ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios.
Question 1 of 5
A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: C
Rationale: Polyhydramnios is defined as excessive amniotic fluid (>2,000 mL or AFI >25 cm), potentially causing complications but not directly indicating other options.
Extract:
A client.
Question 2 of 5
A nurse is preparing to administer clindamycin 900 mg by intermittent IV bolus over 30 min. Available is clindamycin 900 mg in 100 mL dextrose 5% (D5W). The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: 200
Rationale: 100 mL over 0.5 hours equals 200 mL/hr, the correct pump setting with no trailing zero.
Extract:
A newborn who has macrosomia and whose mother has diabetes mellitus.
Question 3 of 5
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus. The nurse should recognize which of the following newborn complications as the priority focus of care?
Correct Answer: D
Rationale: Hypoglycemia is the priority due to hyperinsulinemia risks, causing seizures or brain damage if untreated. Other complications are less immediate.
Extract:
A client who is at 30 weeks of gestation and is in preterm labor.
Question 4 of 5
A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new order for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?
Correct Answer: A
Rationale: Betamethasone enhances fetal lung surfactant production, reducing respiratory distress risk. It doesn't affect cervical dilation, heart rate, or stop contractions.
Extract:
A nurse is preparing to administer an injection of Rh0 (D) immunoglobulin.
Question 5 of 5
A nurse is preparing to administer an injection of Rh0 (D) immunoglobulin. The nurse should understand that the purpose of this injection is to prevent which of the following newborn complications?
Correct Answer: A
Rationale: Rh0 (
D) immunoglobulin prevents maternal antibody formation against Rh-positive fetal blood, reducing erythroblastosis fetalis risk in future pregnancies.