ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
A client in a prenatal clinic
Question 1 of 5
A nurse in a prenatal clinic is reinforcing teaching with a client about expected physiological changes during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Melasma, a brownish discoloration on the cheeks, is a common pregnancy-related skin change due to hormonal shifts, unlike burning urination (UTI), linea nigra (normal), or excessive swelling (preeclampsia risk).
Extract:
A client requesting a prescription for a transdermal contraceptive patch
Question 2 of 5
A nurse in a provider's office is collecting data from a client who is requesting a prescription for a transdermal contraceptive patch. The nurse should recognize which of the following client findings is a contraindication for this method of contraception?
Correct Answer: C
Rationale: A weight of 98 kg (BMI likely over 30) reduces the efficacy of the transdermal contraceptive patch, making it a contraindication, unlike normal BP, peptic ulcer disease, or past miscarriage.
Extract:
A client who is at 12 weeks of gestation
Question 3 of 5
A nurse is auscultating fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation. Where should the nurse expect to auscultate the fetal heart tones?
Correct Answer: C
Rationale: At 12 weeks, the uterus is low in the pelvis, so fetal heart tones are best heard above the left iliac crest, not in umbilical, suprapubic, or right abdominal areas.
Extract:
A client who is postpartum with excessive vaginal bleeding and a boggy uterus
Question 4 of 5
A nurse is caring for a client who is postpartum. The client is experiencing excessive vaginal bleeding and has a boggy uterus. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Fundal massage is the first action to address uterine atony, which causes a boggy uterus and bleeding, by promoting contraction, before medications, bladder emptying, or oxygen.
Extract:
A client who is 2 hr postpartum with an episiotomy and hemorrhoids
Question 5 of 5
A nurse is reinforcing teaching about perineal care to a client who is 2 hr postpartum and has an episiotomy and hemorrhoids. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Witch hazel pads provide soothing relief for episiotomy and hemorrhoid discomfort, unlike heat (increases inflammation), numbing spray before cleansing (interferes), or short sitz baths (less effective).