ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia.
Question 1 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Magnesium sulfate prevents seizures in preeclampsia by its anticonvulsant properties, the primary therapeutic goal.
Extract:
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The McRoberts maneuver involves flexing the client's thighs toward the abdomen to widen the pelvic outlet, aiding shoulder dystocia resolution.
Extract:
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Question 3 of 5
Which of the following information should the nurse include?
Correct Answer: A
Rationale: Yellow exudate forming within 24 hours is a normal healing sign with the Plastibell technique, not to be confused with infection.
Extract:
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hours old. The newborn has a Coombs positive result and a glucose level of 50 mg/dL (40 to 60 mg/dL).
Question 4 of 5
What should the nurse anticipate?
Correct Answer: D
Rationale: A Coombs positive result suggests potential hemolysis, requiring monitoring for jaundice, a common complication.
Extract:
The client is a gravida 4, para 3, admitted at 28 weeks of gestation with vaginal bleeding for 2 hours, saturating pads with bright red blood. Abdomen soft, nontender, no pain. Fundal height 27 cm. FHR with minimal variability, no decelerations.
Question 5 of 5
Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor: Condition Choices: A. Placenta previa, B. Abruptio placentae, C. Preterm labor, D. Miscarriage; Action Choices: A. Instruct bed rest, B. Prepare for cesarean, C. Administer tocolytics, D. Monitor vital signs every 15 min, E. Prepare for ultrasound; Parameter Choices: A. Fetal heart rate, B. Maternal blood pressure, C. Maternal heart rate, D. Hemoglobin and hematocrit, E. Uterine contractions
Correct Answer: A
Rationale: Placenta previa matches painless bright red bleeding; bed rest prevents further bleeding, cesarean may be needed; monitor FHR and hemoglobin/hematocrit for fetal well-being and blood loss.