ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Question 1 of 5
The purpose of the Bishop's score is to:
Correct Answer: B
Rationale: The Bishop's score assesses cervical readiness for labor via dilation, effacement, station, consistency, and position, predicting induction success. It does not evaluate maternal or fetal well-being or labor progress.
Extract:
Newborn 72 hr old receiving treatment for neonatal abstinence syndrome, acrocyanosis, tachypnea with retractions, increased muscle tone, continuous high-pitched cry, slept less than 1 hr, moderate to severe tremors, projectile vomiting, consoled by rocking, lights dimmed
Question 2 of 5
A nurse is assisting in the care of a newborn who is 72 hr old and is receiving treatment for neonatal abstinence syndrome. Which of the following data collection findings should the nurse identify as requiring immediate follow-up?
Correct Answer: B,F,G
Rationale: Gastrointestinal disturbances like projectile vomiting risk dehydration and aspiration, needing urgent care. Oxygen saturation is critical due to tachypnea and retractions indicating respiratory distress. CNS disturbances (tremors, high-pitched cry, increased tone) suggest severe withdrawal, requiring immediate intervention.
Extract:
Client 2 hr post vaginal birth
Question 3 of 5
A nurse is assisting in the care of a client who had a vaginal birth 2 hours ago. Which of the following actions should the nurse take?
Correct Answer: A,B,D
Rationale: Documenting fundal height, observing lochia, and checking fundal position monitor uterine involution and bleeding risk. Massaging a firm fundus is unnecessary, and terbutaline is inappropriate for a boggy fundus.
Extract:
Newborn with respiratory distress syndrome experiencing respiratory acidosis
Question 4 of 5
A nurse is collecting data from a newborn who has respiratory distress syndrome and is experiencing respiratory acidosis. Which of the following risk factors predisposes the newborn to respiratory difficulties?
Correct Answer: A
Rationale: Small for gestational age newborns have immature lungs with less surfactant, increasing the risk of respiratory distress syndrome and acidosis. Maternal asthma, ventricular septal defects, and cesarean birth are not direct risk factors for RDS, though they may cause other complications.
Extract:
Client with preeclampsia receiving magnesium sulfate, respiratory rate 8/min
Question 5 of 5
A nurse is assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?
Correct Answer: D
Rationale: Respiratory depression (8/min) indicates magnesium sulfate toxicity. Calcium gluconate is the antidote, stabilizing cell membranes and counteracting magnesium's effects. Protamine sulfate, naloxone, and flumazenil treat other overdoses, not magnesium toxicity.