ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is at 30 weeks of gestation and is 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. Which of the following manifestations should the nurse recognize as an adverse reaction to the medication?
Correct Answer: B
Rationale: Urine output of 20 mL/hr suggests magnesium toxicity, impairing renal function. Hypertension is from preeclampsia, hyperglycemia isn't related, and 16/min respiratory rate is normal.
Extract:
A client who is at 38 weeks of gestation and has a history of two spontaneous abortions
Question 2 of 5
A nurse is providing teaching to a client who is at 38 weeks of gestation and has a history of two spontaneous abortions. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Tracking fetal movements daily monitors fetal well-being, crucial with a history of spontaneous abortions. Fluid restriction, expecting nausea, or avoiding intercourse lack evidence in this context.
Extract:
A client in active labor, contractions started 1 hr ago, 80% effaced, 8 cm dilated
Question 3 of 5
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr. ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: C
Rationale: Rapid labor and advanced dilation increase the risk of postpartum hemorrhage due to potential uterine atony. Hyperemesis gravidarum occurs early, ectopic pregnancy is ruled out by labor, and incompetent cervix causes preterm issues, not hemorrhage.
Extract:
A client who is at 37 weeks of gestation and has suspected intrauterine growth restriction
Question 4 of 5
A nurse is reviewing the medical record of a client who is at 37 weeks of gestation and has suspected intrauterine growth restriction. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A biophysical profile assesses fetal well-being in suspected IUGR. Oxygen isn't indicated, vaginal exams don't assess IUGR, and betamethasone is for preterm lung maturity.
Extract:
Question 5 of 5
A charge nurse is teaching a newly licensed nurse about Rho(D) immune globulin administration. Which of the following should the charge nurse include as an indication for the administration of Rho(D) immune globulin?
Correct Answer: C
Rationale: Amniocentesis risks fetal-maternal hemorrhage, necessitating Rho(
D) immune globulin in Rh-negative mothers to prevent isoimmunization.