ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion
Question 1 of 5
A nurse is caring for a client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy?
Correct Answer: B
Rationale: Monitoring serum magnesium levels prevents toxicity during tocolytic therapy. Coombs test, liver enzymes, and uric acid are unrelated to magnesium sulfate management.
Extract:
None
Question 2 of 5
A nurse is discussing risk factors of postpartum hemorrhage with a newly licensed nurse. Which of the following conditions is a risk factor for postpartum hemorrhage that the nurse should include in the teaching?
Correct Answer: C
Rationale: Retained placental fragments prevent uterine contraction, leading to excessive bleeding, a primary cause of postpartum hemorrhage. Pregnancy-induced hypertension, meconium-stained fluid, and oligohydramnios are not direct risk factors for postpartum hemorrhage.
Extract:
A client following a vaginal delivery of a term fetal demise
Question 3 of 5
A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Offering to bathe and dress the baby respects the client's grieving process. Suggesting naming, holding, or future pregnancies may impose assumptions and cause distress.
Extract:
A client who is pregnant and follows a vegan diet
Question 4 of 5
A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium?
Correct Answer: A
Rationale: Cooked broccoli provides significant calcium for vegans (~60 mg/cup). Bananas, avocados, and potatoes have minimal calcium.
Extract:
Four clients, each two hours post-birth
Question 5 of 5
After completing post anesthesia recovery assessments, the registered nurse (RN) asks the practical nurse (PN) to transfer four clients, each two hours post-birth, to the postpartum unit. Which client should the PN ask the RN to reassess prior to transfer?
Correct Answer: A
Rationale: This client should be reassessed by the RN prior to transfer, as worsening perineal pain may indicate a hematoma, infection, or inadequate pain management. The RN should inspect the perineum, check the vital signs, and evaluate the effectiveness of the medication. A multigravida whose peri-pad is 1/4 saturated with lochia rubra after one hour is normal, strong afterbirth pains during breastfeeding are expected in multiparous women, and a small clot is typical without excessive bleeding.