ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client at 35 weeks of gestation undergoing a nonstress test
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: A
Rationale: Three uterine contractions in 20 minutes may indicate preterm labor, requiring immediate intervention to assess for signs like pelvic pressure or vaginal discharge and to prepare for possible tocolytic therapy.
Extract:
Postpartum client with vital signs: temperature 37° C (98.6° F), pulse 78/min, respiratory rate 12/min, blood pressure 124/80 mm Hg, pulse oximetry 100%
Question 2 of 5
A nurse is assessing a postpartum client during a follow-up visit. The nurse is teaching the client about postpartum depression. The nurse should encourage the client to and to help prevent postpartum depression.
Correct Answer: A,B
Rationale: Eating a well-balanced diet and exercising for 30 minutes per day can help reduce stress and improve mood by releasing endorphins, which are hormones that can help to improve mood and reduce stress, thus preventing postpartum depression.
Extract:
Four clients on an antepartum unit
Question 3 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: C
Rationale: The client with hyperemesis gravidarum and a sodium level of 110 mEq/L should be assessed first, as severe hyponatremia can lead to seizures and brain damage, requiring immediate intervention.
Extract:
Client at 12 weeks of gestation
Question 4 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: Cervical dilation at 12 weeks is a sign of cervical incompetence and indicates an imminent spontaneous abortion, requiring immediate reporting to the provider.
Extract:
Client with bladder distention post vaginal birth
Question 5 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: B
Rationale: Pouring warm water over the perineum is a non-invasive first step to promote relaxation and urination, reducing bladder distention without the risks of catheterization.