ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 1 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Cleansing with povidone-iodine prevents infection at the leaking myelomeningocele site, the priority action. Monitoring, antibiotics, or delayed surgery are secondary.
Extract:
A client who has pre-gestational diabetes mellitus
Question 2 of 5
A nurse is caring for a client who has pre-gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?
Correct Answer: B
Rationale: Increased urination (polyuria) is a hallmark of hyperglycemia due to glucose-driven diuresis. Dizziness, sweating, and double vision are less specific or indicate severe cases.
Extract:
A newborn who was exposed to cocaine in utero
Question 3 of 5
A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Cocaine exposure causes CNS irritability, leading to a high-pitched cry. Hypotonicity, reduced startle, or large head circumference are not typical.
Extract:
A client who is at 32 weeks of gestation and has gestational diabetes mellitus
Question 4 of 5
A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A fundal height of 38 cm at 32 weeks suggests macrosomia or polyhydramnios, complications of gestational diabetes, requiring reporting. Normal glucose, fetal movements, and edema are not concerning.
Extract:
A client who is in preterm labor with a new prescription for terbutaline 0.25 mg subcutaneous
Question 5 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.