ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A newborn who has exstrophy of the bladder
Question 1 of 5
A nurse is caring for a newborn who has exstrophy of the bladder. Which of the following actions should the nurse take prior to the beginning of surgical correction?
Correct Answer: C
Rationale: Covering the bladder with a sterile, non-adherent dressing protects the exposed tissue. Fluid restriction is unnecessary, side-lying doesn't help, and pressure risks damage.
Extract:
A client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion
Question 2 of 5
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Absent deep-tendon reflexes indicate magnesium toxicity, requiring immediate reporting. Decreased contractions are expected, 35 mL/hr urine is normal, and elevated BP is from preeclampsia.
Extract:
A client who is receiving prenatal care and is at her 24-week appointment
Question 3 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 is primigravid and is scheduled to have an abdominal ultrasound
Question 4 of 5
A nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: A full bladder improves visualization in early pregnancy ultrasounds. Fasting, avoiding lotion, or stool softeners are not required.
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 5 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.