ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client at 12 weeks of gestation
Question 1 of 5
A nurse is assessing a client who is at 12 weeks of gestation. The nurse should report which of the following findings to the provider as an indication of an imminent spontaneous abortion?
Correct Answer: A
Rationale: Cervical dilation at 12 weeks is a sign of cervical incompetence and indicates an imminent spontaneous abortion, requiring immediate reporting to the provider.
Extract:
Newly licensed nurse learning about ultrasonography in first trimester
Question 2 of 5
A nurse is teaching a newly licensed nurse about the uses of ultrasonography in the first trimester of pregnancy. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: C
Rationale: Ultrasound in the first trimester is primarily used to determine gestational age, confirm intrauterine pregnancy, and assess fetal viability, not for placental maturity, biophysical profiles, or growth restriction.
Extract:
Client at 39 weeks of gestation with fetus in left occipitoanterior position
Question 3 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:
Newly hired nurse learning about Apgar scoring
Question 4 of 5
A nurse is teaching a newly hired nurse about Apgar scoring. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Measuring the newborn's muscle tone is part of the Apgar scoring process, which evaluates heart rate, respiratory effort, muscle tone, reflex irritability, and color to assess the newborn's condition.
Extract:
Client in active labor receiving butorphanol IV bolus
Question 5 of 5
A nurse is caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain. Which of the following findings should the nurse report to the provider following this medication?
Correct Answer: C
Rationale: A respiratory rate of 100/min indicates tachypnea, potentially signaling maternal distress or hypoxia, requiring immediate reporting to evaluate the cause.