ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has 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: B
Rationale: Hyperinsulinemia from maternal hyperglycemia impairs surfactant synthesis, causing respiratory distress. Anemia, viscosity, and nerve injuries don't directly cause RDS.
Extract:
Postpartum hemorrhage.
Question 2 of 5
What is the first line medication for postpartum hemorrhage?
Correct Answer: B
Rationale: Pitocin (oxytocin) is the first-line treatment, stimulating uterine contractions to control bleeding effectively with fewer side effects.
Extract:
A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours. On assessment, the nurse finds the following vital signs: temperature 37.3°C, pulse rate 88 beats per minute, respiratory rate 10 breaths per minute, BP 148/90 mm Hg, absent deep tendon reflexes (DTRs), and no ankle clonus. The client complains, 'I'm so thirsty and warm.'
Question 3 of 5
A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours. On assessment, the nurse finds the following vital signs: temperature 37.3°C, pulse rate 88 beats per minute, respiratory rate 10 breaths per minute, BP 148/90 mm Hg, absent deep tendon reflexes (DTRs), and no ankle clonus. The client complains, 'I'm so thirsty and warm.' What is the nurse's immediate action?
Correct Answer: C
Rationale: Absent reflexes and low respiratory rate indicate magnesium toxicity, requiring immediate infusion discontinuation to prevent respiratory arrest.
Extract:
A group of clients on an intrapartum unit.
Question 4 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: C
Rationale: Epigastric pain and headache in preeclampsia indicate severe disease or impending eclampsia, requiring immediate reporting. Other findings are less urgent.
Extract:
A client who has anemia.
Question 5 of 5
A nurse is administering a unit of RBC 350 mL over 3 hr to a client who has anemia. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: 117
Rationale: 350 mL divided by 3 hours equals 116.67 mL/hr, rounded to 117 mL/hr, the nearest whole number.