ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client with pudendal nerve block
Question 1 of 5
A nurse is caring for a client who has had a pudendal nerve block. The nurse should monitor for which of the following findings as an adverse effect?
Correct Answer: C
Rationale: Fetal bradycardia is a potential adverse effect of a pudendal nerve block, as the anesthesia may affect fetal heart rate, requiring close monitoring.
Extract:
Client with preeclampsia during a prenatal visit
Question 2 of 5
A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Urine protein of 3+ indicates severe proteinuria, which is a sign of preeclampsia and can lead to kidney damage. The nurse should report this finding to the provider as it may require medication or delivery intervention.
Extract:
Client with pelvic inflammatory disease, weight 132 lbs
Question 3 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.
Extract:
Client at 8 weeks of gestation with ectopic pregnancy
Question 4 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:
Newborn scheduled to start phototherapy using a lamp
Question 5 of 5
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Ensuring the newborn's eyes are closed beneath the shield is critical during phototherapy to prevent eye damage from the bright lights. This is a standard intervention to protect the newborn's vision.