ATI RN
ATI Maternal Newborn III Questions
Extract:
A pregnant woman admitted with premature rupture of membranes
Question 1 of 5
A pregnant woman is admitted with premature rupture of the membranes. The nurse is assessing the woman closely for possible infection. Which findings would lead the nurse to suspect that the woman is developing an infection? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Infection after membrane rupture shows as cloudy, foul fluid (bacterial contamination), abdominal tenderness (inflammation), fetal bradycardia (distress), and elevated pulse (systemic response). Decreased C-reactive protein doesn't indicate infection; it rises with inflammation.
Extract:
A client with gestational hypertension receiving magnesium sulfate
Question 2 of 5
A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication?
Correct Answer: B
Rationale: Deep tendon reflexes at 2+ indicate a therapeutic magnesium level, preventing seizures without toxicity. Difficulty arousing, low urinary output (below 40 mL/hr), or respiratory rate of 10 suggest toxicity, requiring intervention.
Extract:
A pregnant client in her second trimester with a hemoglobin level of 11 g/dL
Question 3 of 5
A pregnant client in her second trimester has a hemoglobin level of 11 g/dL. The nurse interprets this as indicating:
Correct Answer: D
Rationale: A hemoglobin of 11 g/dL is low for the second trimester (10.5-14 g/dL), suggesting iron-deficiency anemia, especially with symptoms like fatigue. Hemoconcentration raises hemoglobin, multiple gestation lowers it slightly, and weight gain is unrelated.
Extract:
A pregnant woman asking about amniotic fluid
Question 4 of 5
During a prenatal visit, a pregnant woman says, 'I know the amniotic fluid is important, but can you tell me more about it?' When describing amniotic fluid to a pregnant woman, which description would the nurse most likely include?
Correct Answer: A
Rationale: Amniotic fluid cushions the fetus against injury, aiding movement and growth. Its volume varies (peaks at term), is mostly water (not protein), and doesn't transport oxygen or nutrients, which the placenta handles.
Extract:
A client with Rh-negative blood and Rh-positive partner
Question 5 of 5
It is determined that a client's blood Rh is negative and her partner's is positive. To help prevent Rh isoimmunization, the nurse would expect to administer Rho(D) immune globulin at which time?
Correct Answer: C
Rationale: Rho(
D) immune globulin at 28 weeks and within 72 hours post-delivery prevents Rh isoimmunization effectively. Other schedules miss critical windows for blocking maternal antibody response.