ATI RN
ATI Pediatrics Final Exam 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: A
Rationale: Elevated blood glucose levels in mothers with type 2 diabetes leads to increased levels of insulin in the blood. Hyperinsulinemia inhibits fetal lung maturation.
Extract:
A client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations
Question 2 of 5
A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Turning the client onto her side can help improve uteroplacental perfusion by relieving pressure on the vena cava and increasing blood flow to the uterus.
Extract:
A client who experienced a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus
Question 3 of 5
A nurse is caring for a client who experienced a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus. Which of the following actions should the nurse complete at this time?
Correct Answer: C
Rationale: A firm, displaced fundus suggests a full bladder, and encouraging the client to urinate is the priority action.
Extract:
A client who is 4 hr postpartum following a vaginal delivery
Question 4 of 5
A nurse is assessing a client who is 4 hr postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority?
Correct Answer: D
Rationale: Deep tendon reflexes 4+ are hyperactive and indicate the client is at greatest risk for preeclampsia and seizures; this is the priority.
Extract:
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: D
Rationale: The commonest risk factor for placenta abruption is hypertensive diseases in pregnancy.