ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulphate via continuous IV infusion.
Question 1 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 2 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.
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 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.