ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is at 35 weeks of gestation and has diabetes mellitus, undergoing a nonstress test with no accelerations for 20 minutes
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 minutes. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Vibroacoustic stimulation provokes fetal response in a non-reactive nonstress test. Trendelenburg, vaginal exams, and Coombs test don't address the issue.
Extract:
A 20-year-old client who is at 12 weeks of gestation
Question 2 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.
Extract:
A newborn with pulse oximetry 91%, irregular respiratory rate, beginning to cough, respiratory rate 32/min
Question 3 of 5
A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?
Correct Answer: A
Rationale: Pulse oximetry of 91% suggests hypoxia, indicating a need for suctioning. Irregular rate, coughing, and 32/min rate are normal or not urgent.
Extract:
A full-term newborn upon admission to the nursery
Question 4 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: B
Rationale: Single palmar creases may indicate genetic conditions like Down syndrome and should be reported for further evaluation. Rust-stained urine, subconjunctival hemorrhage, and transient circumoral cyanosis are common in newborns and typically resolve without intervention.
Extract:
A client whose last menstrual period was August 10
Question 5 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele's Rule, which of the following is the client's estimated date of delivery?
Correct Answer: C
Rationale: Using Nägele's Rule: August 10 minus 3 months is May 10, plus 7 days is May 17.