ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Newborn who is 4 hr old
Question 1 of 5
A nurse is reviewing laboratory results of a newborn who is 4 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A bilirubin level of 9 mg/dL at 4 hours old is elevated, indicating potential jaundice, which requires reporting to prevent complications like kernicterus.
Rationale:
Extract:
Client at 8 weeks of gestation
Question 2 of 5
A nurse in a women's health clinic is providing teaching about nutritional intake to a client who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients?
Correct Answer: Increased iron intake is essential in early pregnancy to support expanded blood volume and prevent anemia, critical for maternal and fetal health.
Rationale:
Extract:
Client in active labor, 7 cm cervical dilation, 100% effacement, fetus at 1+ station, amniotic membranes intact, sudden urge to push
Question 3 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: Having the client pant during contractions prevents premature pushing at 7 cm dilation, reducing the risk of cervical trauma or rapid fetal descent.
Rationale:
Extract:
Client at 42 weeks of gestation, 29-year-old, Gravida 2 Para 1, admitted for oxytocin induction
Question 4 of 5
Based on the assessment findings, which of the following actions should the nurse plan to take? Click to specify whether the nurse's planned actions are anticipated, nonessential, or contraindicated.
| Action | Anticipated | Nonessemtial | Contraindicated |
|---|---|---|---|
| Increase the oxytocin infusion to 13 mu/min | |||
| Place client in a side-lying position | |||
| Initiate bolus of primary IV fluids | |||
| Apply oxygen at 10 L/min via venturi mask | |||
| Perform sterile vaginal examination (SVE) | |||
| Assign a Bishop score | |||
| A,B,C,D,G |
Correct Answer: Increasing oxytocin, side-lying position, IV fluid bolus, oxygen, and amniotomy are anticipated for labor induction. SVE and Bishop score are contraindicated or nonessential due to recent cervical assessment.
Rationale:
Extract:
Client at 22 weeks of gestation, reports blotchy hyperpigmentation on forehead
Question 5 of 5
A nurse is caring for a client who is at 22 weeks of gestation and reports concern about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take?
Correct Answer: Explaining that hyperpigmentation (melasma) is a normal pregnancy change due to hormonal shifts reassures the client and addresses her concern.
Rationale: