ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A newborn whose mother had gestational diabetes mellitus
Question 1 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: C
Rationale: Jitteriness is a common sign of hypoglycemia in newborns, especially those born to mothers with gestational diabetes. Other options have different causes.
Extract:
A client in active labor, contractions started 1 hr ago, 80% effaced, 8 cm dilated
Question 2 of 5
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr. ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: C
Rationale: Rapid labor and advanced dilation increase the risk of postpartum hemorrhage due to potential uterine atony. Hyperemesis gravidarum occurs early, ectopic pregnancy is ruled out by labor, and incompetent cervix causes preterm issues, not hemorrhage.
Extract:
A client who is at 8 weeks of gestation and has a positive pregnancy test
Question 3 of 5
A nurse is providing teaching to a client who is at 8 weeks of gestation and has a positive pregnancy test. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Folic acid supplements prevent neural tube defects. Caffeine should be limited to 200 mg, hot baths risk overheating, and running needs medical clearance.
Extract:
A client who is at 36 weeks of gestation and reports decreased fetal movement
Question 4 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 client who is at 39 weeks of gestation and has mild preeclampsia
Question 5 of 5
A nurse is caring for a client who is at 39 weeks of gestation and has mild preeclampsia. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: B
Rationale: Fluid restriction is inappropriate for mild preeclampsia as it may worsen volume depletion. Magnesium sulfate, daily weights, and BP monitoring are standard.