ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally.
Question 1 of 5
Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: D
Rationale: Hearing loss is a common finding in newborns with congenital CMV acquired transplacentally, affecting many symptomatic infants. Macrosomia, cataracts, and urinary tract infections are not typical manifestations.
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 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 is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulphate via continuous IV infusion.
Question 4 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 teaching a client and her partner about the technique of counterpressure during labor.
Question 5 of 5
Which of the following statements by the nurse is appropriate?
Correct Answer: B
Rationale: Counterpressure involves applying steady pressure to the lower back, often with a tennis ball, to relieve labor pain, making option B correct. Applying pressure to the uterus or abdomen is inappropriate and potentially harmful, and hand pressure is not a standard counterpressure technique.