ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is at 12 weeks of gestation, family history of breast cancer and heart disease, penicillin allergy, multiple sexual partners
Question 1 of 5
A nurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Maternal serum alpha-fetoprotein at 12-20 weeks screens for neural tube defects. Rubella vaccine is contraindicated, ceftriaxone and blood culture are unwarranted without infection signs.
Extract:
A client who is 2 days postpartum following a vaginal delivery and reports constipation
Question 2 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: D
Rationale: A third-degree perineal laceration involves the anal sphincter, making suppositories risky due to potential pain or disruption. Other findings don't contraindicate suppository use.
Extract:
A client following a vaginal delivery of a term fetal demise
Question 3 of 5
A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Offering to bathe and dress the baby respects the client's grieving process. Suggesting naming, holding, or future pregnancies may impose assumptions and cause distress.
Extract:
A client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous
Question 4 of 5
A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?
Correct Answer: A
Rationale: Low blood pressure (88/58 mm Hg) contraindicates terbutaline due to risk of worsening hypotension. Other findings are normal.
Extract:
A client who reports spontaneous rupture of membranes, fetal bradycardia, umbilical cord protruding
Question 5 of 5
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: Applying upward pressure on the presenting part relieves cord compression, addressing fetal bradycardia. Covering the cord, oxygen, and fluids are secondary actions.