ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A client who is pregnant and has HIV
Question 1 of 5
A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Bathing the newborn reduces HIV transmission risk before skin-to-skin contact. Stopping antiretrovirals, using scalp electrodes, or giving pneumococcal shots increase risk or are irrelevant.
Extract:
A client who is in labor and just received epidural anesthesia with blood pressure 90/50 mm Hg
Question 2 of 5
A nurse is caring for a client who is in labor and just received epidural anesthesia. The client's blood pressure is 90/50 mm Hg. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Turning the client to their side relieves vena cava compression, improving blood flow and correcting hypotension. Amnio-infusion, naloxone, and monitoring alone do not address the immediate issue.
Extract:
A client who is in preterm labor with a new prescription for terbutaline 0.25 mg subcutaneous
Question 3 of 5
A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?
Correct Answer: D
Rationale: Low BP (88/58 mm Hg) contraindicates terbutaline, which can worsen hypotension. Normal FHR, glucose, and urine output do not require withholding the drug.
Extract:
A client who is primigravid and is scheduled to have an abdominal ultrasound
Question 4 of 5
A nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: A full bladder enhances ultrasound imaging of the uterus; drinking water achieves this. Lotion may interfere, fasting isn't required, and stool softeners are irrelevant.
Extract:
A client who is 2 days postpartum following a vaginal delivery and reports constipation
Question 5 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: B
Rationale: A third-degree perineal laceration contraindicates suppositories due to risk of further trauma. Distention, candidiasis, and afterpains do not preclude suppository use.