ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is monitoring a client who is undergoing a nonstress test at 35 weeks of gestation.
Question 1 of 5
Which of the following findings requires intervention by the nurse?
Correct Answer: C
Rationale: One acceleration in 20 minutes suggests a nonreactive nonstress test, requiring intervention to assess fetal well-being. A 20-beat FHR peak is normal, and mild contractions are not concerning unless painful.
Extract:
A nurse is caring for a client who has maternal hypotension following the placement of an epidural.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering a bolus of lactated Ringer's treats hypotension by increasing blood volume, counteracting epidural-induced vasodilation. Knee-chest position, terbutaline, or low-flow oxygen are not appropriate for this scenario.
Extract:
A nurse is providing teaching to a client about the purpose of her upcoming indirect Coombs' test.
Question 3 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The indirect Coombs' test-detects Rh-positive antibodies in maternal blood, indicating potential Rh incompatibility. It does not assess hypoglycemia, amniotic fluid, or blood flow.
Extract:
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp.
Question 4 of 5
Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Ensuring the newborn's eyes are closed beneath the shield protects them from light exposure during phototherapy. Lotion interferes with light penetration, glucose water is unnecessary, and clothing reduces skin exposure.
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.