ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client with preeclampsia during a prenatal visit
Question 1 of 5
A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Urine protein of 3+ indicates severe proteinuria, which is a sign of preeclampsia and can lead to kidney damage. The nurse should report this finding to the provider as it may require medication or delivery intervention.
Extract:
Client with uterine atony post-delivery, unresponsive to oxytocin
Question 2 of 5
A nurse is caring for a client who is experiencing uterine atony immediately following delivery. The client fails to respond to oxytocin administration. The nurse should anticipate the use of which of the following medications?
Correct Answer: B
Rationale: Methylergonovine is used to treat uterine atony unresponsive to oxytocin by promoting uterine contractions to control postpartum hemorrhage.
Extract:
Client with bladder distention post vaginal birth
Question 3 of 5
A nurse is caring for a client who has bladder distention following a vaginal birth. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Pouring warm water over the perineum is a non-invasive first step to promote relaxation and urination, reducing bladder distention without the risks of catheterization.
Extract:
Client with eclampsia post-convulsion
Question 4 of 5
A nurse is caring for a client who has developed eclampsia. Which of the following actions should the nurse implement after the client experiences a convulsion?
Correct Answer: C
Rationale: Administering oxygen at 10 L/min post-convulsion prevents hypoxia, a critical step to protect maternal and fetal health in eclampsia.
Extract:
Client in active labor with sudden severe lower abdominal pain, drop in blood pressure, cool skin, pallor, and fetal heart rate showing prolonged bradycardia
Question 5 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: C
Rationale: Sudden, severe lower abdominal pain, signs of shock (drop in blood pressure, cool skin, pallor), and prolonged fetal bradycardia suggest uterine rupture, which can cause intra-abdominal hemorrhage and fetal distress.