ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery.
Question 1 of 5
A nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery. The nurse should explain to the client that the purpose of this medication is to prevent which of the following conditions?
Correct Answer: A
Rationale: Methylergonovine stimulates uterine contractions to reduce bleeding from the placental site, preventing postpartum hemorrhage.
Extract:
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline.
Question 2 of 5
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline. The nurse should suspect that the fetus is in which of the following positions?
Correct Answer: A
Rationale: A frank breech position, where the fetus's buttocks present at the cervix with legs extended upward, would result in fetal heart tones located above the umbilicus at midline, as observed.
Extract:
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.
Question 3 of 5
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: A
Rationale: Hyperinsulinemia, caused by exposure to high maternal glucose levels, increases respiratory demand in the newborn, leading to respiratory distress syndrome.
Extract:
A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client's vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air. The client's physical examination shows: Respirations even and unlabored, Awake, alert, and oriented to person, place, and time, Pedal pulse strong and regular bilaterally, 3+ edema in lower extremities.
Question 4 of 5
A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client's vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air. The client's physical examination shows: Respirations even and unlabored, Awake, alert, and oriented to person, place, and time, Pedal pulse strong and regular bilaterally, 3+ edema in lower extremities. What are the two most important nursing diagnoses for this client?
Correct Answer: A, B
Rationale: Risk for injury due to seizures is critical in severe preeclampsia, as seizures can cause maternal and fetal harm. Impaired gas exchange due to potential pulmonary edema is significant given the client's fluid overload risk from high BP and edema.
Extract:
Client was middle aged and married. She was in labor for 25 hours and forceps were used to assist with the delivery. She was given an epidural for anesthesia that was effective. The labor and delivery nurse reported that the client had a 4th degree laceration, and her pain was currently at a 4 on a 0 to 10 pain scale. Her vital signs were stable, and she was catheterized for 500 mL of light-yellow urine just prior to delivery. Her spouse was at the bedside for delivery.
Question 5 of 5
The nurse is reviewing the client's chart. Click to highlight areas of client history and physical that increase the risk for postpartum hemorrhage.
Correct Answer: B, C, D
Rationale: Forceps-assisted delivery, a 4th degree laceration, and prolonged labor (25 hours) increase the risk of postpartum hemorrhage due to potential trauma to the birth canal and uterine atony.