ATI RN
ATI Maternity Nur230 Questions
Extract:
34-year-old pregnant woman with chronic hypertension, seizure at 32 weeks
Question 1 of 5
Sarah, a 34-year-old pregnant woman, has had a blood pressure consistently ranging from 140/90 to 160/98 since she was 26. Her weight gain and urinalysis have been normal. What is this condition called? At 32 weeks' gestation, Sarah experiences a seizure. Her blood pressure has been elevated since 28 weeks, her urine dipstick shows 4+ protein, and she exhibits generalized edema. What is this condition called?
Correct Answer: B
Rationale: Chronic hypertension predates pregnancy, and eclampsia is indicated by seizures with proteinuria and edema.
Extract:
Client who gave birth 2 hr ago with blood pressure 60/50 mm Hg
Question 2 of 5
A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg. What is the first action the nurse should take?
Correct Answer: A
Rationale: A boggy uterus may indicate uterine atony, a common cause of postpartum hemorrhage and hypotension, requiring immediate assessment.
Extract:
Adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation
Question 3 of 5
A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: A PCA pump allows for effective, individualized pain control post-scoliosis surgery, which is critical for patient comfort and recovery.
Extract:
Infant diagnosed with spina bifida scheduled for surgical closure of myelomeningocele sac
Question 4 of 5
A nurse is formulating a care plan for an infant diagnosed with spina bifida who is scheduled for a surgical closure of the myelomeningocele sac. Which of the following interventions should be incorporated into the care plan?
Correct Answer: C
Rationale: A latex-free environment is essential due to the high risk of latex allergy in spina bifida patients.
Extract:
Client in preterm labor at 32 weeks of gestation
Question 5 of 5
A nurse is providing care for a client who is in preterm labor at 32 weeks of gestation. Which medication should the nurse expect the provider to prescribe to accelerate fetal lung maturity?
Correct Answer: D
Rationale: Betamethasone is a corticosteroid used to enhance fetal lung maturity in preterm labor.