ATI RN
ATI Maternal Newborn III Questions
Extract:
A church-based group learning about HIV transmission
Question 1 of 5
A nurse is planning a presentation about HIV for a church-based group. Which of the following information about HIV transmission should the nurse include?
Correct Answer: D
Rationale: HIV spreads mainly through direct contact with infected fluids (blood, semen, vaginal fluid), like during sex or needle sharing. Mosquitoes, casual contact, and puncture wounds (rare) aren't primary modes.
Extract:
A pregnant client
Question 2 of 5
A nurse suspects that a pregnant client may be experiencing placenta abruption based on which finding? Select all that apply.
Correct Answer: C,D,E
Rationale: Placental abruption involves sudden separation of the placenta, causing severe pain, a rigid uterus from bleeding, dark red vaginal bleeding due to clotted blood, and absent fetal heart tones if the fetus is compromised. Absence of pain and insidious onset are not typical, as abruption is acute and painful.
Extract:
A pregnant client in her second trimester with a hemoglobin level of 11 g/dL
Question 3 of 5
A pregnant client in her second trimester has a hemoglobin level of 11 g/dL. The nurse interprets this as indicating:
Correct Answer: D
Rationale: A hemoglobin of 11 g/dL is low for the second trimester (10.5-14 g/dL), suggesting iron-deficiency anemia, especially with symptoms like fatigue. Hemoconcentration raises hemoglobin, multiple gestation lowers it slightly, and weight gain is unrelated.
Extract:
A client with severe preeclampsia receiving magnesium sulfate
Question 4 of 5
Which compound would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia?
Correct Answer: D
Rationale: Calcium gluconate reverses magnesium toxicity (e.g., respiratory depression), a risk with magnesium sulfate used for preeclampsia. Ferrous sulfate treats anemia, potassium chloride corrects hypokalemia, and calcium carbonate is an antacid, none addressing toxicity.
Extract:
A client with last menstrual period on April 11
Question 5 of 5
A client's last menstrual period was April 11. Using Naegele's rule, her estimated date of birth (EDB) would be:
Correct Answer: B
Rationale: Nägele's rule: April 11, 2023 + 1 year = April 11, 2024; minus 3 months = January 11, 2024; plus 7 days = January 18, 2024. Other options incorrectly adjust months or days.