ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is at 38 weeks of gestation and reports persistent headaches
Question 1 of 5
A nurse is assessing a client who is at 38 weeks of gestation and reports persistent headaches. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Persistent headaches may indicate preeclampsia, so checking blood pressure is the first step. Acetaminophen, urine protein, and neurological assessments follow if needed.
Extract:
A client at 34 weeks of gestation with epigastric pain and headache, a client at 12 weeks with nausea, a client at 38 weeks with painful urination, a client at 39 weeks with cramping and spotting
Question 2 of 5
A nurse on an antepartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: Epigastric pain and headache suggest preeclampsia, a serious condition needing immediate assessment. Other symptoms are less urgent.
Extract:
A client who is in active labor, reports sudden severe lower abdominal pain, drop in blood pressure, cool skin, pallor, fetal heart rate shows prolonged bradycardia
Question 3 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: A
Rationale: Uterine rupture matches symptoms of severe pain, hypotension, pallor, and fetal bradycardia. Other complications have different presentations.
Extract:
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 muscle tone is part of Apgar scoring. Apgar is assessed at 1 and 5 minutes, a score of 8 is good, and resuscitation shouldn't wait for scoring.
Extract:
A newborn with pulse oximetry 91%, irregular respiratory rate, beginning to cough, respiratory rate 32/min
Question 5 of 5
A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?
Correct Answer: A
Rationale: Pulse oximetry of 91% suggests hypoxia, indicating a need for suctioning. Irregular rate, coughing, and 32/min rate are normal or not urgent.