ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 1 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: Antibiotics prevent infection from CSF leakage. Povidone-iodine is harmful, surgery is urgent, and rectal temperature risks complications.
Extract:
A newborn with pulse oximetry 91%, irregular respiratory rate, beginning to cough, respiratory rate 32/min
Question 2 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 client whose last menstrual period was August 10
Question 3 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.
Extract:
A client at 34 weeks of gestation with epigastric pain and headache, a client at 12 weeks with nausea, a client at 38 weeks with painful urination, a client at 39 weeks with cramping and spotting
Question 4 of 5
A nurse on an antepartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: Epigastric pain and headache suggest preeclampsia, a serious condition needing immediate assessment. Other symptoms are less urgent.
Extract:
A client who is at 38 weeks of gestation and reports persistent headaches
Question 5 of 5
A nurse is assessing a client who is at 38 weeks of gestation and reports persistent headaches. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Persistent headaches may indicate preeclampsia, so checking blood pressure is the first step. Acetaminophen, urine protein, and neurological assessments follow if needed.