ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is at 32 weeks of gestation and has gestational diabetes mellitus
Question 1 of 5
A nurse is providing teaching to a client who is at 32 weeks of gestation and has gestational diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Checking blood glucose 1 hr after meals monitors postprandial levels, key in gestational diabetes. Calorie reduction to 800 is unsafe, 15% carbs is too low, and oral hypoglycemics are rarely used.
Extract:
A client who is in active labor, reports sudden severe lower abdominal pain, drop in blood pressure, cool skin, pallor, fetal heart rate shows prolonged bradycardia
Question 2 of 5
A nurse is caring for a client who is in active labor and reports sudden, severe lower abdominal pain. The nurse observes a drop in the client's blood pressure and notes cool skin and pallor. The fetal heart rate tracing shows prolonged bradycardia. Which of the following complications should the nurse suspect?
Correct Answer: A
Rationale: Uterine rupture matches symptoms of severe pain, hypotension, pallor, and fetal bradycardia. Other complications have different presentations.
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 client who is 6 hours postpartum and has endometritis
Question 4 of 5
A nurse is assessing a client who is 6 hours postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Uterine tenderness is a hallmark of endometritis. Normal temperature, scant lochia, and normal WBC don't align with infection.
Extract:
A newborn who has neonatal abstinence syndrome
Question 5 of 5
A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Minimizing handling reduces stimulation in NAS, easing withdrawal symptoms. Extended legs, eye contact, and larger feedings may overwhelm the newborn.