ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is 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: A dilated cervix indicates that abortion is inevitable. Slight abdominal cramps and scant bright red spotting are common in early pregnancy and not necessarily indicative of miscarriage unless severe or heavy. Elevated hCG is normal in early pregnancy and does not suggest an imminent spontaneous abortion.
Extract:
A client who is at 36 weeks of gestation and reports decreased fetal movement
Question 2 of 5
A nurse is assessing a client who is at 36 weeks of gestation and reports decreased fetal movement. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: A nonstress test assesses fetal well-being immediately when decreased movement is reported. Auscultation is secondary, betamethasone is for lung maturity, and kick counts are preventive.
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 at 32 weeks of gestation and has gestational diabetes mellitus
Question 4 of 5
A nurse is providing teaching to a client who is at 32 weeks of gestation and has gestational diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Checking blood glucose 1 hr after meals monitors postprandial levels, key in gestational diabetes. Calorie reduction to 800 is unsafe, 15% carbs is too low, and oral hypoglycemics are rarely used.
Extract:
A newborn who is 1 hour old, respiratory rate 50/min, heart rate 130/min, axillary temperature 36.1°C (97°F)
Question 5 of 5
A nurse is caring for a newborn who is 1 hour old and has a respiratory rate of 50/min, a heart rate of 130/min, and an axillary temperature of 36.1°C (97°F). Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Applying a cap prevents heat loss from the head, addressing the risk of hypothermia at 36.1°C. Bathing increases heat loss, repositioning is insufficient, and oxygen saturation isn't directly related to temperature.