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 whose baby will have Down syndrome
Question 2 of 5
While talking with a pregnant woman who has undergone genetic testing, the woman informs the nurse that her baby will be born with Down syndrome. The nurse understands that Down syndrome is an example of:
Correct Answer: A
Rationale: Down syndrome is caused by trisomy 21, an extra chromosome 21, a numeric abnormality. Multifactorial inheritance involves genes and environment, X-linked affects males primarily, and deletions miss chromosome parts, none fitting Down syndrome.
Extract:
A client with hyperemesis gravidarum admitted after unsuccessful home care
Question 3 of 5
A client with hyperemesis gravidarum is admitted to the facility after being cared for at home without success. What would the nurse expect to include in the client's plan of care?
Correct Answer: C
Rationale: Hyperemesis gravidarum causes severe vomiting, risking dehydration and malnutrition.
Total parenteral nutrition delivers complete nutrients intravenously, addressing these risks when oral intake fails. Clear liquids or nothing by mouth worsen malnutrition, and diethylstilbestrol, a discontinued drug, is irrelevant.
Extract:
A pregnant client in her second trimester with a hemoglobin level of 11 g/dL
Question 4 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 with oligohydramnios
Question 5 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.