ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client in active labor, contractions started 1 hr ago, 80% effaced, 8 cm dilated
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: C
Rationale: Rapid labor and advanced dilation increase the risk of postpartum hemorrhage due to potential uterine atony. Hyperemesis gravidarum occurs early, ectopic pregnancy is ruled out by labor, and incompetent cervix causes preterm issues, not hemorrhage.
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 term newborn in the supine position
Question 3 of 5
A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine position, which of the following methods should the nurse use to elicit the Moro reflex?
Correct Answer: C
Rationale: The Moro reflex is elicited by a sudden loud noise, causing the newborn to abduct and then adduct their arms. Turning the head elicits the tonic neck reflex, touching the cheek triggers the rooting reflex, and tapping the forehead induces the glabellar reflex.
Extract:
A client who is undergoing a nonstress test at 35 weeks of gestation
Question 4 of 5
A nurse is monitoring a client who is undergoing a nonstress test at 35 weeks of gestation. Which of the following findings requires intervention by the nurse?
Correct Answer: C
Rationale: Three contractions in 20 minutes suggest preterm labor, requiring intervention. One acceleration needs more monitoring, short contractions are normal, and a 20-beat peak is reassuring.
Extract:
A newborn who has neonatal abstinence syndrome
Question 5 of 5
A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Minimizing handling reduces stimulation in NAS, easing withdrawal symptoms. Extended legs, eye contact, and larger feedings may overwhelm the newborn.