Questions 63

ATI RN

ATI RN Test Bank

ATI Maternal Newborn Exam 4 Questions

Extract:

A client who is at 38 weeks of gestation and has severe preeclampsia.


Question 1 of 5

A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?

Correct Answer: B

Rationale: Headache is expected in severe preeclampsia due to cerebral edema or vasospasm. Polyuria, tachycardia, and absent clonus are not typical; instead, oliguria, bradycardia, and positive clonus may occur.

Extract:

A pregnant woman with type 2 diabetes.


Question 2 of 5

The nurse is teaching a pregnant woman with type 2 diabetes about her diet during pregnancy. Which client statement indicates that the nurse's teaching was successful?

Correct Answer: D

Rationale: Recognizing pregnancy-induced insulin resistance shows understanding of necessary dietary adjustments, unlike incorrect reliance on prior diet, protein focus, or urine tests.

Extract:

Several clients.


Question 3 of 5

A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?

Correct Answer: A

Rationale:
Tocolytics are safe and effective for preterm labor at 26 weeks to delay delivery. They're contraindicated or unnecessary in fetal death, post-term, or Braxton-Hicks cases.

Extract:

A client who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads with blood in the past 30 min.


Question 4 of 5

A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads with blood in the past 30 min. The nurse caring for her suspects placenta previa. Which of the following is an appropriate nursing action?

Correct Answer: C

Rationale: Cesarean birth is appropriate for placenta previa with heavy bleeding to prevent fetal hypoxia and hemorrhage. Pushing and examination worsen bleeding; magnesium is unrelated.

Extract:

A preterm newborn.


Question 5 of 5

A nurse is planning care for a preterm newborn. Which of the following nursing interventions to promote development should be included in the plan of care?

Correct Answer: D

Rationale: Clustering care minimizes disruptions, promoting rest and growth. Fingertip touch overstimulation, prone positioning risks SIDS, and bright lighting disrupts circadian development.

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