ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is undergoing a nonstress test at 35 weeks of gestation
Question 1 of 5
A nurse is monitoring a client who is undergoing a nonstress test at 35 weeks of gestation. Which of the following findings requires intervention by the nurse?
Correct Answer: C
Rationale: Three contractions in 20 minutes suggest preterm labor, requiring intervention. One acceleration needs more monitoring, short contractions are normal, and a 20-beat peak is reassuring.
Extract:
A client who is at 20 weeks of gestation and has type 1 diabetes mellitus
Question 2 of 5
A nurse is reviewing the laboratory results of a client who is at 20 weeks of gestation and has type 1 diabetes mellitus. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Elevated BUN (25 mg/dL) suggests renal issues, concerning in diabetes. Platelets, HbA1c, and Hct are normal.
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 3 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Antibiotics prevent infection from CSF leakage. Povidone-iodine is harmful, surgery is urgent, and rectal temperature risks complications.
Extract:
A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L, a client with preeclampsia and creatinine 1.1 mg/dL, a client with diabetes mellitus and HbA1C 5.8%, a client with placenta previa and hematocrit 35%
Question 4 of 5
A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: Severe hyponatremia (110 mEq/L) risks neurological complications, requiring urgent assessment. Other conditions are less immediately threatening.
Extract:
A client at 34 weeks of gestation with epigastric pain and headache, a client at 12 weeks with nausea, a client at 38 weeks with painful urination, a client at 39 weeks with cramping and spotting
Question 5 of 5
A nurse on an antepartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: Epigastric pain and headache suggest preeclampsia, a serious condition needing immediate assessment. Other symptoms are less urgent.