ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
A client who is postpartum with excessive vaginal bleeding and a boggy uterus
Question 1 of 5
A nurse is caring for a client who is postpartum. The client is experiencing excessive vaginal bleeding and has a boggy uterus. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Fundal massage is the first action to address uterine atony, which causes a boggy uterus and bleeding, by promoting contraction, before medications, bladder emptying, or oxygen.
Extract:
A client in the first trimester of pregnancy
Question 2 of 5
A nurse is reinforcing teaching with a client about how to minimize nausea in the first trimester of pregnancy. Which of the following instructions should the nurse give to the client?
Correct Answer: D
Rationale: Eating dry toast before rising stabilizes the stomach, reducing morning sickness, unlike high-fat snacks (worsen nausea), limiting snacks (increases nausea), or water with meals (less effective).
Extract:
A client receiving epidural anesthesia
Question 3 of 5
A nurse is collecting data from a client who is receiving epidural anesthesia. Which of the following findings indicates an adverse effect of this method of pain management?
Correct Answer: C
Rationale: Tachypnea may indicate high epidural spread affecting respiratory muscles, a serious adverse effect, unlike tachycardia, fever, or hypertension, which are less specific.
Extract:
A client who is at 20 weeks of gestation with a low calcium level
Question 4 of 5
A nurse in a prenatal clinic is reinforcing teaching with a client who is at 20 weeks of gestation and has a low calcium level. Which of the following foods should the nurse recommend the client increase in her diet?
Correct Answer: A
Rationale: Yogurt is high in calcium, addressing deficiency, unlike avocados, peanut butter, or rice, which have minimal calcium content.
Extract:
A client with an unruptured ectopic pregnancy at 8 weeks of gestation
Question 5 of 5
A nurse is assisting in the care of a client who is experiencing an unruptured ectopic pregnancy that is at 8 weeks of gestation. Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: Methotrexate stops trophoblastic growth in early ectopic pregnancy, unlike terbutaline (preterm labor), magnesium (preeclampsia), or calcium (magnesium toxicity).