ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is in active labor, reports sudden severe lower abdominal pain, drop in blood pressure, cool skin, pallor, fetal heart rate shows prolonged bradycardia
Question 1 of 5
A nurse is caring for a client who is in active labor and reports sudden, severe lower abdominal pain. The nurse observes a drop in the client's blood pressure and notes cool skin and pallor. The fetal heart rate tracing shows prolonged bradycardia. Which of the following complications should the nurse suspect?
Correct Answer: A
Rationale: Uterine rupture matches symptoms of severe pain, hypotension, pallor, and fetal bradycardia. Other complications have different presentations.
Extract:
Question 2 of 5
A nurse is developing an educational program about hemolytic disease in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?
Correct Answer: D
Rationale: Hemolytic disease occurs when an Rh-negative mother carries an Rh-positive fetus, risking antibody production against fetal red blood cells.
Extract:
A client who is at 38 weeks of gestation and reports persistent headaches
Question 3 of 5
A nurse is assessing a client who is at 38 weeks of gestation and reports persistent headaches. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Persistent headaches may indicate preeclampsia, so checking blood pressure is the first step. Acetaminophen, urine protein, and neurological assessments follow if needed.
Extract:
A client who is at 34 weeks of gestation and has a positive contraction stress test
Question 4 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 is at 38 weeks of gestation and has a history of two spontaneous abortions
Question 5 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.