ATI MATERNAL NEWBORN EXAM WITH RATIONALE
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A nurse is assessing a client who is 34 weeks of
gestation and has a mild placental abruption. Which of the
following findings should the nurse expect?
A. Increased platelet count
B. Fetal distress
C. Decreased urinary output
D. Dark red vaginal bleeding
Answer:
D) Dark red vaginal bleeding
-Note: mild fetal abruption should have a reassuring fetal heartrate.
-urinary output should be within the expected reference range.
Question 2: A nurse is teaching a client who is at 30 weeks of
gestation about warning signs of complications that she should
report to her provider. Which of the following findings should she
include in her teaching?
A. Mild constipation
B. Nasal congestion
C. Vaginal bleeding
D. 10 fetal movements per hour
Answer:
C) Vaginal bleeding
-Vaginal bleeding can be an abnormal finding during pregnancy that might
indicate a complication such as placental abruption, placenta previa, or
preterm labor.
, -note: fetal movement should be 3 or more movements per hour=normal
finding. Nasal congestion is also an expected finding due to the increase
circulation of estrogen.
Question 3: A nurse is caring for a client who is at 32 weeks of
gestation and is experiencing preterm labor. Which of the following
medications should the nurse plan to administer?
A. Betamethasone
B. Misoprostol
C. Methylergonovine
D. Poractant Alfa
Answer:
A) Betamethasone
-The nurse should plan to administer betamethasone IM, a glucocorticoid,
to stimulate fetal lung maturity and thereby prevent respiratory
depression.
Difference between Betamethasone and Poractant Alfa:
~Betamethasone is given to stimulate FETAL lung maturity to PREVENT
respiratory depression. ~Poractant Alfa, a synthetic lung surfactant, is
given to a preterm NEWBORN who is experiencing respiratory distress.
Question 4: A nurse is reviewing the medical record of a client who
is at 39 weeks of gestation and has polyhydramnios. Which of the
following should the nurse expect?
A. Fundal height of 34 cm
B. Total pregnancy weight gain of 3.6 kg
C. Gestational hypertension
D. Fetal gastrointestinal anomaly
Answer:
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A nurse is assessing a client who is 34 weeks of
gestation and has a mild placental abruption. Which of the
following findings should the nurse expect?
A. Increased platelet count
B. Fetal distress
C. Decreased urinary output
D. Dark red vaginal bleeding
Answer:
D) Dark red vaginal bleeding
-Note: mild fetal abruption should have a reassuring fetal heartrate.
-urinary output should be within the expected reference range.
Question 2: A nurse is teaching a client who is at 30 weeks of
gestation about warning signs of complications that she should
report to her provider. Which of the following findings should she
include in her teaching?
A. Mild constipation
B. Nasal congestion
C. Vaginal bleeding
D. 10 fetal movements per hour
Answer:
C) Vaginal bleeding
-Vaginal bleeding can be an abnormal finding during pregnancy that might
indicate a complication such as placental abruption, placenta previa, or
preterm labor.
, -note: fetal movement should be 3 or more movements per hour=normal
finding. Nasal congestion is also an expected finding due to the increase
circulation of estrogen.
Question 3: A nurse is caring for a client who is at 32 weeks of
gestation and is experiencing preterm labor. Which of the following
medications should the nurse plan to administer?
A. Betamethasone
B. Misoprostol
C. Methylergonovine
D. Poractant Alfa
Answer:
A) Betamethasone
-The nurse should plan to administer betamethasone IM, a glucocorticoid,
to stimulate fetal lung maturity and thereby prevent respiratory
depression.
Difference between Betamethasone and Poractant Alfa:
~Betamethasone is given to stimulate FETAL lung maturity to PREVENT
respiratory depression. ~Poractant Alfa, a synthetic lung surfactant, is
given to a preterm NEWBORN who is experiencing respiratory distress.
Question 4: A nurse is reviewing the medical record of a client who
is at 39 weeks of gestation and has polyhydramnios. Which of the
following should the nurse expect?
A. Fundal height of 34 cm
B. Total pregnancy weight gain of 3.6 kg
C. Gestational hypertension
D. Fetal gastrointestinal anomaly
Answer:
