ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is breastfeeding her newborn
Question 1 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Feeding every 3 hours supports milk supply and newborn nutrition. Water is unnecessary, 5-10 min per breast may be insufficient, and newborns typically have 6+ wet diapers daily.
Extract:
An antepartal client at 35 weeks of gestation
Question 2 of 5
A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: B
Rationale: Three contractions of 60 seconds in 10 minutes suggest preterm labor, needing further evaluation. A fetal heart rate increase, irregular short contractions, and three movements are normal findings.
Extract:
A client during her first prenatal visit, reports March 20 as her last menstrual period
Question 3 of 5
A nurse is assessing a client during her first prenatal visit. The client reports March 20 as her last menstrual period. Use Naegele's rule to calculate the estimated date of delivery.
Correct Answer: A
Rationale: Using Nägele's Rule: March 20 plus 7 days is March 27, minus 3 months is December 27 (1227). Other dates are incorrect based on the calculation.
Extract:
A client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion
Question 4 of 5
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Absent deep-tendon reflexes indicate magnesium toxicity, requiring immediate reporting. Decreased contractions are expected, 35 mL/hr urine is normal, and elevated BP is from preeclampsia.
Extract:
A client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsia
Question 5 of 5
A nurse is caring for a client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication?
Correct Answer: C
Rationale: Urine output of 20 mL/hr suggests magnesium toxicity, risking renal impairment, and should be reported. Hypertension is from preeclampsia, 16/min respiratory rate is normal, and hyperglycemia is not a magnesium sulfate side effect.