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 reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 2 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 3 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 reviewing the electronic medical record of a postpartum client.
Question 4 of 5
Which of the following factors places the client at risk for an infection?
Correct Answer: A
Rationale: A midline episiotomy increases infection risk due to the surgical incision providing a potential entry for bacteria. Meconium-stained fluid, gestational hypertension, and placenta previa do not directly correlate with maternal postpartum infection risk.
Extract:
A nurse is caring for a client who is in labor and just received epidural anaesthesia. The client's blood pressure is 90/50 mm Hg.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Turning the client to their side improves blood flow and corrects hypotension caused by epidural-induced vasodilation. Amnioinfusion is for fetal distress, naloxone is for opioid overdose, and monitoring alone delays intervention.