ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Newborn who is 12 hr old
Question 1 of 5
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requires intervention by the nurse?
Correct Answer: Substernal chest retractions while sleeping indicate respiratory distress, requiring intervention to assess and address potential respiratory issues.
Rationale:
Extract:
Client at 42 weeks of gestation, 29-year-old, Gravida 2 Para 1, admitted for oxytocin induction
Question 2 of 5
Based on the assessment findings, which of the following actions should the nurse plan to take? Click to specify whether the nurse's planned actions are anticipated, nonessential, or contraindicated.
| Action | Anticipated | Nonessemtial | Contraindicated |
|---|---|---|---|
| Increase the oxytocin infusion to 13 mu/min | |||
| Place client in a side-lying position | |||
| Initiate bolus of primary IV fluids | |||
| Apply oxygen at 10 L/min via venturi mask | |||
| Perform sterile vaginal examination (SVE) | |||
| Assign a Bishop score | |||
| A,B,C,D,G |
Correct Answer: Increasing oxytocin, side-lying position, IV fluid bolus, oxygen, and amniotomy are anticipated for labor induction. SVE and Bishop score are contraindicated or nonessential due to recent cervical assessment.
Rationale:
Extract:
Client at 24 weeks of gestation, preparing for a 1-hr glucose tolerance test
Question 3 of 5
A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose tolerance test. Which of the following statements should the nurse include in the teaching?
Correct Answer: A blood glucose level of 130 to 140 mg/dL is considered a positive screening result for the 1-hour glucose tolerance test, indicating the need for further testing to diagnose gestational diabetes.
Rationale:
Extract:
Client at 22 weeks of gestation, reports blotchy hyperpigmentation on forehead
Question 4 of 5
A nurse is caring for a client who is at 22 weeks of gestation and reports concern about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take?
Correct Answer: Explaining that hyperpigmentation (melasma) is a normal pregnancy change due to hormonal shifts reassures the client and addresses her concern.
Rationale:
Extract:
Client in labor, reports increasing rectal pressure, contractions 2 to 3 min apart, lasting 80 to 90 seconds, cervix dilated to 9 cm
Question 5 of 5
A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that her cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?
Correct Answer: The transition phase occurs when the cervix is dilated from 8 to 10 cm, with strong contractions every 2 to 3 minutes, lasting 80 to 90 seconds, and increasing rectal pressure due to fetal descent, as seen with the client's 9 cm dilation.
Rationale: