ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
Four clients in a prenatal clinic
Question 1 of 5
A nurse in a prenatal clinic is collecting data from four clients. Which of the following findings is the nurse's priority to report to the provider?
Correct Answer: A
Rationale: Dysuria suggests a UTI, which can cause pregnancy complications if untreated, prioritizing it over common varicose veins, gingivitis, or leukorrhea.
Extract:
A client who is 2 hr postpartum with an episiotomy and hemorrhoids
Question 2 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).
Extract:
A client in labor with an epidural infusion and blood pressure 80/40 mm Hg
Question 3 of 5
A nurse is assisting with the care of a client who is in labor and has an epidural infusion for pain management. The client's blood pressure is 80/40 mm Hg. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A fluid bolus treats epidural-induced hypotension, unlike methylergonovine (hemorrhage), bladder emptying (secondary), or knee-chest position (less effective).
Extract:
A client who is at 24 weeks of gestation with a glucose value of 130 mg/dL
Question 4 of 5
A nurse is reviewing the results of a 1-hr glucose screening test for a client who is at 24 weeks of gestation. The client's glucose value is 130 mg/dL. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A 130 mg/dL result requires a 3-hour glucose tolerance test to confirm gestational diabetes, unlike routine visits, home monitoring, or repeating the 1-hour test.
Extract:
A client who is pregnant with a vaginal culture positive for chlamydia
Question 5 of 5
A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia. Which of the following medications should the nurse plan to administer?
Correct Answer: A
Rationale: Amoxicillin is safe and effective for chlamydia in pregnancy, unlike tetracycline (fetal harm), metronidazole (bacterial vaginosis), or acyclovir (herpes).