ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who has bladder distention following a vaginal birth
Question 1 of 5
A nurse is caring for a client who has bladder distention following a vaginal birth. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Assisting to the bathroom is the least invasive first step to relieve bladder distention. Catheterization is invasive, warm water may not ensure emptying, and sitz baths address perineal healing, not distention.
Extract:
A client who is in active labor, receiving oxytocin via IV infusion, with an internal fetal heart monitor showing early deceleration
Question 2 of 5
A nurse is caring for a client who is in active labor and is receiving oxytocin via IV infusion. The nurse has applied an internal fetal heart monitor and recognizes an early deceleration of the fetal heart rate tracing. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Early decelerations are normal, caused by head compression during contractions, and do not indicate fetal distress. The nurse should continue monitoring without intervention, as changing position, stopping oxytocin, or giving oxygen is unnecessary.
Extract:
A client who is at 32 weeks of gestation
Question 3 of 5
A nurse is providing teaching to a client who is at 32 weeks of gestation. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Weekly blood pressure checks help detect preeclampsia early. Ibuprofen is unsafe, frequent urination is needed, and back sleeping risks aortocaval compression.
Extract:
A client who is at 12 weeks of gestation
Question 4 of 5
A nurse is assessing a client who is at 12 weeks of gestation. The nurse should report which of the following findings to the provider as an indication of an imminent spontaneous abortion?
Correct Answer: A
Rationale: A dilated cervix indicates that abortion is inevitable. Slight abdominal cramps and scant bright red spotting are common in early pregnancy and not necessarily indicative of miscarriage unless severe or heavy. Elevated hCG is normal in early pregnancy and does not suggest an imminent spontaneous abortion.
Extract:
Question 5 of 5
A nurse is teaching a newly hired nurse about Apgar scoring. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Measuring muscle tone is part of Apgar scoring. Apgar is assessed at 1 and 5 minutes, a score of 8 is good, and resuscitation shouldn't wait for scoring.