ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A client who is receiving medroxyprogesterone IM for contraception
Question 1 of 5
A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Medroxyprogesterone is administered every 12-13 weeks; returning in 8 weeks aligns with scheduling. Two shots, calcium increase, or stopping for spotting are incorrect.
Extract:
A client who has hyperemesis gravidarum
Question 2 of 5
A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?
Correct Answer: D
Rationale: Urine ketones detect ketosis from prolonged vomiting in hyperemesis gravidarum, guiding treatment. Culture, reagin, and prothrombin tests are unrelated.
Extract:
Four newborns in a nursery (repeated)
Question 3 of 5
A nurse in a newborn nursery is receiving a change-of-shift report for four newborns. Which of the following newborns should the nurse assess first?
Correct Answer: D
Rationale: Tachypnea indicates possible respiratory compromise, prioritizing assessment. Other findings, while concerning, are less immediately life-threatening.
Extract:
A client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion
Question 4 of 5
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Absent deep-tendon reflexes indicate magnesium toxicity, a serious adverse effect requiring immediate reporting. Decreased contractions are expected, elevated BP is common in preeclampsia, and 35 mL/hr urine output is normal.
Extract:
A client who is 2 days postpartum and wants to continue using her diaphragm for contraception
Question 5 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Postpartum changes in vaginal and cervical anatomy require diaphragm refitting for effectiveness. Sterile water, 4-hour retention, and oil-based lubricants are incorrect.