ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client practicing vegan diet during pregnancy
Question 1 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: Fortified soy milk is a good source of vitamin B12 for vegans, unlike brown rice, citrus fruits, or carrots, which do not contain significant amounts of B12.
Extract:
Client 12 hr postpartum with fourth-degree perineal laceration
Question 2 of 5
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A cool sitz bath reduces swelling and provides pain relief for a fourth-degree perineal laceration, promoting comfort and healing in the immediate postpartum period.
Extract:
Four clients on antepartum unit
Question 3 of 5
A nurse on an antepartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: Epigastric pain and headache at 34 weeks may indicate preeclampsia, a serious condition requiring immediate assessment to prevent complications like seizures.
Extract:
Client in labor
Question 4 of 5
A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: C
Rationale: An urge to have a bowel movement during contractions may indicate fetal descent and progression to the second stage of labor, requiring immediate reassessment for cervical dilation and delivery readiness.
Extract:
Client at 20 weeks of gestation with type 1 diabetes mellitus
Question 5 of 5
A nurse is reviewing the laboratory results of a client who is at 20 weeks of gestation and has type 1 diabetes mellitus. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A BUN of 25 mg/dL is elevated (normal 7-20 mg/dL) and may indicate renal impairment, which is concerning in a pregnant client with type 1 diabetes and should be reported.