ATI RN
ATI Maternal Newborn 5 Questions
Extract:
A vaginal exam reveals the lower uterine segment is softened
Question 1 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 the softening of the lower uterine segment, detectable early in pregnancy by bimanual exam.
Extract:
A client's last menstrual period was April 11
Question 2 of 5
A client's last menstrual period was April 11. Using Naegele's rule, her estimated date of birth (EDB) would be:
Correct Answer: D
Rationale: Naegele's rule (add 1 year, subtract 3 months, add 7 days from April 11) yields February 18 as the correct EDB.
Extract:
A provider prescribes quetiapine 50 mg PO divided equally every 12 hours for 3 days
Question 3 of 5
A provider prescribes quetiapine 50 mg PO divided equally every 12 hours for 3 days. Available is quetiapine 25 mg tablets. How many tablets should the nurse administer per dose on day 3?
Correct Answer: 2
Rationale: Each dose is 50 mg ÷ 2 (every 12 hours), requiring 2 tablets of 25 mg, consistent across all days including day 3.
Extract:
A woman hospitalized with severe preeclampsia is being treated with hydralazine
Question 4 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: Tachycardia is a known adverse effect of hydralazine due to reflex response to vasodilation, potentially worsening cardiac strain.
Extract:
A client who is diagnosed with gestational hypertension and is receiving magnesium sulfate
Question 5 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, balancing seizure prevention without toxicity.