ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is in labor
Question 1 of 5
A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: A
Rationale: An urge to have a bowel movement may indicate the transition phase and imminent delivery, prompting reassessment. Excitement, flushed skin, sacral discomfort, and intense contractions are normal in labor.
Extract:
A client whose last menstrual period was August 10
Question 2 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:
A client who is at 35 weeks of gestation and has diabetes mellitus, undergoing a nonstress test with no accelerations for 20 minutes
Question 3 of 5
A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes mellitus. The test reveals no accelerations of fetal heart rate for 20 minutes. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Vibroacoustic stimulation provokes fetal response in a non-reactive nonstress test. Trendelenburg, vaginal exams, and Coombs test don't address the issue.
Extract:
A client who is at 12 weeks of gestation
Question 4 of 5
A nurse is assessing a client who is at 12 weeks of gestation. The nurse should report which of the following findings to the provider as an indication of an imminent spontaneous abortion?
Correct Answer: A
Rationale: A dilated cervix indicates that abortion is inevitable. Slight abdominal cramps and scant bright red spotting are common in early pregnancy and not necessarily indicative of miscarriage unless severe or heavy. Elevated hCG is normal in early pregnancy and does not suggest an imminent spontaneous abortion.
Extract:
A client who is at 20 weeks of gestation and has type 1 diabetes mellitus
Question 5 of 5
A nurse is reviewing the laboratory results of a client who is at 20 weeks of gestation and has type 1 diabetes mellitus. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Elevated BUN (25 mg/dL) suggests renal issues, concerning in diabetes. Platelets, HbA1c, and Hct are normal.