ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client with eclampsia post-convulsion
Question 1 of 5
A nurse is caring for a client who has developed eclampsia. Which of the following actions should the nurse implement after the client experiences a convulsion?
Correct Answer: C
Rationale: Administering oxygen at 10 L/min post-convulsion prevents hypoxia, a critical step to protect maternal and fetal health in eclampsia.
Extract:
Client in active labor receiving oxytocin with 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: D
Rationale: Early decelerations are benign, caused by fetal head compression during contractions, and do not indicate distress, so continuing to monitor the client is appropriate.
Extract:
Client with yellow discharge at newborn circumcision site
Question 3 of 5
A nurse is providing teaching to a client who reports that her baby has yellow discharge forming at the circumcision site. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: Yellow discharge is common 24-72 hours post-circumcision due to normal exudate formation, and does not require testing or aggressive cleaning unless signs of infection appear.
Extract:
Client in second trimester concerned about preparing 2-year-old for new sibling
Question 4 of 5
A nurse in a clinic is caring for a client who is in her second trimester of pregnancy. The client expresses concern about preparing her 2-year-old child for a new sibling. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Requiring scheduled interactions between the toddler and baby fosters familiarity and inclusion, helping the toddler adjust positively to the new sibling.
Extract:
Client in active labor with sudden severe lower abdominal pain, drop in blood pressure, cool skin, pallor, and fetal heart rate showing prolonged bradycardia
Question 5 of 5
A nurse is caring for a client who is in active labor and reports sudden, severe lower abdominal pain. The nurse observes a drop in the client's blood pressure and notes cool skin and pallor. The fetal heart rate tracing shows prolonged bradycardia. Which of the following complications should the nurse suspect?
Correct Answer: C
Rationale: Sudden, severe lower abdominal pain, signs of shock (drop in blood pressure, cool skin, pallor), and prolonged fetal bradycardia suggest uterine rupture, which can cause intra-abdominal hemorrhage and fetal distress.