ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client at 38 weeks of gestation with spontaneous rupture of membranes and palpable umbilical cord
Question 1 of 5
A nurse is admitting a client who is at 38 weeks of gestation following spontaneous rupture of membranes. The nurse performs a vaginal examination and palpates the umbilical cord. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Exerting continuous upward pressure on the presenting part relieves pressure on a prolapsed umbilical cord, improving fetal oxygenation until emergency delivery can be performed.
Extract:
Client at 30 weeks of gestation receiving magnesium sulfate for preeclampsia
Question 2 of 5
A nurse is caring for a client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication.
Correct Answer: D
Rationale: A urine output of 20 mL/hr indicates an adverse reaction to magnesium sulfate, as it suggests decreased renal function, which can lead to toxicity. Normal urine output should be at least 30 mL/hr.
Extract:
Client with preeclampsia receiving magnesium sulfate
Question 3 of 5
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?
Correct Answer: C
Rationale: Increased muscle weakness may indicate magnesium sulfate toxicity, which can lead to serious complications like respiratory depression, and should be reported immediately.
Extract:
Four clients on antepartum unit
Question 4 of 5
A nurse on an antepartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: Epigastric pain and headache at 34 weeks may indicate preeclampsia, a serious condition requiring immediate assessment to prevent complications like seizures.
Extract:
Client 12 hr postpartum with fourth-degree perineal laceration
Question 5 of 5
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A cool sitz bath reduces swelling and provides pain relief for a fourth-degree perineal laceration, promoting comfort and healing in the immediate postpartum period.