ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is at 36 weeks of gestation and reports decreased fetal movement
Question 1 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 full-term newborn upon admission to the nursery
Question 2 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 at 28 weeks of gestation and has a prescription for terbutaline to prevent preterm labor
Question 3 of 5
A nurse is caring for a client who is at 28 weeks of gestation and has a prescription for terbutaline to prevent preterm labor. Which of the following adverse effects should the nurse instruct the client to report?
Correct Answer: C
Rationale: Terbutaline can cause tachycardia; a heart rate over 120/min should be reported. Swollen feet, warmth, and slight cramping are not typical adverse effects requiring immediate report.
Extract:
A newborn immediately following birth with a large amount of mucus in the mouth and nose
Question 4 of 5
A nurse is caring for a newborn immediately following birth and notes a large amount of mucus in the newborn's mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe.
Correct Answer: A,B,D,C
Rationale: Correct sequence: Compress the bulb (
A), suction mouth first (
B), then nose (
D), and assess for bradycardia (
C) to monitor for vagal stimulation.
Extract:
A client who is at 37 weeks of gestation and has suspected intrauterine growth restriction
Question 5 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.