Questions 59

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ATI RN Test Bank

ATI Maternal Newborn 2020 with NGN Questions

Extract:

A term newborn who is 12 hr old


Question 1 of 5

A nurse is collecting data from a term newborn who is 12 hr old. Which of the following findings should the nurse report to the provider?

Correct Answer: B

Rationale: Grunting indicates respiratory distress, requiring immediate reporting, unlike normal abdominal breathing, respiratory rate, or irregular respirations in newborns.

Extract:

An adolescent postoperative following a cesarean birth receiving morphine


Question 2 of 5

A nurse is collecting data from an adolescent who is postoperative following a cesarean birth and is receiving morphine for pain. Which of the following findings is the nurse's priority?

Correct Answer: B

Rationale: A respiratory rate of 11/min indicates morphine-induced respiratory depression, a life-threatening priority, over urinary retention, normal BP, or blurred vision.

Extract:

A client in labor with an epidural infusion and blood pressure 80/40 mm Hg


Question 3 of 5

A nurse is assisting with the care of a client who is in labor and has an epidural infusion for pain management. The client's blood pressure is 80/40 mm Hg. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: A fluid bolus treats epidural-induced hypotension, unlike methylergonovine (hemorrhage), bladder emptying (secondary), or knee-chest position (less effective).

Extract:

A client with an unruptured ectopic pregnancy at 8 weeks of gestation


Question 4 of 5

A nurse is assisting in the care of a client who is experiencing an unruptured ectopic pregnancy that is at 8 weeks of gestation. Which of the following medications should the nurse expect the provider to prescribe?

Correct Answer: C

Rationale: Methotrexate stops trophoblastic growth in early ectopic pregnancy, unlike terbutaline (preterm labor), magnesium (preeclampsia), or calcium (magnesium toxicity).

Extract:

A client who had a vaginal delivery 1 day ago


Question 5 of 5

A nurse is caring for a client who had a vaginal delivery 1 day ago. The nurse determines that the client's fundus is firm, located 2 fingerbreadths above the umbilicus, and deviated to the left. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: A deviated, elevated fundus suggests bladder distention, so assisting the client to void is the priority to aid uterine contraction, before notifying the provider or other actions.

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