ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client undergoing indirect Coombs' test
Question 1 of 5
A nurse is providing teaching to a client about the purpose of her upcoming indirect Coombs' test. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The indirect Coombs' test detects Rh-positive antibodies in the mother's blood, which can cause hemolytic disease of the newborn in Rh-positive fetuses.
Extract:
Client at 20 weeks of gestation with type 1 diabetes mellitus
Question 2 of 5
A nurse is reviewing the laboratory results of a client who is at 20 weeks of gestation and has type 1 diabetes mellitus. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A BUN of 25 mg/dL is elevated (normal 7-20 mg/dL) and may indicate renal impairment, which is concerning in a pregnant client with type 1 diabetes and should be reported.
Extract:
Antepartum client reporting constipation
Question 3 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: A
Rationale: Lentils have the highest fiber content, providing approximately 15.6 grams per cup, compared to oatmeal (4 grams), cabbage (2.6 grams), and asparagus (3.6 grams), making them the best choice for managing constipation.
Extract:
Client at 39 weeks of gestation with fetus in left occipitoanterior position
Question 4 of 5
A nurse is assessing a client who is at 39 weeks of gestation and determines that the fetus is in a left occipitoanterior position. On which of the following sites should the nurse place the external fetal monitor to hear the point of maximum impulse of the fetal heart rate?
Correct Answer: C
Rationale: In the left occipitoanterior position, the fetal back is on the left side of the maternal abdomen, and the heart sounds are best heard in the left lower quadrant, where the fetal heart is closest.
Extract:
Client at 8 weeks of gestation with ectopic pregnancy
Question 5 of 5
A nurse is caring for a client who is at 8 weeks of gestation and has an ectopic pregnancy. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Sharp pelvic pain is a classic sign of ectopic pregnancy, caused by stretching or rupture of the fallopian tube where the embryo is implanted.