ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is reviewing the electronic medical record of a postpartum client.
Question 1 of 5
Which of the following factors places the client at risk for an infection?
Correct Answer: A
Rationale: A midline episiotomy increases infection risk due to the surgical incision providing a potential entry for bacteria. Meconium-stained fluid, gestational hypertension, and placenta previa do not directly correlate with maternal postpartum infection risk.
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 caring for a client who has pregestational diabetes mellitus.
Question 3 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 assessing the results of a nonstress test for an antepartum client at 35 weeks of gestation.
Question 4 of 5
Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: A
Rationale: Three fetal movements in 20 minutes is insufficient for a reactive nonstress test, which requires at least two accelerations in fetal heart rate, indicating the need for further testing. No late decelerations, a heart rate increase, and irregular contractions are normal or non-concerning findings.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 5 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Administering broad-spectrum antibiotics prevents infection, critical due to the high risk of meningitis from leaking cerebrospinal fluid. Temperature monitoring is secondary, povidone-iodine damages neural tissue, and surgical closure typically occurs within 24-48 hours.