ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A client who received epidural analgesia during labor and is 4 hr postpartum
Question 1 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 newborn who was exposed to cocaine in utero
Question 2 of 5
A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Cocaine exposure causes CNS irritability, leading to a high-pitched cry. Hypotonicity, reduced startle, or large head circumference are not typical.
Extract:
A client who has pre-gestational diabetes mellitus
Question 3 of 5
A nurse is caring for a client who has pre-gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?
Correct Answer: B
Rationale: Increased urination (polyuria) is a hallmark of hyperglycemia due to glucose-driven diuresis. Dizziness, sweating, and double vision are less specific or indicate severe cases.
Extract:
A client who is in preterm labor with a new prescription for terbutaline 0.25 mg subcutaneous
Question 4 of 5
A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?
Correct Answer: D
Rationale: Low BP (88/58 mm Hg) contraindicates terbutaline, which can worsen hypotension. Normal FHR, glucose, and urine output do not require withholding the drug.
Extract:
A client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus
Question 5 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus. Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: B
Rationale: MRSA requires contact precautions to prevent spread via contaminated surfaces or hands. Droplet, airborne, and protective environments are inappropriate.