ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client at 80% effaced and 8 cm dilated with contractions starting 1 hr ago
Question 1 of 5
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: B
Rationale: Rapid labor progression (8 cm dilation in 1 hour) increases the risk of postpartum hemorrhage due to potential uterine atony or trauma from a precipitous delivery.
Extract:
Client at 39 weeks of gestation with fetus in left occipitoanterior position
Question 2 of 5
A nurse is assessing a client who is at 39 weeks of gestation and determines that the fetus is in a left occipitoanterior position. On which of the following sites should the nurse place the external fetal monitor to hear the point of maximum impulse of the fetal heart rate?
Correct Answer: C
Rationale: In the left occipitoanterior position, the fetal back is on the left side of the maternal abdomen, and the heart sounds are best heard in the left lower quadrant, where the fetal heart is closest.
Extract:
Postpartum client with vital signs: temperature 37° C (98.6° F), pulse 78/min, respiratory rate 12/min, blood pressure 124/80 mm Hg, pulse oximetry 100%
Question 3 of 5
A nurse is assessing a postpartum client during a follow-up visit. The nurse is teaching the client about postpartum depression. The nurse should encourage the client to and to help prevent postpartum depression.
Correct Answer: A,B
Rationale: Eating a well-balanced diet and exercising for 30 minutes per day can help reduce stress and improve mood by releasing endorphins, which are hormones that can help to improve mood and reduce stress, thus preventing postpartum depression.
Extract:
Client practicing vegan diet during pregnancy
Question 4 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: Fortified soy milk is a good source of vitamin B12 for vegans, unlike brown rice, citrus fruits, or carrots, which do not contain significant amounts of B12.
Extract:
Client with gestational diabetes mellitus
Question 5 of 5
A nurse is reviewing the medical record of a client who is receiving treatment for gestational diabetes mellitus. Which of the following medications should the nurse expect to administer?
Correct Answer: B
Rationale: Glyburide is an oral hypoglycemic used to manage gestational diabetes when diet and lifestyle are insufficient, as it helps control blood glucose without crossing the placenta significantly.