ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A client and her partner during labor
Question 1 of 5
A nurse is teaching a client and her partner about the technique of counter pressure during labor. Which of the following statements by the nurse is appropriate?
Correct Answer: B
Rationale: Counter pressure on the lower back relieves labor pain by counteracting contraction pressure. Pressure on the uterus, thumb, or abdomen is ineffective or inappropriate for labor pain relief.
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 has pre-gestational diabetes mellitus
Question 3 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:
A client who is primigravid and is scheduled to have an abdominal ultrasound
Question 4 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 newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 5 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Cleansing with povidone-iodine prevents infection at the leaking myelomeningocele site, the priority action. Monitoring, antibiotics, or delayed surgery are secondary.