ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client with a new diagnosis of ectopic pregnancy not requiring surgery.
Question 1 of 5
A nurse is caring for a client who was just diagnosed with an ectopic pregnancy and does not require surgery. Which of the following medications can the nurse expect to administer?
Correct Answer: C
Rationale: Methotrexate stops the growth of ectopic pregnancy cells, allowing the body to reabsorb the tissue, and is standard for non-surgical treatment.
Extract:
Client 4 hours postpartum following a vaginal delivery, with brisk patellar deep tendon reflexes, moderate lochia, fundus at umbilicus, approximated episiotomy edges.
Question 2 of 5
A nurse is assessing a client who is 4 hours postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: Brisk patellar deep tendon reflexes may indicate central nervous system irritability, potentially linked to preeclampsia, requiring priority assessment.
Extract:
A newborn with signs of diaphoresis, jitteriness, and lethargy.
Question 3 of 5
A nurse is caring for a newborn and observes signs of diaphoresis, jitteriness, and lethargy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Diaphoresis, jitteriness, and lethargy are classic signs of hypoglycemia in newborns, making obtaining a blood glucose level by heel stick the priority action.
Extract:
Client in labor with external fetal monitoring, FHR slows at contraction start, nadir at contraction peak, returns to baseline at contraction end.
Question 4 of 5
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow at the start of a contraction and the nadir is at the same time as the peak of the contraction. The FHR returns to the FHR baseline at the same time that the contraction ends. The nurse should document this finding as which of the following?
Correct Answer: C
Rationale: Early decelerations mirror contractions, with nadir at the peak, typically benign and due to fetal head compression.
Extract:
Client in labor at 39 weeks with oxytocin induction, uterine contractions every 2 minutes lasting 90 seconds, strong, FHR baseline 150/min with uniform decelerations at contraction peak.
Question 5 of 5
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 minutes, last 90 seconds each, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction, nadir after the peak of the contraction, and a return to baseline after the contraction is over. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Discontinuing oxytocin is necessary due to tachysystole and fetal heart rate decelerations, reducing uterine hyperstimulation and improving fetal oxygenation.