ATI RN
ATI Maternal Newborn III Questions
Extract:
A woman with severe preeclampsia receiving hydralazine
Question 1 of 5
A woman hospitalized with severe preeclampsia is being treated with hydralazine to control blood pressure. Which finding would lead the nurse to suspect that the client is having an adverse effect associated with this drug?
Correct Answer: C
Rationale: Hydralazine, a vasodilator, can cause reflex tachycardia as blood pressure drops, increasing cardiac strain. Gastrointestinal bleeding, sweating, and blurred vision (a preeclampsia symptom) are not typical adverse effects.
Extract:
A pregnant woman with oligohydramnios
Question 2 of 5
Assessment of a pregnant woman reveals oligohydramnios. The nurse would be alert for the development of which condition?
Correct Answer: B
Rationale: Oligohydramnios (low amniotic fluid) is linked to fetal anencephaly, where absent brain development reduces fetal urine, a fluid source. Maternal diabetes causes polyhydramnios, abruption affects bleeding, and neural tube defects don't directly reduce fluid.
Extract:
A pregnant woman during vaginal exam with softened lower uterine segment
Question 3 of 5
During a vaginal exam, the nurse notes that the lower uterine segment is softened. The nurse documents this finding as:
Correct Answer: D
Rationale: Hegar's sign is softening of the lower uterine segment, felt early in pregnancy. Ortolani's tests infant hips, Chadwick's is cervical discoloration, and Goodell's is cervical softening, not uterine.
Extract:
A woman with a health history relevant to ectopic pregnancy risk
Question 4 of 5
Which information on a client's health history would the nurse identify as contributing to the client's risk for an ectopic pregnancy?
Correct Answer: A
Rationale: Recurrent pelvic infections (e.g., PI
D) scar fallopian tubes, increasing ectopic pregnancy risk by hindering egg transport. Ovarian cysts, oral contraceptives (which reduce risk), and irregular periods don't directly contribute.
Extract:
A pregnant woman admitted with premature rupture of membranes
Question 5 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.