ATI RN
ATI Maternity Nur230 Questions
Extract:
Adolescent client at 38 weeks with preeclampsia
Question 1 of 5
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: A
Rationale: Deep tendon reflexes of +1 (hyporeflexia) are inconsistent with preeclampsia, which typically involves hyperreflexia.
Extract:
Newborn suspected of having neonatal abstinence syndrome
Question 2 of 5
A nurse is providing care for a newborn suspected of having neonatal abstinence syndrome. Which symptom would support this diagnosis?
Correct Answer: C
Rationale: A continuous high-pitched cry is a hallmark of neonatal abstinence syndrome, indicating withdrawal from prenatal drug exposure.
Extract:
Newborn baby boy with vital signs at 1 minute: Heart rate- 160 bpm, Respiratory effort - good, crying vigorously, Muscle tone - active movement, well flexed, Reflex irritability - cries with stimulation of soles of feet, Color - body pink, feet and hands cyanotic
Question 3 of 5
What is the correct Apgar score for this newborn?
Correct Answer: D
Rationale: The Apgar score is 9: 2 (heart rate >100), 2 (vigorous crying), 2 (active movement), 2 (reflex irritability), 1 (partial cyanosis).
Extract:
Client in labor experiencing incomplete uterine relaxation between hypertonic contractions
Question 4 of 5
A nurse is caring for a client in labor who is experiencing incomplete uterine relaxation between hypertonic contractions. What adverse effect does the nurse recognize as a result of this contraction pattern?
Correct Answer: B
Rationale: Incomplete uterine relaxation with hypertonic contractions can impede cervical dilation, slowing labor progression.
Extract:
6-month-old infant receiving digoxin
Question 5 of 5
A nurse is preparing to administer digoxin to a 6-month-old infant. Before administering the dose, the nurse measures the apical heart rate. The nurse should withhold the dose if the infant's apical heart rate is less than what rate?
Correct Answer: A
Rationale: A heart rate below 90 bpm in infants indicates potential digoxin toxicity risk, requiring the dose to be withheld.