ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is discussing risk factors of postpartum haemorrhage with a newly licensed nurse.
Question 1 of 5
Which of the following conditions is a risk factor for postpartum haemorrhage that the nurse should include in the teaching?
Correct Answer: B
Rationale: Retained placental fragments prevent uterine contraction, increasing postpartum hemorrhage risk, and should be included in teaching. Hypertension, oligohydramnios, and meconium-stained fluid are not direct risk factors.
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 2 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.
Extract:
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulphate via continuous IV infusion.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Absent deep tendon reflexes indicate magnesium toxicity, a serious complication requiring immediate reporting to the provider to prevent respiratory depression or cardiac arrest. Decreased contractions are a desired effect, high blood pressure is unrelated to magnesium toxicity, and urinary output of 35 mL/hr is low but not critical unless it persists.
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 4 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: B
Rationale: A third-degree perineal laceration is a contraindication to suppositories, as they may cause trauma or delay healing in the perineal area. Abdominal distention may benefit from suppositories, vaginal candidiasis is unrelated, and afterpain does not affect suppository use.
Extract:
A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A fundal height of 38 cm at 32 weeks is excessive, suggesting possible macrosomia or polyhydramnios, common in gestational diabetes, and should be reported. Fasting glucose of 90 mg/dL is normal, 12 fetal movements are reassuring, and nonpitting edema is not immediately concerning.