ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is assessing the results of a nonstress test for an antepartum client at 35 weeks of gestation.
Question 1 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 manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus.
Question 2 of 5
Which of the following information should the nurse manager include in the teaching?
Correct Answer: A
Rationale: CMV transmission can occur via newborn saliva and urine, requiring contact precautions, making this correct to include. Airborne precautions are not needed, acyclovir is not standard for CMV, and genital lesions are typical of herpes, not CMV.
Extract:
A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia.
Question 3 of 5
Which of the following manifestations should the nurse recognize as an adverse reaction to the medication?
Correct Answer: D
Rationale: Urine output of 20 mL/hr suggests magnesium sulfate toxicity, impairing renal function, and requires reporting to prevent further complications. Hypertension is expected in preeclampsia, hypoglycemia is unrelated, and a respiratory rate of 16/min is normal.
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: A postpartum client needs a diaphragm refit due to vaginal changes after delivery to ensure effectiveness. Gentle soap is correct but not the priority, the diaphragm should stay in for 6 hours, and oil-based lubricants damage it.
Extract:
A nurse is assessing the results of a nonstress test for an antepartum client at 35 weeks of gestation.
Question 5 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.