ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is planning care for a client who is pregnant and has HIV.
Question 1 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Bathing the newborn before skin-to-skin contact removes maternal fluids, reducing HIV transmission risk. Stopping antiretrovirals increases transmission risk, fetal scalp electrodes may cause abrasions, and pneumococcal immunization is not indicated for newborns.
Extract:
A nurse is caring for a client who has pregestational diabetes mellitus.
Question 2 of 5
Which of the following clinical findings should indicate to the nurse that the client has hyperglycemia?
Correct Answer: B
Rationale: Increased urination (polyuria) is a classic symptom of hyperglycemia due to osmotic diuresis from elevated blood glucose. Dizziness and sweating are more typical of hypoglycemia, and double vision is not directly related.
Extract:
A nurse is caring for a client who is postpartum and experiencing hypovolemic shock.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Cool, clammy skin is a hallmark of hypovolemic shock due to vasoconstriction compensating for blood loss. A respiratory rate of 18/min is normal, bounding pulses are not typical, and urinary output of 30 mL/hr is low but not specific to shock.
Extract:
A nurse in a newborn nursery is receiving change-of-shift report for four newborns.
Question 4 of 5
Which of the following newborns should the nurse assess first?
Correct Answer: D
Rationale: New onset tachypnea (respiratory rate >60/min) in a 10-hour-old newborn suggests respiratory distress or serious conditions like sepsis, requiring immediate assessment. Feeding issues, delayed meconium, and blood-tinged discharge are less urgent.
Extract:
A nurse is caring for a client who is in labor and just received epidural anaesthesia. The client's blood pressure is 90/50 mm Hg.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Turning the client to their side improves blood flow and corrects hypotension caused by epidural-induced vasodilation. Amnioinfusion is for fetal distress, naloxone is for opioid overdose, and monitoring alone delays intervention.