ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A client who is receiving magnesium sulfate to treat severe preeclampsia.
Question 1 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 sulfate toxicity, critical for managing respiratory depression or cardiac issues.
Extract:
A group of clients on an intrapartum unit.
Question 2 of 5
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?
Correct Answer: C
Rationale: Epigastric pain and headache in preeclampsia indicate severe disease or impending eclampsia, requiring immediate reporting. Other findings are less urgent.
Extract:
A term newborn following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow right after birth.
Question 3 of 5
A nurse is admitting a term newborn following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow right after birth. This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: C
Rationale: Early jaundice suggests blood group incompatibility causing hemolysis, unlike physiological jaundice (after 24 hours) or other unrelated causes.
Extract:
A pregnant woman at 37 weeks of gestation has had ruptured membranes for 26 hours. A cesarean section is performed for failure to progress. The fetal heart rate (FHR) before birth is 180 beats per minute with limited variability. At birth, the newborn has Apgar scores of 6 and 7 at 1 and 5 minutes and is noted to be pale and tachypneic.
Question 4 of 5
Based on the maternal history, what is the most likely cause of this newborn's distress?
Correct Answer: C
Rationale: Sepsis is the most likely cause due to the prolonged rupture of membranes, which increases infection risk, leading to symptoms like high FHR, low Apgar scores, pallor, and tachypnea. Hypoglycemia doesn't explain these symptoms; phrenic nerve injury is rare and unilateral; meconium aspiration typically involves low FHR and cyanosis.
Extract:
A client who is in the active phase of the first stage of labor.
Question 5 of 5
A nurse is caring for a client who is in the active phase of the first stage of labor. When monitoring the uterine contractions, which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Contractions lasting over 110 seconds suggest hyperstimulation, risking fetal distress, and should be reported. Normal frequency, intensity, and back pain are expected.