ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client whose baby has yellow discharge at the circumcision site
Question 1 of 5
A nurse is providing teaching to a client who reports that her baby has yellow discharge forming at the circumcision site. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: Yellow discharge is normal post-circumcision healing. Testing is unnecessary, wiping may irritate, and povidone-iodine isn't standard care.
Extract:
A client who is at 35 weeks of gestation and has diabetes mellitus, undergoing a nonstress test with no accelerations for 20 minutes
Question 2 of 5
A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes mellitus. The test reveals no accelerations of fetal heart rate for 20 minutes. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Vibroacoustic stimulation provokes fetal response in a non-reactive nonstress test. Trendelenburg, vaginal exams, and Coombs test don't address the issue.
Extract:
Question 3 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: D
Rationale: The indirect Coombs' test detects Rh-positive antibodies, preventing hemolytic disease. Other options describe unrelated tests.
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 4 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 undergoing a nonstress test at 35 weeks of gestation
Question 5 of 5
A nurse is monitoring a client who is undergoing a nonstress test at 35 weeks of gestation. Which of the following findings requires intervention by the nurse?
Correct Answer: C
Rationale: Three contractions in 20 minutes suggest preterm labor, requiring intervention. One acceleration needs more monitoring, short contractions are normal, and a 20-beat peak is reassuring.