ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is in labor
Question 1 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: A
Rationale: An urge to have a bowel movement may indicate the transition phase and imminent delivery, prompting reassessment. Excitement, flushed skin, sacral discomfort, and intense contractions are normal in labor.
Extract:
A newborn immediately following birth with a large amount of mucus in the mouth and nose
Question 2 of 5
A nurse is caring for a newborn immediately following birth and notes a large amount of mucus in the newborn's mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe.
Order the Items
Source Container
Correct Answer: A,B,D,C
Rationale: Correct sequence: Compress the bulb (
A), suction mouth first (
B), then nose (
D), and assess for bradycardia (
C) to monitor for vagal stimulation.
Extract:
A client who has preeclampsia during a prenatal visit
Question 3 of 5
A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Urine protein of 3+ indicates preeclampsia severity, requiring reporting. Normal reflexes, glucose, and hemoglobin don't need urgent attention.
Extract:
A client who is at 35 weeks of gestation and has diabetes mellitus, undergoing a nonstress test with no accelerations for 20 minutes
Question 4 of 5
A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes mellitus. The test reveals no accelerations of fetal heart rate for 20 minutes. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Vibroacoustic stimulation provokes fetal response in a non-reactive nonstress test. Trendelenburg, vaginal exams, and Coombs test don't address the issue.
Extract:
A newborn with pulse oximetry 91%, irregular respiratory rate, beginning to cough, respiratory rate 32/min
Question 5 of 5
A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?
Correct Answer: A
Rationale: Pulse oximetry of 91% suggests hypoxia, indicating a need for suctioning. Irregular rate, coughing, and 32/min rate are normal or not urgent.