ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in labor, undergoing amniotomy
Question 1 of 5
A DDA nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?
Correct Answer: Monitoring temperature is the priority post-amniotomy to detect infection, indicated by a temperature of 38°C or higher, which requires immediate reporting
Rationale:
Extract:
Client with pregestational type 1 diabetes mellitus
Question 2 of 5
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: Continuing insulin during nausea and vomiting ensures stable blood glucose levels, critical for maternal and fetal health, reflecting an understanding of diabetes management in pregnancy.
Rationale:
Extract:
Client at 42 weeks of gestation, 29-year-old, Gravida 2 Para 1, admitted for oxytocin induction
Question 3 of 5
Based on the assessment findings, which of the following actions should the nurse plan to take? (Select All that Apply)
Correct Answer: All actions -oxygen, increasing oxytocin, IV fluid bolus, SVE, and side-lying position- are anticipated to support labor induction and monitor progress.
Rationale:
Extract:
Client in active labor, late decelerations in FHR
Question 4 of 5
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the following actions should the nurse take first?
Correct Answer: Changing the client's position, typically to a side-lying position, is the first action to relieve vena cava compression, improving uteroplacental perfusion and addressing late decelerations.
Rationale:
Extract:
Client requesting an oral contraceptive
Question 5 of 5
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply)
Correct Answer: Cholecystitis, hypertension, and migraine headaches are contraindications due to increased risks of gallstones, cardiovascular events, and stroke, respectively. HPV and anxiety are not contraindications.
Rationale: