ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client with preeclampsia receiving magnesium sulfate
Question 1 of 5
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?
Correct Answer: C
Rationale: Increased muscle weakness may indicate magnesium sulfate toxicity, which can lead to serious complications like respiratory depression, and should be reported immediately.
Extract:
Newborn 1 hour old with respiratory rate 50/min, heart rate 130/min, axillary temperature 36.1° C (97° F)
Question 2 of 5
A nurse is caring for a newborn who is 1 hour old and has a respiratory rate of 50/min, a heart rate of 130/min, and an axillary temperature of 36.1° C (97° F). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying a cap to the newborn's head helps conserve heat in a mildly hypothermic newborn (36.1°
C), supporting thermal regulation in the first hours after birth.
Extract:
Client at 12 weeks of gestation
Question 3 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: Cervical dilation at 12 weeks is a sign of cervical incompetence and indicates an imminent spontaneous abortion, requiring immediate reporting to the provider.
Extract:
Full-term newborn upon admission to nursery
Question 4 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: C
Rationale: A single palmar crease may be associated with chromosomal disorders like Down syndrome, requiring further evaluation and reporting to the provider.
Extract:
Client receiving dinoprostone insert to induce labor
Question 5 of 5
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Verifying informed consent ensures the client understands the procedure's risks and benefits, a critical step before administering dinoprostone for labor induction.