ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A newborn with pulse oximetry 91%, irregular respiratory rate, beginning to cough, respiratory rate 32/min
Question 1 of 5
A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?
Correct Answer: A
Rationale: Pulse oximetry of 91% suggests hypoxia, indicating a need for suctioning. Irregular rate, coughing, and 32/min rate are normal or not urgent.
Extract:
A client who has maternal hypotension following the placement of an epidural
Question 2 of 5
A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A bolus of lactated Ringer's increases intravascular volume to counter hypotension. Oxygen at 2 L/min is ineffective, knee-chest position may worsen uterine blood flow, and terbutaline is for preterm labor, not hypotension.
Extract:
A client who has pelvic inflammatory disease and weighs 132 lb
Question 3 of 5
A nurse is preparing to administer gentamicin 2 mg/kg IM to a client who has pelvic inflammatory disease and weighs 132 lb. Available is gentamicin injection 40 mg/mL. How many mL should the nurse administer?
Correct Answer: C
Rationale: The client's weight is 59.8752 kg (132 lb × 0.4536). Dose is 2 mg/kg × 59.8752 = 119.7504 mg. Volume is 119.7504 mg ÷ 40 mg/mL = 2.99376 mL, rounded to 3 mL.
Extract:
A client who is at 38 weeks of gestation and has a history of two spontaneous abortions
Question 4 of 5
A nurse is providing teaching to a client who is at 38 weeks of gestation and has a history of two spontaneous abortions. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Tracking fetal movements daily monitors fetal well-being, crucial with a history of spontaneous abortions. Fluid restriction, expecting nausea, or avoiding intercourse lack evidence in this context.
Extract:
A client who had a vaginal delivery 3 hr ago
Question 5 of 5
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: A,D,E
Rationale: History of uterine atony, labor induction with oxytocin, and vacuum-assisted delivery increase the risk of postpartum hemorrhage due to uterine fatigue or trauma. Human papillomavirus does not affect uterine bleeding risk, and a newborn weight of 2.948 kg is normal and not a risk factor.