ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation.
Question 1 of 5
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?
Correct Answer: A
Rationale: The maternal serum alpha-fetoprotein test screens for neural tube defects like spina bifida by measuring alpha-fetoprotein levels, which are elevated in such conditions.
Extract:
A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client's vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air.
Question 2 of 5
A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client's vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air. What are the two most important nursing interventions for this client?
Correct Answer: A, B
Rationale: Monitoring fetal heart rate and movement assesses fetal well-being, critical due to high-risk conditions. Administering magnesium sulfate prevents seizures in severe preeclampsia, addressing the client's high blood pressure and history.
Extract:
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side.
Question 3 of 5
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: D
Rationale: The right lower quadrant is the most likely location for fetal heart tones. The round, firm, movable part in the fundus indicates a breech position, and the long, smooth surface on the right side suggests the fetal spine is on the same side, placing the fetal chest in the lower right quadrant.
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 4 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:
A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client's vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air. The client's physical examination shows: Respirations even and unlabored, Awake, alert, and oriented to person, place, and time, Pedal pulse strong and regular bilaterally, 3+ edema in lower extremities.
Question 5 of 5
A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client's vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air. The client's physical examination shows: Respirations even and unlabored, Awake, alert, and oriented to person, place, and time, Pedal pulse strong and regular bilaterally, 3+ edema in lower extremities. What are the two most important nursing diagnoses for this client?
Correct Answer: A, B
Rationale: Risk for injury due to seizures is critical in severe preeclampsia, as seizures can cause maternal and fetal harm. Impaired gas exchange due to potential pulmonary edema is significant given the client's fluid overload risk from high BP and edema.