ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception.
Question 1 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.
Extract:
A nurse is performing an assessment of a newborn's Babinski reflex.
Question 2 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 reviewing the electronic medical record of a postpartum client.
Question 3 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 4 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.
Extract:
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulphate via continuous IV infusion.
Question 5 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.