ATI RN
ATI Maternal Newborn III Questions
Extract:
A woman in her first prenatal visit with bluish coloration of cervix and vaginal mucosa
Question 1 of 5
On the first prenatal visit, an examination of the woman's internal genitalia reveals a bluish coloration of the cervix and vaginal mucosa. The nurse documents this finding as:
Correct Answer: A
Rationale: Chadwick's sign is bluish discoloration of the cervix and vagina from increased blood flow, seen early in pregnancy. Goodell's is cervical softening, Hegar's is uterine softening, and Homan's indicates thrombosis, not pregnancy.
Extract:
A client with Rh-negative blood and Rh-positive partner
Question 2 of 5
It is determined that a client's blood Rh is negative and her partner's is positive. To help prevent Rh isoimmunization, the nurse would expect to administer Rho(D) immune globulin at which time?
Correct Answer: C
Rationale: Rho(
D) immune globulin at 28 weeks and within 72 hours post-delivery prevents Rh isoimmunization effectively. Other schedules miss critical windows for blocking maternal antibody response.
Extract:
A pregnant woman and fetus with tachycardia, hypertension, and vasoconstriction
Question 3 of 5
Assessment of a pregnant woman and her fetus reveals tachycardia and hypertension. There is also evidence suggesting vasoconstriction. The nurse would question the woman about use of which substance?
Correct Answer: B
Rationale: Cocaine causes tachycardia, hypertension, and vasoconstriction, risking placental abruption and fetal distress. Marijuana causes relaxation, nicotine raises heart rate but vasodilates, and caffeine mildly stimulates but doesn't constrict vessels.
Extract:
A client with hyperemesis gravidarum admitted after unsuccessful home care
Question 4 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 client with severe preeclampsia receiving magnesium sulfate
Question 5 of 5
Which compound would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia?
Correct Answer: D
Rationale: Calcium gluconate reverses magnesium toxicity (e.g., respiratory depression), a risk with magnesium sulfate used for preeclampsia. Ferrous sulfate treats anemia, potassium chloride corrects hypokalemia, and calcium carbonate is an antacid, none addressing toxicity.