ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in labor, provider performs amniotomy
Question 1 of 5
A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy. Which of the following is the priority action by the nurse following the procedure?
Correct Answer: Assessing the fetal heart rate is the priority post-amniotomy to detect cord prolapse or compression, ensuring fetal well-being.
Rationale:
Extract:
Client with pregestational type 1 diabetes mellitus
Question 2 of 5
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: Continuing insulin during nausea and vomiting ensures stable blood glucose levels, critical for maternal and fetal health, reflecting an understanding of diabetes management in pregnancy.
Rationale:
Extract:
Newborn who is 24 hr old
Question 3 of 5
A nurse is reviewing the laboratory report of a newborn who is 24 hr old. Which of the following results should the nurse report to the provider?
Correct Answer: A blood glucose level of 30 mg/dL is significantly low, indicating hypoglycemia, which requires immediate reporting to prevent neurologic complications in the newborn.
Rationale:
Extract:
Client in prolonged labor with severe backache
Question 4 of 5
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify?
Correct Answer: Persistent occiput posterior position causes prolonged labor and severe backache due to the fetal head pressing against the maternal sacrum.
Rationale:
Extract:
Client at 30 weeks of gestation, routine prenatal visit
Question 5 of 5
A nurse is caring for a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: Facial swelling may indicate preeclampsia, a serious condition requiring immediate reporting, unlike common pregnancy findings like varicose veins or mild edema.
Rationale: