ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A premature infant with respiratory distress syndrome (RDS) receives artificial surfactant.
Question 1 of 5
How does the nurse explain surfactant therapy to the parents?
Correct Answer: C
Rationale: Surfactant reduces alveolar surface tension, enhancing oxygen and carbon dioxide exchange. It's not for infections, primarily apnea, or sedation.
Extract:
A client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. The tentative diagnosis is inevitable abortion.
Question 2 of 5
A nurse is planning care for a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. The tentative diagnosis is inevitable abortion. Which of the following nursing interventions should be included in the plan of care?
Correct Answer: B
Rationale: Offering to view products of conception aids grieving, appropriate for inevitable abortion. Oxygen, potassium, and Trendelenburg are unrelated or harmful.
Extract:
A mother immediately following a stillbirth delivery.
Question 3 of 5
A nurse is providing care to a mother immediately following a stillbirth delivery. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Offering private time facilitates bonding and closure, addressing emotional needs first. Transfer, medication, or clergy contact are secondary.
Extract:
A term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.
Question 4 of 5
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: B
Rationale: Hyperinsulinemia from maternal hyperglycemia impairs surfactant synthesis, causing respiratory distress. Anemia, viscosity, and nerve injuries don't directly cause RDS.
Extract:
A primigravida is being monitored at the prenatal clinic for preeclampsia.
Question 5 of 5
A primigravida is being monitored at the prenatal clinic for preeclampsia. Which finding is of greatest concern to the nurse?
Correct Answer: A
Rationale: Significant proteinuria (3+) indicates renal damage, a critical preeclampsia sign, risking eclampsia or HELLP syndrome. Other findings are less concerning.