ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Term macrosomic newborn whose mother has poorly controlled type 2 diabetes with respiratory distress syndrome
Question 1 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: C
Rationale: Hyperinsulinemia in maternal diabetes inhibits surfactant production, causing respiratory distress syndrome in the newborn.
Extract:
Client receiving opioid epidural analgesia during labor
Question 2 of 5
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which one of the following findings is the nurse's priority?
Correct Answer: A
Rationale: Hypotension from epidural analgesia can compromise maternal and fetal circulation, making it the priority finding.
Extract:
Client undergoing a biophysical profile
Question 3 of 5
A nurse is caring for a client who is to undergo a biophysical profile. The client asks the nurse what is being evaluated during this test. Which of the following should the nurse include? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The biophysical profile assesses amniotic fluid volume, fetal motion, and fetal breathing to evaluate fetal well-being, but not gender or neck translucency.
Extract:
Client experiencing rapidly progressing labor
Question 4 of 5
A nurse is caring for a client who presents to a labor and delivery unit experiencing rapidly progressing labor. Which of the following is the priority action for the nurse to take?
Correct Answer: C
Rationale: Applying perineal pressure controls delivery speed, preventing uncontrolled delivery and fetal injury in rapid labor.
Extract:
Client who is pregnant
Question 5 of 5
A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: B
Rationale: Elevated blood pressure (>140/90 mm Hg) is a hallmark of preeclampsia, warranting further evaluation.