ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is postpartum and experiencing hypovolemic shock
Question 1 of 5
A nurse is caring for a client who is postpartum and experiencing hypovolemic shock. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Hypovolemic shock causes cool, clammy skin due to poor perfusion. Urinary output drops below 30 mL/hr, pulses weaken, and respiratory rate increases above 18/min.
Extract:
A client who is in active labor and has gonorrhea
Question 2 of 5
A nurse is caring for a client who is in active labor and has gonorrhea. For which of the following potential complications of gonorrhea should the nurse monitor?
Correct Answer: A
Rationale: Gonorrhea increases risk of chorioamnionitis, an infection of the amniotic sac. Vaginal lacerations, oligohydramnios, and excessive bleeding are not directly linked to gonorrhea.
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 3 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 4 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.
Extract:
A client who is at 12 weeks of gestation, family history of breast cancer and heart disease, penicillin allergy, multiple sexual partners
Question 5 of 5
A nurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Maternal serum alpha-fetoprotein at 12-20 weeks screens for neural tube defects. Rubella vaccine is contraindicated, ceftriaxone and blood culture are unwarranted without infection signs.