ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.
Question 1 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: A
Rationale: Hypoglycemia is the priority due to excess insulin production in response to maternal hyperglycemia, which can cause seizures and brain damage if untreated.
Extract:
A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia.
Question 2 of 5
A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Urinary output of 40 mL in 2 hr is below the expected amount and indicates renal impairment, a potential sign of magnesium toxicity or worsening pre-eclampsia, which should be reported to the provider.
Extract:
A nurse is caring for a group of clients on an intrapartum unit. A client who has a diagnosis of preeclampsia reports epigastric pain and unresolved headache; A client who has a diagnosis of preeclampsia has 2+ proteinuria and 2+ patellar reflexes; A client who is at 28 weeks of gestation and receiving terbutaline reports fine tremors; A tearful client who is at 32 weeks of gestation and is experiencing irregular, frequent contractions.
Question 3 of 5
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?
Correct Answer: A
Rationale: Epigastric pain and unresolved headache in a client with preeclampsia indicate severe preeclampsia, which can progress to eclampsia, requiring immediate reporting and intervention.
Extract:
In terms of the incidence and classification of diabetes, maternity nurses should know that:
Question 4 of 5
In terms of the incidence and classification of diabetes, maternity nurses should know that:
Correct Answer: B
Rationale: Type 2 diabetes often goes undiagnosed due to its insidious onset and lack of symptoms, accounting for 90-95% of diabetes cases, making it critical for maternity nurses to recognize.
Extract:
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption.
Question 5 of 5
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?
Correct Answer: B
Rationale: Hypertension is the most common risk factor for placental abruption, as it can damage uterine vessels, leading to bleeding and separation of the placenta from the uterine wall.