ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
A client who is at 12 weeks of gestation
Question 1 of 5
A nurse is auscultating fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation. Where should the nurse expect to auscultate the fetal heart tones?
Correct Answer: C
Rationale: At 12 weeks, the uterus is low in the pelvis, so fetal heart tones are best heard above the left iliac crest, not in umbilical, suprapubic, or right abdominal areas.
Extract:
A client with hyperemesis gravidarum
Question 2 of 5
A nurse is caring for a client who has hyperemesis gravidarum. The nurse should identify that the client is at risk for which of the following conditions?
Correct Answer: D
Rationale: Hyperemesis gravidarum causes severe vomiting, leading to ketonuria from fat breakdown due to dehydration and starvation, not hypertension, leukopenia, or hydramnios (excess amniotic fluid).
Extract:
A newborn receiving phytonadione
Question 3 of 5
A nurse is preparing to administer phytonadione to a newborn. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A 25-gauge needle is appropriate for phytonadione to minimize trauma, unlike deltoid use (vastus lateralis preferred), delayed timing (within 1 hour), or checking Rh factor (irrelevant).
Extract:
A client who is postpartum with excessive vaginal bleeding and a boggy uterus
Question 4 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 who is 2 hr postpartum with an episiotomy and hemorrhoids
Question 5 of 5
A nurse is reinforcing teaching about perineal care to a client who is 2 hr postpartum and has an episiotomy and hemorrhoids. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Witch hazel pads provide soothing relief for episiotomy and hemorrhoid discomfort, unlike heat (increases inflammation), numbing spray before cleansing (interferes), or short sitz baths (less effective).