ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is at 34 weeks of gestation and has a positive contraction stress test
Question 1 of 5
A nurse is caring for a client who is at 34 weeks of gestation and has a positive contraction stress test. The nurse should expect which of the following interventions?
Correct Answer: A
Rationale: A positive contraction stress test indicates fetal compromise, often requiring cesarean birth. Nifedipine stops contractions, IV fluids don't address fetal distress, and delaying with a nonstress test is inappropriate.
Extract:
A client who has preeclampsia during a prenatal visit
Question 2 of 5
A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Urine protein of 3+ indicates preeclampsia severity, requiring reporting. Normal reflexes, glucose, and hemoglobin don't need urgent attention.
Extract:
A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L, a client with preeclampsia and creatinine 1.1 mg/dL, a client with diabetes mellitus and HbA1C 5.8%, a client with placenta previa and hematocrit 35%
Question 3 of 5
A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: Severe hyponatremia (110 mEq/L) risks neurological complications, requiring urgent assessment. Other conditions are less immediately threatening.
Extract:
A client who has maternal hypotension following the placement of an epidural
Question 4 of 5
A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A bolus of lactated Ringer's increases intravascular volume to counter hypotension. Oxygen at 2 L/min is ineffective, knee-chest position may worsen uterine blood flow, and terbutaline is for preterm labor, not hypotension.
Extract:
A client who is receiving oxytocin and has uterine atony
Question 5 of 5
A nurse is caring for a client who is receiving oxytocin and has uterine atony. Which of the following medications should the nurse anticipate the use of next?
Correct Answer: A
Rationale: Methylergonovine is used for uterine atony unresponsive to oxytocin, promoting contractions. Terbutaline and nifedipine relax the uterus, and hydralazine treats hypertension.