ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. The tentative diagnosis is inevitable abortion.
Question 1 of 5
A nurse is planning care for a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. The tentative diagnosis is inevitable abortion. Which of the following nursing interventions should be included in the plan of care?
Correct Answer: B
Rationale: Offering to view products of conception aids grieving, appropriate for inevitable abortion. Oxygen, potassium, and Trendelenburg are unrelated or harmful.
Extract:
A client who is suspected of having a hydatidiform mole.
Question 2 of 5
A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nurse expect to observe in this client?
Correct Answer: D
Rationale: Excessive uterine enlargement is expected due to trophoblastic tissue growth in a hydatidiform mole. No fetal heart rate, elevated hCG, and vaginal bleeding with vesicles are typical, not clear discharge.
Extract:
A pregnant woman at 37 weeks of gestation has had ruptured membranes for 26 hours. A cesarean section is performed for failure to progress. The fetal heart rate (FHR) before birth is 180 beats per minute with limited variability. At birth, the newborn has Apgar scores of 6 and 7 at 1 and 5 minutes and is noted to be pale and tachypneic.
Question 3 of 5
Based on the maternal history, what is the most likely cause of this newborn's distress?
Correct Answer: C
Rationale: Sepsis is the most likely cause due to the prolonged rupture of membranes, which increases infection risk, leading to symptoms like high FHR, low Apgar scores, pallor, and tachypnea. Hypoglycemia doesn't explain these symptoms; phrenic nerve injury is rare and unilateral; meconium aspiration typically involves low FHR and cyanosis.
Extract:
A client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Question 4 of 5
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?
Correct Answer: C
Rationale: Glyburide is safe in pregnancy with low placental transfer, unlike glipizide, acarbose, or repaglinide, which pose fetal risks.
Extract:
Assigned clients at the start of the shift.
Question 5 of 5
A nurse receives report about assigned clients at the start of the shift. Which of the following clients should the nurse plan to see first?
Correct Answer: A
Rationale: Severe pain post-cesarean suggests complications like hemorrhage, requiring urgent assessment. Other clients have stable or normal conditions.