ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
Preparing to collect a blood specimen from a newborn via a heel stick
Question 1 of 5
A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Identify the sequence of steps the nurse should follow.
Correct Answer: A,E,B,C,D
Rationale: Correct sequence: confirm identity, warm heel (improves flow), cleanse site, pierce heel, apply pressure to collect blood, ensuring safety and accuracy.
Extract:
A client in her first trimester of pregnancy
Question 2 of 5
A nurse is planning to reinforce nutritional teaching with a client who is in her first trimester of pregnancy. The nurse should recommend an increase in which of the following nutrients to support an increase in maternal blood volume during pregnancy?
Correct Answer: C
Rationale: Iron supports hemoglobin production for increased blood volume, unlike calcium (bones), vitamin E (antioxidant), or vitamin D (calcium absorption).
Extract:
A client receiving terbutaline for preterm labor
Question 3 of 5
A nurse is collecting data from a client who is receiving terbutaline to treat preterm labor. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Crackles suggest pulmonary edema, a serious terbutaline side effect, requiring urgent reporting, unlike common side effects like dizziness, nausea, or tremors.
Extract:
Four clients in a prenatal clinic
Question 4 of 5
A nurse in a prenatal clinic is collecting data from four clients. Which of the following findings is the nurse's priority to report to the provider?
Correct Answer: A
Rationale: Dysuria suggests a UTI, which can cause pregnancy complications if untreated, prioritizing it over common varicose veins, gingivitis, or leukorrhea.
Extract:
A client requesting a prescription for a transdermal contraceptive patch
Question 5 of 5
A nurse in a provider's office is collecting data from a client who is requesting a prescription for a transdermal contraceptive patch. The nurse should recognize which of the following client findings is a contraindication for this method of contraception?
Correct Answer: C
Rationale: A weight of 98 kg (BMI likely over 30) reduces the efficacy of the transdermal contraceptive patch, making it a contraindication, unlike normal BP, peptic ulcer disease, or past miscarriage.