ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client at 30 weeks of gestation receiving magnesium sulfate for preeclampsia
Question 1 of 5
A nurse is caring for a client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication.
Correct Answer: D
Rationale: A urine output of 20 mL/hr indicates an adverse reaction to magnesium sulfate, as it suggests decreased renal function, which can lead to toxicity. Normal urine output should be at least 30 mL/hr.
Extract:
Client with eclampsia post-convulsion
Question 2 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:
20-year-old client at 12 weeks of gestation requesting amniocentesis
Question 3 of 5
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Amniocentesis is primarily used to detect genetic or congenital disorders, not just to determine fetal sex, and is typically performed between 15-20 weeks, so the nurse should clarify its purpose.
Extract:
Newly hired nurse learning about Apgar scoring
Question 4 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 the newborn's muscle tone is part of the Apgar scoring process, which evaluates heart rate, respiratory effort, muscle tone, reflex irritability, and color to assess the newborn's condition.
Extract:
Antepartum client reporting constipation
Question 5 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: A
Rationale: Lentils have the highest fiber content, providing approximately 15.6 grams per cup, compared to oatmeal (4 grams), cabbage (2.6 grams), and asparagus (3.6 grams), making them the best choice for managing constipation.