ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
An antepartal client at 35 weeks of gestation
Question 1 of 5
A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: B
Rationale: Three contractions of 60 seconds in 10 minutes suggest preterm labor, needing further evaluation. A fetal heart rate increase, irregular short contractions, and three movements are normal findings.
Extract:
A postpartum client about caring for her 3-day-old male newborn at home
Question 2 of 5
A nurse is providing discharge teaching to a postpartum client about caring for her 3-day-old male newborn at home. Which of the following statements should the nurse make to the client?
Correct Answer: D
Rationale: Avoiding foreskin retraction prevents injury in uncircumcised newborns. Antibiotic ointment, tight swaddling with legs extended, and expecting fewer than six urinations are incorrect.
Extract:
A group of clients about birth control
Question 3 of 5
A nurse is conducting a class for a group of clients about birth control. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: An annual exam ensures proper diaphragm fit. Spermicide is used just before intercourse, fertility returns soon after IUD removal, and emergency contraception doesn't replace ongoing birth control.
Extract:
A client who is at 12 weeks of gestation, family history of breast cancer and heart disease, penicillin allergy, multiple sexual partners
Question 4 of 5
A nurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Maternal serum alpha-fetoprotein at 12-20 weeks screens for neural tube defects. Rubella vaccine is contraindicated, ceftriaxone and blood culture are unwarranted without infection signs.
Extract:
A client who has preeclampsia and is receiving magnesium sulfate
Question 5 of 5
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?
Correct Answer: A
Rationale: Muscle weakness may indicate magnesium toxicity, a serious adverse effect requiring immediate reporting. Increased fetal movement, respiratory rate, or urinary output are not concerning.