ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is receiving prenatal care and is at her 24-week appointment
Question 1 of 5
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Correct Answer: D
Rationale: A one-hour glucose tolerance test screens for gestational diabetes at 24-28 weeks. Group B strep is tested at 35-37 weeks, rubella titer and blood type/Rh are done early in pregnancy.
Extract:
A client who practices a vegan diet and is trying to increase intake of vitamin B2
Question 2 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B2. Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: Fortified soy milk is a rich vegan source of vitamin B2 (riboflavin). Brown rice, carrots, and citrus fruits have negligible amounts.
Extract:
A client who reports that the first day of her last menstrual cycle was July 28th
Question 3 of 5
A nurse is using Nägele's Rule to calculate the expected delivery date of a client who reports that the first day of her last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client's expected delivery date?
Correct Answer: B
Rationale: Nägele's Rule: July 28 plus 7 days is August 4, minus 3 months is May 4, plus 1 year is May 5. Other dates are incorrect.
Extract:
A client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion
Question 4 of 5
A nurse is caring for a client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy?
Correct Answer: B
Rationale: Monitoring serum magnesium levels prevents toxicity during tocolytic therapy. Coombs test, liver enzymes, and uric acid are unrelated to magnesium sulfate management.
Extract:
A postpartum client who has a prescription for a rubella immunization
Question 5 of 5
A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization. Which of the following client statements indicates understanding of the teaching?
Correct Answer: C
Rationale: Avoiding pregnancy for 1 month post-rubella vaccine prevents fetal harm from the live virus. It's a single dose, joint pain is common, and breastfeeding is safe.