ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
Question 1 of 5
A nurse is developing an educational program about hemolytic disease in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?
Correct Answer: D
Rationale: Hemolytic disease occurs when an Rh-negative mother carries an Rh-positive fetus, risking antibody production against fetal red blood cells.
Extract:
A client who is at 12 weeks of gestation
Question 2 of 5
A nurse is assessing a client who is at 12 weeks of gestation. The nurse should report which of the following findings to the provider as an indication of an imminent spontaneous abortion?
Correct Answer: A
Rationale: A dilated cervix indicates that abortion is inevitable. Slight abdominal cramps and scant bright red spotting are common in early pregnancy and not necessarily indicative of miscarriage unless severe or heavy. Elevated hCG is normal in early pregnancy and does not suggest an imminent spontaneous abortion.
Extract:
A client who had a vaginal delivery 3 hr ago
Question 3 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.
Extract:
A client who is at 32 weeks of gestation and has gestational diabetes mellitus
Question 4 of 5
A nurse is providing teaching to a client who is at 32 weeks of gestation and has gestational diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Checking blood glucose 1 hr after meals monitors postprandial levels, key in gestational diabetes. Calorie reduction to 800 is unsafe, 15% carbs is too low, and oral hypoglycemics are rarely used.
Extract:
A 20-year-old client who is at 12 weeks of gestation
Question 5 of 5
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Amniocentesis is primarily for detecting genetic or congenital disorders, not just fetal sex. It can't be scheduled same-day, isn't restricted to age 35+, and chorionic villus sampling isn't a substitute.