ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia.
Question 1 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 caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus.
Question 2 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 for a client who is pregnant and has HIV.
Question 3 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Bathing the newborn before skin-to-skin contact removes maternal fluids, reducing HIV transmission risk. Stopping antiretrovirals increases transmission risk, fetal scalp electrodes may cause abrasions, and pneumococcal immunization is not indicated for newborns.
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 performing an assessment of a newborn's Babinski reflex.
Question 5 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.