ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus.
Question 1 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.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 2 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.
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 performing an assessment of a newborn's Babinski reflex.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The Babinski reflex in newborns shows eversion (fanning) of the great toe with stroking the sole, a normal finding. Forearm flexion, toe curling, or leg extension are not associated with this reflex.
Extract:
A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception.
Question 5 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Increasing calcium intake is advised with medroxyprogesterone due to potential bone density loss, indicating understanding. Injections are every 12-13 weeks, not 8, one shot is given, and spotting is a common side effect not requiring discontinuation.