ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A 20-year-old client who is at 12 weeks of gestation
Question 1 of 5
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Amniocentesis is primarily for detecting genetic or congenital disorders, not just fetal sex. It can't be scheduled same-day, isn't restricted to age 35+, and chorionic villus sampling isn't a substitute.
Extract:
A client who is in active labor, reports sudden severe lower abdominal pain, drop in blood pressure, cool skin, pallor, fetal heart rate shows prolonged bradycardia
Question 2 of 5
A nurse is caring for a client who is in active labor and reports sudden, severe lower abdominal pain. The nurse observes a drop in the client's blood pressure and notes cool skin and pallor. The fetal heart rate tracing shows prolonged bradycardia. Which of the following complications should the nurse suspect?
Correct Answer: A
Rationale: Uterine rupture matches symptoms of severe pain, hypotension, pallor, and fetal bradycardia. Other complications have different presentations.
Extract:
A client whose baby has yellow discharge at the circumcision site
Question 3 of 5
A nurse is providing teaching to a client who reports that her baby has yellow discharge forming at the circumcision site. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: Yellow discharge is normal post-circumcision healing. Testing is unnecessary, wiping may irritate, and povidone-iodine isn't standard care.
Extract:
A client who is at 12 weeks of gestation
Question 4 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 postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn
Question 5 of 5
A nurse is providing teaching to a postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn. Which of the following instructions should the nurse give the client?
Correct Answer: D
Rationale: Maintaining scheduled mealtimes helps prevent hypoglycemia and supports milk production. More insulin may cause hypoglycemia, checking blood glucose every 8 hours is insufficient, and limiting carbs to 30 grams daily is too restrictive.