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 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 postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn
Question 3 of 5
A nurse is providing teaching to a postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn. Which of the following instructions should the nurse give the client?
Correct Answer: D
Rationale: Maintaining scheduled mealtimes helps prevent hypoglycemia and supports milk production. More insulin may cause hypoglycemia, checking blood glucose every 8 hours is insufficient, and limiting carbs to 30 grams daily is too restrictive.
Extract:
Question 4 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 newborn immediately following birth with a large amount of mucus in the mouth and nose
Question 5 of 5
A nurse is caring for a newborn immediately following birth and notes a large amount of mucus in the newborn's mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe.
Correct Answer: A,B,D,C
Rationale: Correct sequence: Compress the bulb (
A), suction mouth first (
B), then nose (
D), and assess for bradycardia (
C) to monitor for vagal stimulation.