ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is in active labor and has had two prior cesarean births
Question 1 of 5
A nurse is admitting a client who is in active labor and has had two prior cesarean births. The nurse should identify that the client is at an increased risk for which of the following complications?
Correct Answer: C
Rationale: Prior cesareans increase uterine rupture risk due to scar weakness. Other complications aren't directly linked.
Extract:
A client who is at 37 weeks of gestation and has suspected intrauterine growth restriction
Question 2 of 5
A nurse is reviewing the medical record of a client who is at 37 weeks of gestation and has suspected intrauterine growth restriction. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A biophysical profile assesses fetal well-being in suspected IUGR. Oxygen isn't indicated, vaginal exams don't assess IUGR, and betamethasone is for preterm lung maturity.
Extract:
A full-term newborn upon admission to the nursery
Question 3 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: B
Rationale: Single palmar creases may indicate genetic conditions like Down syndrome and should be reported for further evaluation. Rust-stained urine, subconjunctival hemorrhage, and transient circumoral cyanosis are common in newborns and typically resolve without intervention.
Extract:
A client who is 6 hours postpartum and has endometritis
Question 4 of 5
A nurse is assessing a client who is 6 hours postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Uterine tenderness is a hallmark of endometritis. Normal temperature, scant lochia, and normal WBC don't align with infection.
Extract:
Question 5 of 5
A charge nurse is teaching a newly licensed nurse about Rho(D) immune globulin administration. Which of the following should the charge nurse include as an indication for the administration of Rho(D) immune globulin?
Correct Answer: C
Rationale: Amniocentesis risks fetal-maternal hemorrhage, necessitating Rho(
D) immune globulin in Rh-negative mothers to prevent isoimmunization.