ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is in the latent phase of the first stage of labor and is in pain
Question 1 of 5
A nurse is caring for a client who is in the latent phase of the first stage of labor and is in pain. Which of the following nursing interventions are appropriate to reduce pain? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Counterpressure, ambulation, nitrous oxide, and sitting upright reduce pain in early labor. Leopold maneuvers assess fetal position, not pain.
Extract:
A client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous
Question 2 of 5
A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?
Correct Answer: A
Rationale: Low blood pressure (88/58 mm Hg) contraindicates terbutaline due to risk of worsening hypotension. Other findings are normal.
Extract:
A client who is at 16 weeks of gestation
Question 3 of 5
A client who is at 16 weeks of gestation asks a nurse how to prepare her toddler to have a younger sibling. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Holding the newborn during introduction minimizes toddler jealousy and fosters bonding. Time-outs, late crib transitions, or suggesting less attention may increase insecurity.
Extract:
A newborn who is 6 hours old and has a bedside glucometer reading of 65 mg/dL, mother has type 2 diabetes mellitus
Question 4 of 5
A nurse is caring for a newborn who is 6 hours old and has a bedside glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A glucose of 65 mg/dL is normal; reassessing before the next feeding monitors for hypoglycemia, common in infants of diabetic mothers. Feeding, dextrose, or serum tests are unnecessary.
Extract:
A client in active labor, contractions started 1 hr ago, 80% effaced, 8 cm dilated
Question 5 of 5
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: B
Rationale: Rapid labor increases postpartum hemorrhage risk due to potential uterine atony. Ectopic pregnancy, incompetent cervix, and hyperemesis are unrelated to active labor.