ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is postpartum and has a boggy uterus with heavy lochia
Question 1 of 5
A nurse is caring for a client who is postpartum and has a boggy uterus with heavy lochia. Which of the following medications should the nurse expect to administer?
Correct Answer: B
Rationale: Oxytocin promotes uterine contractions to reduce bleeding from a boggy uterus. Terbutaline and nifedipine relax the uterus, and clomiphene is for ovulation induction.
Extract:
A client who is at 36 weeks of gestation and reports decreased fetal movement
Question 2 of 5
A nurse is assessing a client who is at 36 weeks of gestation and reports decreased fetal movement. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: A nonstress test assesses fetal well-being immediately when decreased movement is reported. Auscultation is secondary, betamethasone is for lung maturity, and kick counts are preventive.
Extract:
A client who has preeclampsia and is receiving magnesium sulfate
Question 3 of 5
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?
Correct Answer: D
Rationale: Increased muscle weakness may indicate magnesium toxicity, requiring immediate reporting. Other findings are normal or positive.
Extract:
A client who is at 39 weeks of gestation and has mild preeclampsia
Question 4 of 5
A nurse is caring for a client who is at 39 weeks of gestation and has mild preeclampsia. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: B
Rationale: Fluid restriction is inappropriate for mild preeclampsia as it may worsen volume depletion. Magnesium sulfate, daily weights, and BP monitoring are standard.
Extract:
A newborn whose mother had gestational diabetes mellitus
Question 5 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: C
Rationale: Jitteriness is a common sign of hypoglycemia in newborns, especially those born to mothers with gestational diabetes. Other options have different causes.