ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is receiving oxytocin and has uterine atony
Question 1 of 5
A nurse is caring for a client who is receiving oxytocin and has uterine atony. Which of the following medications should the nurse anticipate the use of next?
Correct Answer: A
Rationale: Methylergonovine is used for uterine atony unresponsive to oxytocin, promoting contractions. Terbutaline and nifedipine relax the uterus, and hydralazine treats hypertension.
Extract:
A newborn who is 1 hour old, respiratory rate 50/min, heart rate 130/min, axillary temperature 36.1°C (97°F)
Question 2 of 5
A nurse is caring for a newborn who is 1 hour old and has a respiratory rate of 50/min, a heart rate of 130/min, and an axillary temperature of 36.1°C (97°F). Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Applying a cap prevents heat loss from the head, addressing the risk of hypothermia at 36.1°C. Bathing increases heat loss, repositioning is insufficient, and oxygen saturation isn't directly related to temperature.
Extract:
A client who is 6 hours postpartum and has endometritis
Question 3 of 5
A nurse is assessing a client who is 6 hours postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Uterine tenderness is a hallmark of endometritis. Normal temperature, scant lochia, and normal WBC don't align with infection.
Extract:
A client who is at 12 weeks of gestation
Question 4 of 5
A nurse is assessing a client who is at 12 weeks of gestation. The nurse should report which of the following findings to the provider as an indication of an imminent spontaneous abortion?
Correct Answer: A
Rationale: A dilated cervix indicates that abortion is inevitable. Slight abdominal cramps and scant bright red spotting are common in early pregnancy and not necessarily indicative of miscarriage unless severe or heavy. Elevated hCG is normal in early pregnancy and does not suggest an imminent spontaneous abortion.
Extract:
A postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn
Question 5 of 5
A nurse is providing teaching to a postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn. Which of the following instructions should the nurse give the client?
Correct Answer: D
Rationale: Maintaining scheduled mealtimes helps prevent hypoglycemia and supports milk production. More insulin may cause hypoglycemia, checking blood glucose every 8 hours is insufficient, and limiting carbs to 30 grams daily is too restrictive.