ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client at 35 weeks of gestation with diabetes mellitus undergoing nonstress test
Question 1 of 5
A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes mellitus. The test reveals no accelerations of fetal heart rate for 20 min. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Vibroacoustic stimulation is used to elicit fetal movement and heart rate accelerations, helping assess fetal well-being when a nonstress test is non-reactive.
Extract:
Client practicing vegan diet during pregnancy
Question 2 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: Fortified soy milk is a good source of vitamin B12 for vegans, unlike brown rice, citrus fruits, or carrots, which do not contain significant amounts of B12.
Extract:
Newborn with leaking myelomeningocele
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: Administering broad-spectrum antibiotics prevents infection through the leaking myelomeningocele, a priority to protect the newborn from meningitis.
Extract:
Client receiving dinoprostone insert to induce labor
Question 4 of 5
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Verifying informed consent ensures the client understands the procedure's risks and benefits, a critical step before administering dinoprostone for labor induction.
Extract:
Client with preeclampsia receiving magnesium sulfate
Question 5 of 5
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?
Correct Answer: C
Rationale: Increased muscle weakness may indicate magnesium sulfate toxicity, which can lead to serious complications like respiratory depression, and should be reported immediately.