ATI RN
ATI RN VATI Maternal Newborn Questions
Extract:
Client at 34 weeks of gestation with gestational hypertension
Question 1 of 5
A nurse is providing teaching about nifedipine for a client who is at 34 weeks of gestation and has gestational hypertension. For which of the following adverse effects should the nurse instruct the client to notify the provider?
Correct Answer: A
Rationale: Irregular heartbeat is a serious cardiovascular side effect of nifedipine, requiring immediate provider notification.
Extract:
28-year-old female, gravida 2 para 1 at 30 weeks gestation, cramping, pelvic pressure
Question 2 of 5
A nurse is caring for a 28-year-old female client in the emergency department. The client is experiencing symptoms suggesting the risk of preterm birth. The nurse should identify that the client is at the greatest risk for preterm birth due to fetal fibronectin: __ and __.
Correct Answer: A,B
Rationale: Elevated fetal fibronectin and negative Nitrazine/ferning tests indicate preterm birth risk despite no membrane rupture.
Extract:
Client 6 hr postpartum, tachycardic, cool skin, excessive bleeding
Question 3 of 5
A nurse is assessing a client who is 6 hr postpartum, tachycardic, and has cool skin. The client reports that they have been bleeding excessively. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Oxytocin promotes uterine contractions to reduce postpartum bleeding, addressing the excessive bleeding.
Extract:
Question 4 of 5
A charge nurse is teaching a newly licensed nurse about substance use disorders during pregnancy. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale: Methadone is safe for breastfeeding, providing benefits like bonding and antibody transfer to the infant.
Extract:
Client with preeclampsia, received calcium gluconate for magnesium sulfate toxicity
Question 5 of 5
A nurse is assessing a client who has preeclampsia and received a dose of calcium gluconate to treat magnesium sulfate toxicity. Which of the following findings should the nurse identify as an indication that calcium gluconate was effective?
Correct Answer: A
Rationale: A respiratory rate of 12/min indicates reversal of respiratory depression, a key sign of magnesium sulfate toxicity.