ATI RN
ATI RN VATI Maternal Newborn Questions
Extract:
32-year-old female at 28 weeks gestation, mild contractions
Question 1 of 5
A nurse on an antepartum unit is caring for a 32-year-old female client at 28 weeks gestation. For each potential intervention, click to specify if the intervention is anticipated or contraindicated for the client.
| Potential Intervention | Anticipated | Contraindicated |
|---|---|---|
| Administration of IV fluids | ||
| Continuous monitoring of FHR | ||
| Abdominal ultrasound | ||
| Digital cervical exam to assess dilation and effacement | ||
| Laboratory testing: CBC, Blood Type & Rh, Coagulation Studies | ||
| Placement of an internal fetal spiral electrode | ||
| Administration of betamethasone |
Correct Answer: A,B,C,E,G
Rationale: IV fluids, FHR monitoring, ultrasound, lab tests, and betamethasone are anticipated; cervical exams and internal electrodes are contraindicated to avoid infection or unnecessary invasiveness.
Extract:
Client in latent phase of labor
Question 2 of 5
A nurse is developing a plan of care for a client who is in the latent phase of labor. Which of the following interventions should the nurse include in the plan to manage the client's pain?
Correct Answer: A
Rationale: Music is a non-pharmacological method to manage pain and anxiety in the latent phase.
Extract:
28-year-old female, gravida 2 para 1 at 30 weeks gestation, cramping, pelvic pressure
Question 3 of 5
A nurse is caring for a 28-year-old female client in the emergency department. The client is experiencing symptoms suggesting the risk of preterm birth. The nurse should identify that the client is at the greatest risk for preterm birth due to fetal fibronectin: __ and __.
Correct Answer: A,B
Rationale: Elevated fetal fibronectin and negative Nitrazine/ferning tests indicate preterm birth risk despite no membrane rupture.
Extract:
Newborn for PKU test
Question 4 of 5
A nurse is collecting a blood phenylketonuria (PKU) test for a newborn prior to discharge. The newborn's guardian asks the nurse what a positive PKU test would mean. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: PKU involves an inability to metabolize phenylalanine, an amino acid, which can lead to brain damage if untreated.
Extract:
Client at 28 weeks of gestation, received two doses of terbutaline
Question 5 of 5
A nurse is caring for a client who is at 28 weeks of gestation and has received two doses of terbutaline subcutaneously. Which of the following adverse effects is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: A heart rate of 132/min indicates significant tachycardia, a serious side effect of terbutaline requiring immediate reporting.