ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn
Question 1 of 5
A nurse is providing teaching to a postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn. Which of the following instructions should the nurse give the client?
Correct Answer: D
Rationale: Maintaining scheduled mealtimes helps prevent hypoglycemia and supports milk production. More insulin may cause hypoglycemia, checking blood glucose every 8 hours is insufficient, and limiting carbs to 30 grams daily is too restrictive.
Extract:
A client who is at 32 weeks of gestation
Question 2 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 whose last menstrual period was August 10
Question 3 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele's Rule, which of the following is the client's estimated date of delivery?
Correct Answer: C
Rationale: Using Nägele's Rule: August 10 minus 3 months is May 10, plus 7 days is May 17.
Extract:
A client who is at 8 weeks of gestation and has an ectopic pregnancy
Question 4 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 has bladder distention following a vaginal birth
Question 5 of 5
A nurse is caring for a client who has bladder distention following a vaginal birth. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Assisting to the bathroom is the least invasive first step to relieve bladder distention. Catheterization is invasive, warm water may not ensure emptying, and sitz baths address perineal healing, not distention.