ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a client who is in labour.
Question 1 of 5
Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: D
Rationale: An urge to have a bowel movement during contractions may indicate the baby's head is descending, signaling the need to push. This requires reassessment to check dilation. Intense contractions, sacral discomfort, and excitement with flushed skin are normal labor findings.
Extract:
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated.
Question 2 of 5
The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: B
Rationale: Advanced labor (80% effaced, 8 cm dilated) increases the risk of postpartum hemorrhage due to rapid delivery or uterine atony. Incompetent cervix, ectopic pregnancy, and hyperemesis are unrelated to this stage.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A cool sitz bath reduces swelling and pain for a fourth-degree laceration. Methylergonovine treats uterine atony, warm compresses may increase swelling, and povidone-iodine risks irritation.
Extract:
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Verifying that informed consent is obtained before administering any medication or procedure is a crucial nursing responsibility. Informed consent ensures that the client is fully aware of the risks, benefits, and alternatives, and gives permission for the procedure to take place. Placing the client in a semi-Fowler's position is not necessary, as it does not enhance the medication's effectiveness. Instructing the client to avoid urinary elimination is inappropriate and could cause discomfort. Allowing the medication to reach room temperature is not required for dinoprostone inserts per standard protocols.
Extract:
A nurse is reviewing the laboratory results of a client who is at 20 weeks of gestation and has type 1 diabetes mellitus.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A BUN of 25 mg/dL suggests impaired kidney function, requiring reporting, especially in diabetes. Hct of 34%, platelets of 170,000/mm³, and HbA1c of 6% are normal or controlled.