ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client following a vaginal delivery of a term fetal demise
Question 1 of 5
A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Offering to bathe and dress the baby respects the client's grieving process. Suggesting naming, holding, or future pregnancies may impose assumptions and cause distress.
Extract:
An antepartal client at 35 weeks of gestation
Question 2 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 newborn who has exstrophy of the bladder
Question 3 of 5
A nurse is caring for a newborn who has exstrophy of the bladder. Which of the following actions should the nurse take prior to the beginning of surgical correction?
Correct Answer: C
Rationale: Covering the bladder with a sterile, non-adherent dressing protects the exposed tissue. Fluid restriction is unnecessary, side-lying doesn't help, and pressure risks damage.
Extract:
A newborn
Question 4 of 5
A nurse is performing a heel stick on a newborn. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Using an automatic puncture device on the heel ensures a safe, controlled depth to collect capillary blood. Puncturing the inner heel risks bone damage, cleansing after is incorrect (it's before), and ice is unnecessary.
Extract:
A client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion
Question 5 of 5
A nurse is caring for a client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy?
Correct Answer: B
Rationale: Monitoring serum magnesium levels prevents toxicity during tocolytic therapy. Coombs test, liver enzymes, and uric acid are unrelated to magnesium sulfate management.