ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is primigravid and is scheduled to have an abdominal ultrasound
Question 1 of 5
A nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: A full bladder improves visualization in early pregnancy ultrasounds. Fasting, avoiding lotion, or stool softeners are not required.
Extract:
A newborn who is 6 hours old and has a bedside glucometer reading of 65 mg/dL, mother has type 2 diabetes mellitus
Question 2 of 5
A nurse is caring for a newborn who is 6 hours old and has a bedside glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A glucose of 65 mg/dL is normal; reassessing before the next feeding monitors for hypoglycemia, common in infants of diabetic mothers. Feeding, dextrose, or serum tests are unnecessary.
Extract:
A client who is at 27 weeks of gestation and has preeclampsia
Question 3 of 5
A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A platelet count of 60,000/mm³ indicates thrombocytopenia, a sign of severe preeclampsia or HELLP syndrome, requiring urgent reporting. Other values are within normal ranges.
Extract:
None
Question 4 of 5
A nurse is discussing risk factors of postpartum hemorrhage with a newly licensed nurse. Which of the following conditions is a risk factor for postpartum hemorrhage that the nurse should include in the teaching?
Correct Answer: C
Rationale: Retained placental fragments prevent uterine contraction, leading to excessive bleeding, a primary cause of postpartum hemorrhage. Pregnancy-induced hypertension, meconium-stained fluid, and oligohydramnios are not direct risk factors for postpartum hemorrhage.
Extract:
A client who is receiving oxytocin to induce labor
Question 5 of 5
A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs?
Correct Answer: A
Rationale: Six contractions in 10 minutes indicate hyperstimulation, risking fetal distress, so oxytocin should be stopped. Normal contraction duration, moderate variability, and early decelerations are reassuring.