ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A client who is primigravid and is scheduled to have an abdominal ultrasound
Question 1 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 postpartum client
Question 2 of 5
A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify which of the following factors places the client at risk for an infection?
Correct Answer: A
Rationale: Midline episiotomy increases infection risk due to perineal incision. Meconium, hypertension, and previa do not directly elevate postpartum infection risk.
Extract:
A client who is in labor and just received epidural anesthesia with blood pressure 90/50 mm Hg
Question 3 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 has pre-gestational diabetes mellitus
Question 4 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:
An antepartal client at 35 weeks of gestation
Question 5 of 5
A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: D
Rationale: Irregular, unfelt contractions suggest possible uterine hyperstimulation, warranting further testing for fetal distress. Fetal movements, no decelerations, and heart rate increase are reassuring.