ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion
Question 1 of 5
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Absent deep-tendon reflexes indicate magnesium toxicity, requiring immediate reporting. Decreased contractions are expected, 35 mL/hr urine is normal, and elevated BP is from preeclampsia.
Extract:
A client who is postpartum and experiencing hypovolemic shock
Question 2 of 5
A nurse is caring for a client who is postpartum and experiencing hypovolemic shock. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Hypovolemic shock causes cool, clammy skin due to poor perfusion. Urinary output drops below 30 mL/hr, pulses weaken, and respiratory rate increases above 18/min.
Extract:
A client who is at 32 weeks of gestation and has cholelithiasis
Question 3 of 5
A nurse is providing dietary teaching to a client who is at 32 weeks of gestation and has cholelithiasis. Which of the following foods should the nurse recommend for the client to include in her diet?
Correct Answer: A
Rationale: Baked chicken is a lean protein with healthy fats, helping the gallbladder contract without exacerbating cholelithiasis. French fries, whole milk, and bacon cheeseburgers contain unhealthy fats that can worsen gallbladder issues.
Extract:
A client who is 2 days postpartum and wants to continue using her diaphragm for contraception
Question 4 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Postpartum changes may alter diaphragm fit, requiring a refit. Oil-based lubricants damage diaphragms, sterile water is incorrect, and it should stay in for 6 hours.
Extract:
A client who is at 27 weeks of gestation and has preeclampsia
Question 5 of 5
A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A platelet count of 60,000/mm³ indicates thrombocytopenia, a sign of severe preeclampsia or HELLP syndrome, requiring urgent reporting. Other values are within normal ranges.