ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: FHR 152/min. At 18 weeks gestation, the fetus's heart rate is typically around 140-160 beats per minute. This finding indicates normal fetal well-being. Deep tendon reflexes being 4+ (choice
A) is not relevant to gestational age assessment. Fundal height of 14 cm (choice
B) is too low for 18 weeks gestation. A blood pressure of 142/94 mm Hg (choice
C) is elevated for pregnancy and indicates hypertension.
Therefore, the correct answer is D.
Question 2 of 5
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: FHR 152/min. At 18 weeks gestation, the fetus's heart rate is typically around 140-160 beats per minute. This finding indicates normal fetal well-being. Deep tendon reflexes being 4+ (choice
A) is not relevant to gestational age assessment. Fundal height of 14 cm (choice
B) is too low for 18 weeks gestation. A blood pressure of 142/94 mm Hg (choice
C) is elevated for pregnancy and indicates hypertension.
Therefore, the correct answer is D.
Question 3 of 5
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply.)
Correct Answer: A, B, D
Rationale: The correct answer is A, B, D. Cholecystitis is a contraindication due to an increased risk of gallbladder disease with oral contraceptive use. Hypertension is a contraindication because estrogen in oral contraceptives can exacerbate hypertension. Migraine headaches with aura are a contraindication due to an increased risk of stroke. Human papillomavirus and anxiety disorder are not contraindications for oral contraceptives.
Question 4 of 5
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B. Epigastric pain in a pregnant woman at 34 weeks could indicate a serious condition like pre-eclampsia, which requires immediate attention to prevent complications for both the mother and the baby. Gestational diabetes with a fasting blood glucose level of 120 mg/dL, as in choice A, is concerning but can be managed with appropriate interventions and monitoring.
Choice C's client with an Hgb of 10.4 g/dL is below the normal range but not an immediate priority unless there are symptoms of severe anemia.
Choice D's client at 39 weeks with urinary symptoms may indicate a urinary tract infection, which is important but not as urgent as potential pre-eclampsia.
Question 5 of 5
A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: You should take the medication within 72 hours following unprotected sexual intercourse. Levonorgestrel is most effective when taken within 72 hours of unprotected sex to prevent pregnancy. It works by preventing ovulation or fertilization.
Choice B is incorrect because levonorgestrel can be used even if the individual is on oral contraceptives.
Choice C is incorrect because a missed period does not necessarily indicate pregnancy.
Choice D is incorrect because levonorgestrel is only effective for a short period after taking it.