ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client at 20 weeks of gestation with type 1 diabetes mellitus
Question 1 of 5
A nurse is reviewing the laboratory results of a client who is at 20 weeks of gestation and has type 1 diabetes mellitus. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A BUN of 25 mg/dL is elevated (normal 7-20 mg/dL) and may indicate renal impairment, which is concerning in a pregnant client with type 1 diabetes and should be reported.
Extract:
Client 6 hr postpartum with endometritis
Question 2 of 5
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Uterine tenderness is a common finding in endometritis, indicating infection of the endometrial lining, often accompanied by foul-smelling lochia or fever.
Extract:
Postpartum client
Question 3 of 5
A nurse is providing teaching to a client about postpartum care. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Breast engorgement, causing firm and tender breasts 3-5 days post-delivery, is a normal occurrence, and clients should be informed to expect this change.
Extract:
Newly hired nurse learning about Apgar scoring
Question 4 of 5
A nurse is teaching a newly hired nurse about Apgar scoring. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Measuring the newborn's muscle tone is part of the Apgar scoring process, which evaluates heart rate, respiratory effort, muscle tone, reflex irritability, and color to assess the newborn's condition.
Extract:
Client in active labor receiving butorphanol IV bolus
Question 5 of 5
A nurse is caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain. Which of the following findings should the nurse report to the provider following this medication?
Correct Answer: C
Rationale: A respiratory rate of 10/min indicates potential respiratory depression, a side effect of butorphanol, and should be reported to the provider for further evaluation.