ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is at 32 weeks of gestation and has gestational diabetes mellitus
Question 1 of 5
A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A fundal height of 38 cm at 32 weeks suggests macrosomia, a complication of gestational diabetes, and should be reported. Edema, 12 fetal movements, and 90 mg/dL glucose are normal.
Extract:
A client who is at 28 weeks of gestation and has preeclampsia
Question 2 of 5
A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Magnesium sulfate is used in preeclampsia to prevent seizures (eclampsia). It doesn't stabilize fetal heart rate, improve perfusion, or increase cardiac output.
Extract:
A client who is 2 days postpartum and wants to continue using her diaphragm for contraception
Question 3 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Postpartum changes may alter diaphragm fit, requiring a refit. Oil-based lubricants damage diaphragms, sterile water is incorrect, and it should stay in for 6 hours.
Extract:
A newborn who is scheduled to start phototherapy using a lamp
Question 4 of 5
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Ensuring eyes are shielded protects from light damage during phototherapy. Glucose water, clothing, and lotion are inappropriate as they interfere with treatment or hydration.
Extract:
A newborn who was delivered with a nuchal cord
Question 5 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: A
Rationale: Facial petechiae result from pressure of a nuchal cord. Erythema toxicum, periauricular papillomas, and telangiectatic nevi are unrelated to nuchal cord.