ATI RN
ATI RN maternal Newborn 2019 with NGN 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. The nurse should recognize which of the following manifestations as an adverse reaction to the medication?
Correct Answer: C
Rationale: Urine output of 20 mL/hr suggests magnesium toxicity, risking renal impairment, and should be reported. Hypertension is from preeclampsia, 16/min respiratory rate is normal, and hyperglycemia is not a magnesium sulfate side effect.
Extract:
A client who has placenta previa
Question 2 of 5
A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Painless vaginal bleeding is the hallmark of placenta previa due to the placenta covering the cervix. Headaches, hypertonicity, or a rigid abdomen are more associated with other conditions like preeclampsia or abruption.
Extract:
A client who has hyperemesis gravidarum
Question 3 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 who is receiving prenatal care and is at her 24-week appointment
Question 4 of 5
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Correct Answer: D
Rationale: A one-hour glucose tolerance test screens for gestational diabetes at 24-28 weeks. Group B strep is tested at 35-37 weeks, rubella titer and blood type/Rh are done early in pregnancy.
Extract:
A client who is receiving medroxyprogesterone IM for contraception
Question 5 of 5
A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Increasing calcium intake counters bone density loss from medroxyprogesterone. Spotting is common, injections are every 3 months, and only one shot is given per dose.