ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours. On assessment, the nurse finds the following vital signs: temperature 37.3°C, pulse rate 88 beats per minute, respiratory rate 10 breaths per minute, BP 148/90 mm Hg, absent deep tendon reflexes (DTRs), and no ankle clonus. The client complains, 'I'm so thirsty and warm.'
Question 1 of 5
A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours. On assessment, the nurse finds the following vital signs: temperature 37.3°C, pulse rate 88 beats per minute, respiratory rate 10 breaths per minute, BP 148/90 mm Hg, absent deep tendon reflexes (DTRs), and no ankle clonus. The client complains, 'I'm so thirsty and warm.' What is the nurse's immediate action?
Correct Answer: C
Rationale: Absent reflexes and low respiratory rate indicate magnesium toxicity, requiring immediate infusion discontinuation to prevent respiratory arrest.
Extract:
A client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not accompanied by contractions. The client is not in distress and she states that she can 'feel the baby moving'. An ultrasound is scheduled stat.
Question 2 of 5
A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not accompanied by contractions. The client is not in distress and she states that she can 'feel the baby moving'. An ultrasound is scheduled stat. The nurse should explain to the client that the purpose of the ultrasound is to determine which of the following?
Correct Answer: A
Rationale: Ultrasound identifies placenta previa, indicated by painless bleeding, to guide delivery planning. Other measurements are unrelated to the bleeding cause.
Extract:
A client who is suspected of having a hydatidiform mole.
Question 3 of 5
A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nurse expect to observe in this client?
Correct Answer: D
Rationale: Excessive uterine enlargement is expected due to trophoblastic tissue growth in a hydatidiform mole. No fetal heart rate, elevated hCG, and vaginal bleeding with vesicles are typical, not clear discharge.
Extract:
A client who is at 36 weeks of gestation and has pregnancy-induced hypertension. Suddenly, the client reports continuous abdominal pain and vaginal bleeding.
Question 4 of 5
A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has pregnancy-induced hypertension. Suddenly, the client reports continuous abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications?
Correct Answer: D
Rationale: Abruptio placentae causes painful bleeding and is associated with hypertension, unlike painless previa, cord prolapse, or painless cervical issues.
Extract:
A client with preterm premature rupture of membranes (PPROM).
Question 5 of 5
A nurse is teaching a client with preterm premature rupture of membranes (PPROM) regarding self-care activities. Which activities should the nurse include in her teaching?
Correct Answer: C
Rationale: Avoiding sexual activity prevents infection and labor, critical in PPROM. Tampons, low temperature reporting, and baths increase infection risk.