ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client at 39 weeks of gestation in active labor
Question 1 of 5
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline. The nurse should suspect that the fetus is in which of the following positions?
Correct Answer: Fetal heart tones above the umbilicus at midline suggest a frank breech position, where the buttocks are the presenting part.
Rationale:
Extract:
Newborn transferred to nursery 30 min after birth with mild respiratory distress
Question 2 of 5
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first?
Correct Answer: Verifying the newborn's identification is the first priority to ensure interventions are performed on the correct infant, critical in a distress situation.
Rationale:
Extract:
Client at 24 weeks of gestation, preparing for a 1-hr glucose tolerance test
Question 3 of 5
A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose tolerance test. Which of the following statements should the nurse include in the teaching?
Correct Answer: A blood glucose level of 130 to 140 mg/dL is considered a positive screening result for the 1-hour glucose tolerance test, indicating the need for further testing to diagnose gestational diabetes.
Rationale:
Extract:
Client at 42 weeks of gestation, induction of labor, fetal heart rate 140 to 145/min, moderate variability, rare contractions, oxytocin at 11 mu/min
Question 4 of 5
Based on the assessment findings, which of the following actions should the nurse plan to take? Click to specify whether the nurse's planned actions are anticipated, nonessential, or contraindicated.
| Action | Anticipated | Nonessemtial | Contraindicated |
|---|---|---|---|
| Increase the oxytocin infusion to 13 mu/min | |||
| Place client in a side-lying position | |||
| Initiate bolus of primary IV fluids | |||
| Apply oxygen at 10 L/min via venturi mask | |||
| Perform sterile vaginal examination (SVE) | |||
| Assign a Bishop score | |||
| A,B,C,D |
Correct Answer: Increasing oxytocin, side-lying position, IV fluid bolus, and oxygen are anticipated to support labor progress and fetal oxygenation. SVE and Bishop score are nonessential as recent cervical assessment was done.
Rationale:
Extract:
Client who is postpartum with idiopathic thrombocytopenia purpura (ITP)
Question 5 of 5
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?
Correct Answer: ITP is characterized by a decreased platelet count due to autoimmune destruction, increasing bleeding risk, which is the expected finding.
Rationale: