports should the nurse address first?
Correct Answer: D
Rationale: Inability to void suggests bladder dysfunction from epidural effects, risking distention or infection, and takes priority. Tingling, cramps, and itching are less urgent.
Extract:
A client who has hyperemesis gravidarum
Question 5 of 5
A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?
Correct Answer: D
Rationale: Urine ketones detect ketosis from prolonged vomiting in hyperemesis gravidarum, guiding treatment. Culture, reagin, and prothrombin tests are unrelated.