ATI LPN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Newborn at risk for hemolytic disease
Question 1 of 5
A nurse is developing an educational program about hemolytic disease in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?
Correct Answer: C
Rationale: Hemolytic disease occurs when an Rh-negative mother carries an Rh-positive fetus, leading to antibody production against fetal red blood cells, causing anemia and other complications.
Extract:
Client at 30 weeks of gestation receiving magnesium sulfate for preeclampsia
Question 2 of 5
A nurse is caring for a client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication.
Correct Answer: D
Rationale: A urine output of 20 mL/hr indicates an adverse reaction to magnesium sulfate, as it suggests decreased renal function, which can lead to toxicity. Normal urine output should be at least 30 mL/hr.
Extract:
Client in labor
Question 3 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 35 weeks of gestation undergoing a nonstress test
Question 4 of 5
A nurse is monitoring a client who is undergoing a nonstress test at 35 weeks of gestation. Which of the following findings requires intervention by the nurse?
Correct Answer: A
Rationale: Three uterine contractions in 20 minutes may indicate preterm labor, requiring immediate intervention to assess for signs like pelvic pressure or vaginal discharge and to prepare for possible tocolytic therapy.
Extract:
Client at 8 weeks of gestation with ectopic pregnancy
Question 5 of 5
A nurse is caring for a client who is at 8 weeks of gestation and has an ectopic pregnancy. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Sharp pelvic pain is a classic sign of ectopic pregnancy, caused by stretching or rupture of the fallopian tube where the embryo is implanted.