ATI RN
ATI Maternity Nur230 Questions
Extract:
Infant with Tetralogy of Fallot
Question 1 of 5
Given the medical history and nurses' notes of an infant diagnosed with Tetralogy of Fallot, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The knee-chest position increases pulmonary blood flow, alleviating symptoms in Tetralogy of Fallot.
Extract:
Client in prenatal clinic with weight gain concerns
Question 2 of 5
A nurse in a prenatal clinic is attending to a group of clients. Which client's weight gain should the nurse be concerned about?
Correct Answer: A
Rationale: An 18kg weight gain in the first trimester far exceeds the expected 1.8kg, suggesting potential health issues requiring evaluation.
Extract:
Adolescent client at 38 weeks with preeclampsia
Question 3 of 5
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: A
Rationale: Deep tendon reflexes of +1 (hyporeflexia) are inconsistent with preeclampsia, which typically involves hyperreflexia.
Extract:
Infant diagnosed with Tetralogy of Fallot, feeding poorly and has difficulty gaining weight
Question 4 of 5
A nurse is caring for an infant diagnosed with Tetralogy of Fallot. The infant has been feeding poorly and has difficulty gaining weight. What actions should the nurse plan to take? (Select all that apply.)
Correct Answer: B,E
Rationale: Knee-chest positioning improves lung blood flow, and digoxin strengthens heart function, addressing symptoms of Tetralogy of Fallot.
Extract:
Infant's vital signs
Question 5 of 5
A nurse is preparing to measure an infant's vital signs. Which of the following sites should the nurse use to assess the heart rate?
Correct Answer: C
Rationale: The apical pulse at the heart's apex provides the most accurate heart rate assessment in infants.