ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who has hyperemesis gravidarum
Question 1 of 5
A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?
Correct Answer: C
Rationale: Urine ketones detect ketosis from starvation due to severe vomiting in hyperemesis gravidarum. Rapid plasma reagin screens for syphilis, prothrombin time assesses clotting, and urine culture checks for infection, none specific to hyperemesis.
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 client who reports that the first day of her last menstrual cycle was July 28th
Question 3 of 5
A nurse is using Nägele's Rule to calculate the expected delivery date of a client who reports that the first day of her last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client's expected delivery date?
Correct Answer: B
Rationale: Nägele's Rule: July 28 plus 7 days is August 4, minus 3 months is May 4, plus 1 year is May 5. Other dates are incorrect.
Extract:
A client who has hyperemesis gravidarum
Question 4 of 5
A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?
Correct Answer: C
Rationale: Urine ketones detect ketosis from starvation due to severe vomiting in hyperemesis gravidarum. Rapid plasma reagin screens for syphilis, prothrombin time assesses clotting, and urine culture checks for infection, none specific to hyperemesis.
Extract:
A client and her partner
Question 5 of 5
A nurse is teaching a client and her partner about the technique of counterpressure during labor. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: Counterpressure involves applying upward or firm pressure to the lower back or hips to relieve labor pain, especially during back labor. Pressure on the thumb, uterus, or finger is not part of this technique and could be ineffective or harmful.