ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is at 38 weeks of gestation and has a history of two spontaneous abortions
Question 1 of 5
A nurse is providing teaching to a client who is at 38 weeks of gestation and has a history of two spontaneous abortions. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Tracking fetal movements daily monitors fetal well-being, crucial with a history of spontaneous abortions. Fluid restriction, expecting nausea, or avoiding intercourse lack evidence in this context.
Extract:
A client who has preeclampsia and is receiving magnesium sulfate
Question 2 of 5
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?
Correct Answer: D
Rationale: Increased muscle weakness may indicate magnesium toxicity, requiring immediate reporting. Other findings are normal or positive.
Extract:
A client who is at 8 weeks of gestation and has an ectopic pregnancy
Question 3 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: B
Rationale: Sharp pelvic pain is the hallmark of ectopic pregnancy due to tubal stretching or rupture. Elevated blood pressure, bright red discharge, and scaphoid abdomen are not typical.
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 newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 5 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Antibiotics prevent infection from CSF leakage. Povidone-iodine is harmful, surgery is urgent, and rectal temperature risks complications.