ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is at 12 weeks of gestation
Question 1 of 5
A nurse is assessing a client who is at 12 weeks of gestation. The nurse should report which of the following findings to the provider as an indication of an imminent spontaneous abortion?
Correct Answer: A
Rationale: A dilated cervix indicates that abortion is inevitable. Slight abdominal cramps and scant bright red spotting are common in early pregnancy and not necessarily indicative of miscarriage unless severe or heavy. Elevated hCG is normal in early pregnancy and does not suggest an imminent spontaneous abortion.
Extract:
A client who is in active labor, administered butorphanol IV bolus for pain
Question 2 of 5
A nurse is caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain. Which of the following findings should the nurse report to the provider following this medication?
Correct Answer: B
Rationale: Butorphanol can cause respiratory depression, and a respiratory rate of 10/min is below the normal range of 12 to 20 breaths per minute, indicating a need to report. Urinary output of 120 mL in 2 hr is normal, moderate fetal heart rate variability is reassuring, and blood pressure of 136/88 mm Hg is slightly elevated but not an immediate concern related to butorphanol.
Extract:
A term newborn in the supine position
Question 3 of 5
A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine position, which of the following methods should the nurse use to elicit the Moro reflex?
Correct Answer: C
Rationale: The Moro reflex is elicited by a sudden loud noise, causing the newborn to abduct and then adduct their arms. Turning the head elicits the tonic neck reflex, touching the cheek triggers the rooting reflex, and tapping the forehead induces the glabellar reflex.
Extract:
A client who practices a vegan diet, trying to increase intake of vitamin B2
Question 4 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B2. Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: Fortified soy milk is a good source of vitamin B2 (riboflavin) for vegans, providing about 45% of the daily requirement per cup. Raw carrots, citrus fruits, and brown rice contain minimal riboflavin, insufficient for significant intake.
Extract:
A client who had a vaginal delivery 3 hr ago
Question 5 of 5
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: A,D,E
Rationale: History of uterine atony, labor induction with oxytocin, and vacuum-assisted delivery increase the risk of postpartum hemorrhage due to uterine fatigue or trauma. Human papillomavirus does not affect uterine bleeding risk, and a newborn weight of 2.948 kg is normal and not a risk factor.