ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is at 32 weeks of gestation
Question 1 of 5
A nurse is providing teaching to a client who is at 32 weeks of gestation. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Weekly blood pressure checks help detect preeclampsia early. Ibuprofen is unsafe, frequent urination is needed, and back sleeping risks aortocaval compression.
Extract:
A client who has maternal hypotension following the placement of an epidural
Question 2 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:
Question 3 of 5
A nurse is developing an educational program about hemolytic disease in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?
Correct Answer: D
Rationale: Hemolytic disease occurs when an Rh-negative mother carries an Rh-positive fetus, risking antibody production against fetal red blood cells.
Extract:
A newborn who is 1 hour old, respiratory rate 50/min, heart rate 130/min, axillary temperature 36.1°C (97°F)
Question 4 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 in her second trimester of pregnancy with a 2-year-old child
Question 5 of 5
A nurse in a clinic is caring for a client who is in her second trimester of pregnancy. The client expresses concern about preparing her 2-year-old child for a new sibling. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: Moving the toddler to a new bed early prevents associating the change with the baby's arrival, easing transition. Other options may cause jealousy or exclusion.