ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A client who is at 28 weeks of gestation and has preeclampsia
Question 1 of 5
A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: Magnesium sulfate prevents seizures in preeclampsia by stabilizing neuromuscular activity. It does not directly affect fetal heart rate, cardiac output, or perfusion.
Extract:
A group of newly licensed nurses about maternal cytomegalovirus
Question 2 of 5
The nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: A
Rationale: CMV spreads through newborn saliva and urine, requiring hygiene precautions. Airborne precautions, acyclovir, and visible lesions are not associated with CMV.
Extract:
A client who received epidural analgesia during labor and is 4 hr postpartum
Question 3 of 5
A nurse is caring for a client who received epidural analgesia during labor and is 4 hr postpartum. Which of the following client reports should the nurse address first?
Correct Answer: D
Rationale: Inability to void suggests bladder dysfunction from epidural effects, risking distention or infection, and takes priority. Tingling, cramps, and itching are less urgent.
Extract:
A client who is at 30 weeks of gestation
Question 4 of 5
A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines?
Correct Answer: C,D
Rationale: Tdap (27-36 weeks) protects against pertussis, and influenza vaccine prevents severe flu in pregnancy. HPV, varicella, and MMR are contraindicated during pregnancy.
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.