ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
A client with an unruptured ectopic pregnancy at 8 weeks of gestation
Question 1 of 5
A nurse is assisting in the care of a client who is experiencing an unruptured ectopic pregnancy that is at 8 weeks of gestation. Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: Methotrexate stops trophoblastic growth in early ectopic pregnancy, unlike terbutaline (preterm labor), magnesium (preeclampsia), or calcium (magnesium toxicity).
Extract:
A client who is postpartum with excessive vaginal bleeding and a boggy uterus
Question 2 of 5
A nurse is caring for a client who is postpartum. The client is experiencing excessive vaginal bleeding and has a boggy uterus. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Fundal massage is the first action to address uterine atony, which causes a boggy uterus and bleeding, by promoting contraction, before medications, bladder emptying, or oxygen.
Extract:
A client with gestational hypertension collecting a 24-hr urine specimen
Question 3 of 5
A nurse is reinforcing teaching with a client who has gestational hypertension about collecting a 24-hr urine specimen for protein. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: Recording missed specimens ensures accurate proteinuria measurement, unlike iodine cleansing (unnecessary), starting with first void (discarded), or stool contamination (avoided but secondary).
Extract:
A newborn who was born at 39 weeks of gestation and is 36 hr old
Question 4 of 5
A nurse is assisting with the care of a newborn who was born at 39 weeks of gestation and is 36 hr old. Which of the following findings should the nurse report to the RN?
Correct Answer: B,D,F
Rationale: Dry mucous membranes (dehydration), yellow sclera (jaundice), positive Coombs (hemolysis risk), and caput succedaneum (jaundice/infection risk) require reporting, unlike unspecified glucose, respiratory rate, or intake/output.
Extract:
A new parent about car seat safety
Question 5 of 5
A nurse is reinforcing teaching about car seat safety with a new parent. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Shoulder harness at shoulder level ensures proper fit, unlike 6-month rear-facing (2 years recommended), abdominal clip (armpit level), or 30-degree angle (45-degree typical).