ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A newborn who has neonatal abstinence syndrome
Question 1 of 5
A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Minimizing handling reduces stimulation in NAS, easing withdrawal symptoms. Extended legs, eye contact, and larger feedings may overwhelm the newborn.
Extract:
A client who practices a vegan diet, 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 good source of vitamin B2 (riboflavin) for vegans, providing about 45% of the daily requirement per cup. Raw carrots, citrus fruits, and brown rice contain minimal riboflavin, insufficient for significant intake.
Extract:
A client who has bladder distention following a vaginal birth
Question 3 of 5
A nurse is caring for a client who has bladder distention following a vaginal birth. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Assisting to the bathroom is the least invasive first step to relieve bladder distention. Catheterization is invasive, warm water may not ensure emptying, and sitz baths address perineal healing, not distention.
Extract:
A client who is in active labor, reports sudden severe lower abdominal pain, drop in blood pressure, cool skin, pallor, fetal heart rate shows prolonged bradycardia
Question 4 of 5
A nurse is caring for a client who is in active labor and reports sudden, severe lower abdominal pain. The nurse observes a drop in the client's blood pressure and notes cool skin and pallor. The fetal heart rate tracing shows prolonged bradycardia. Which of the following complications should the nurse suspect?
Correct Answer: A
Rationale: Uterine rupture matches symptoms of severe pain, hypotension, pallor, and fetal bradycardia. Other complications have different presentations.
Extract:
A client who is postpartum and has a boggy uterus with heavy lochia
Question 5 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.