ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client receiving dinoprostone insert to induce labor
Question 1 of 5
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Verifying informed consent ensures the client understands the procedure's risks and benefits, a critical step before administering dinoprostone for labor induction.
Extract:
Client 6 hr postpartum with endometritis
Question 2 of 5
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Uterine tenderness is a common finding in endometritis, indicating infection of the endometrial lining, often accompanied by foul-smelling lochia or fever.
Extract:
Client at 8 weeks of gestation with ectopic pregnancy
Question 3 of 5
A nurse is caring for a client who is at 8 weeks of gestation and has an ectopic pregnancy. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Sharp pelvic pain is a classic sign of ectopic pregnancy, caused by stretching or rupture of the fallopian tube where the embryo is implanted.
Extract:
Full-term newborn upon admission to nursery
Question 4 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: C
Rationale: A single palmar crease may be associated with chromosomal disorders like Down syndrome, requiring further evaluation and reporting to the provider.
Extract:
Client with pelvic inflammatory disease, weight 132 lbs
Question 5 of 5
A nurse is preparing to administer gentamicin to a client with pelvic inflammatory disease. The prescribed dosage is 2 mg/kg IM. The client weighs 132 lbs. Available is gentamicin injection with a concentration of 40 mg/mL. How many mL of gentamicin should the nurse administer?
Correct Answer: B
Rationale: Converting 132 lbs to 60 kg (132 ÷ 2.2), the dose is 2 mg/kg × 60 kg = 120 mg. At 40 mg/mL, 120 mg ÷ 40 mg/mL = 3 mL, so the nurse administers 3 mL.