ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who has pelvic inflammatory disease and weighs 132 lb
Question 1 of 5
A nurse is preparing to administer gentamicin 2 mg/kg IM to a client who has pelvic inflammatory disease and weighs 132 lb. Available is gentamicin injection 40 mg/mL. How many mL should the nurse administer?
Correct Answer: C
Rationale: The client's weight is 59.8752 kg (132 lb × 0.4536). Dose is 2 mg/kg × 59.8752 = 119.7504 mg. Volume is 119.7504 mg ÷ 40 mg/mL = 2.99376 mL, rounded to 3 mL.
Extract:
A client who is at 12 weeks of gestation
Question 2 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: A dilated cervix indicates that abortion is inevitable. Slight abdominal cramps and scant bright red spotting are common in early pregnancy and not necessarily indicative of miscarriage unless severe or heavy. Elevated hCG is normal in early pregnancy and does not suggest an imminent spontaneous abortion.
Extract:
A newborn who is 1 hour old, respiratory rate 50/min, heart rate 130/min, axillary temperature 36.1°C (97°F)
Question 3 of 5
A nurse is caring for a newborn who is 1 hour old and has a respiratory rate of 50/min, a heart rate of 130/min, and an axillary temperature of 36.1°C (97°F). Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Applying a cap prevents heat loss from the head, addressing the risk of hypothermia at 36.1°C. Bathing increases heat loss, repositioning is insufficient, and oxygen saturation isn't directly related to temperature.
Extract:
A client who has maternal hypotension following the placement of an epidural
Question 4 of 5
A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A bolus of lactated Ringer's increases intravascular volume to counter hypotension. Oxygen at 2 L/min is ineffective, knee-chest position may worsen uterine blood flow, and terbutaline is for preterm labor, not hypotension.
Extract:
A client who is at 28 weeks of gestation and has a prescription for terbutaline to prevent preterm labor
Question 5 of 5
A nurse is caring for a client who is at 28 weeks of gestation and has a prescription for terbutaline to prevent preterm labor. Which of the following adverse effects should the nurse instruct the client to report?
Correct Answer: C
Rationale: Terbutaline can cause tachycardia; a heart rate over 120/min should be reported. Swollen feet, warmth, and slight cramping are not typical adverse effects requiring immediate report.