ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
During preconception counseling regarding teratogen effects in first 8 weeks.
Question 1 of 5
During preconception counseling, the nurse explains that during the first 8 weeks the fetus is most vulnerable to the effects of teratogens. What is occurring during the first 8 weeks of gestation?
Correct Answer: C
Rationale: Organogenesis, the formation of major organs between weeks 3-8, is when the fetus is most vulnerable to teratogens, causing congenital anomalies.
Extract:
Client in fourth stage of labor, BP 144/92, pulse 99, respirations 17, pulse ox 97%, temperature 100.4 F, pain score 1/10.
Question 2 of 5
A nurse is caring for a client in the fourth stage of labor after a vaginal delivery. History and Physical: BP: 144/92 mmHg. Pulse: 99 bpm. Respirations: 17/min. Pulse Ox: 97%. Temperature: 100.4 F (38.0 C). Pain score: 1/10. The nurse should first address the client's ____________ (assessment finding), followed by the client's ____________ (assessment finding).
Correct Answer: A
Rationale: Elevated BP (144/92 mmHg) is a priority due to potential preeclampsia, followed by temperature (100.4°F) indicating possible infection.
Extract:
Client receiving intravenous magnesium sulfate for preeclampsia.
Question 3 of 5
A nurse is caring for a client who is receiving intravenous magnesium sulfate for preeclampsia. Which assessment finding would alert the nurse to suspect magnesium toxicity?
Correct Answer: D
Rationale: Absent deep tendon reflexes indicate magnesium toxicity, as high magnesium levels depress neuromuscular function, requiring immediate intervention.
Extract:
31-year-old, Gravida 4 Para 3, 31 weeks gestation, cramping, low back pain, 2 cm dilation, 80% effacement, -1 station, contractions every 2-4 min, FHT 155/min.
Question 4 of 5
A nurse in the labor and delivery unit is caring for a 31-year-old pregnant female client who is at 31 weeks of gestation. The nurse is contacting the primary health care provider regarding the client's status. Which of the following interventions should the nurse anticipate?
Correct Answer: A,B,C
Rationale: Betamethasone, magnesium sulfate, and lateral positioning are anticipated to enhance fetal lung maturity, provide neuroprotection, and improve uteroplacental flow in preterm labor.
Extract:
28-year-old, Gravida 3 Para 2, chronic hypertension, gestational diabetes, vacuum-assisted vaginal delivery, boggy fundus, heavy lochia, oxytocin infusion, BP 144/92, temperature 100.4°F.
Question 5 of 5
A nurse is caring for a 28-year-old female client in the fourth stage of labor after a vaginal delivery in the labor and delivery unit. Which of the following assessment findings require follow-up?
Correct Answer: A,B,C,F
Rationale: Elevated temperature, boggy fundus, heavy lochia, and high blood pressure indicate potential infection, hemorrhage, and preeclampsia risk.