ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is in active labor, administered butorphanol IV bolus for pain
Question 1 of 5
A nurse is caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain. Which of the following findings should the nurse report to the provider following this medication?
Correct Answer: B
Rationale: Butorphanol can cause respiratory depression, and a respiratory rate of 10/min is below the normal range of 12 to 20 breaths per minute, indicating a need to report. Urinary output of 120 mL in 2 hr is normal, moderate fetal heart rate variability is reassuring, and blood pressure of 136/88 mm Hg is slightly elevated but not an immediate concern related to butorphanol.
Extract:
A client who is at 36 weeks of gestation and reports decreased fetal movement
Question 2 of 5
A nurse is assessing a client who is at 36 weeks of gestation and reports decreased fetal movement. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: A nonstress test assesses fetal well-being immediately when decreased movement is reported. Auscultation is secondary, betamethasone is for lung maturity, and kick counts are preventive.
Extract:
A prenatal client
Question 3 of 5
A nurse is teaching a prenatal client about listeriosis and dietary modifications during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Grilled chicken is safe as it's cooked, unlike hot dogs, seafood salad, or soft cheese, which risk Listeria contamination.
Extract:
A client whose last menstrual period was August 10
Question 4 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele's Rule, which of the following is the client's estimated date of delivery?
Correct Answer: C
Rationale: Using Nägele's Rule: August 10 minus 3 months is May 10, plus 7 days is May 17.
Extract:
Question 5 of 5
A charge nurse is teaching a newly licensed nurse about Rho(D) immune globulin administration. Which of the following should the charge nurse include as an indication for the administration of Rho(D) immune globulin?
Correct Answer: C
Rationale: Amniocentesis risks fetal-maternal hemorrhage, necessitating Rho(
D) immune globulin in Rh-negative mothers to prevent isoimmunization.