ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
A client with gestational hypertension collecting a 24-hr urine specimen
Question 1 of 5
A nurse is reinforcing teaching with a client who has gestational hypertension about collecting a 24-hr urine specimen for protein. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: Recording missed specimens ensures accurate proteinuria measurement, unlike iodine cleansing (unnecessary), starting with first void (discarded), or stool contamination (avoided but secondary).
Extract:
A client receiving epidural anesthesia
Question 2 of 5
A nurse is collecting data from a client who is receiving epidural anesthesia. Which of the following findings indicates an adverse effect of this method of pain management?
Correct Answer: C
Rationale: Tachypnea may indicate high epidural spread affecting respiratory muscles, a serious adverse effect, unlike tachycardia, fever, or hypertension, which are less specific.
Extract:
A newborn who was born 2 hr ago
Question 3 of 5
A nurse is collecting data from a newborn who was born 2 hr ago. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A blood glucose of 40 mg/dL is low, risking hypoglycemia complications in a newborn, requiring prompt reporting, unlike normal overlapping sutures, acrocyanosis, or mild hypotonia.
Extract:
A client who delivered vaginally 24 hr ago
Question 4 of 5
A nurse on a postpartum unit is caring for a client who delivered vaginally 24 hr ago. Which of the following should the nurse expect to find when collecting data?
Correct Answer: D
Rationale: Colostrum is expected 24 hours postpartum, unlike lochia serosa (later stage), frequent urination (variable), or fundus above umbilicus (suggests issues).
Extract:
A client who is at 34 weeks of gestation reporting a sudden gush of vaginal fluid
Question 5 of 5
A nurse in a provider's office is collecting data from a client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid. Which of the following manifestations is the priority?
Correct Answer: B
Rationale: Fetal heart tones of 98/min indicate distress, prioritizing immediate action over discharge (infection), meconium (variable risk), or fever (less urgent).