ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client at 39 weeks of gestation
Question 1 of 5
A nurse in a prenatal clinic is caring for a client who is at 39 weeks of gestation and who asks about the signs that precede the onset of labor. Which of the following should the nurse identify as a sign that precedes labor?
Correct Answer: A surge of energy, or nesting instinct, is a common sign preceding labor, driven by hormonal changes preparing the mother for childbirth.
Rationale:
Extract:
Client in labor, umbilical cord protruding from the vagina
Question 2 of 5
A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?
Correct Answer: Applying internal upward pressure with two gloved fingers relieves cord compression, restoring fetal blood flow and preventing hypoxia, making it the priority action for umbilical cord prolapse.
Rationale:
Extract:
Client at 8 weeks of gestation
Question 3 of 5
A nurse in a women's health clinic is providing teaching about nutritional intake to a client who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients?
Correct Answer: Increased iron intake is essential in early pregnancy to support expanded blood volume and prevent anemia, critical for maternal and fetal health.
Rationale:
Extract:
Client requesting an oral contraceptive
Question 4 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:
Extract:
Client in prenatal clinic, Leopold maneuvers show round, firm, moveable part in fundus, long smooth surface on right side
Question 5 of 5
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: With the fetal back on the right side, fetal heart tones are best heard in the right upper quadrant, where the fetal chest is closest to the maternal abdomen.
Rationale: