ATI RN
ATI Maternal Newborn Exam Questions
Extract:
A client at 24 weeks of gestation.
Question 1 of 5
A nurse is teaching a client at 24 weeks of gestation about special considerations of gestational diabetes mellitus (GDM). Which of the following statements by the client indicates that the teaching was effective? (Select all that apply)
Correct Answer: A,B,C,E
Rationale: A: Gestational diabetes mellitus increases the risk of preterm labor due to complications like polyhydramnios. B: Clients with GDM have a higher risk of developing type 2 diabetes later in life. C: Intensive fetal monitoring is necessary to detect complications in GDM. E: GDM increases the risk of postpartum hemorrhage due to uterine overdistention.
Extract:
Question 2 of 5
What is the characteristic appearance of gestational trophoblastic disease (GTD) on ultrasound?
Correct Answer: C
Rationale: GTD's hallmark ultrasound finding is grape-like clusters in the placenta, indicative of molar pregnancy.
Extract:
A client at 28 weeks of gestation who has a blood pressure reading of 162/108 mm Hg, and 4 hours previously it was 148/98 mm Hg.
Question 3 of 5
A nurse is caring for a client at 28 weeks of gestation who has a blood pressure reading of 162/108 mm Hg, and 4 hours previously it was 148/98 mm Hg. Which of the following orders should the nurse anticipate receiving? (Select all that apply)
Correct Answer: A,B,C,D
Rationale: A: CBC detects anemia or infection related to preeclampsia. B: Elevated AST/ALT indicate liver damage. C: Serum creatinine assesses kidney function. D: Fetal ultrasound monitors fetal growth and placental function.
Extract:
A patient is admitted to labor and delivery for management of severe preeclampsia.
Question 4 of 5
A patient is admitted to labor and delivery for management of severe preeclampsia. An IV infusion of magnesium sulfate is ordered. What is the primary goal for magnesium sulfate therapy?
Correct Answer: B
Rationale: Prevent maternal seizures is magnesium sulfate's primary goal. It stabilizes neuronal membranes, reducing seizure risk in severe preeclampsia.
Extract:
A client is ordered 380 mL of packed red blood cells over 4 hours.
Question 5 of 5
A client is ordered 380 mL of packed red blood cells over 4 hours. What is the rate of infusion to be set on the IV pump? (Round to a whole number.) (Med math question, no options provided.)
Correct Answer: 95 mL/hour
Rationale: 380 mL ÷ 4 hours = 95 mL/hour.