ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is at 20 weeks of gestation and has 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: C
Rationale: Elevated BUN (25 mg/dL) suggests renal issues, concerning in diabetes. Platelets, HbA1c, and Hct are normal.
Extract:
Question 2 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 at 36 weeks of gestation and reports decreased fetal movement
Question 3 of 5
A nurse is assessing a client who is at 36 weeks of gestation and reports decreased fetal movement. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: A nonstress test assesses fetal well-being immediately when decreased movement is reported. Auscultation is secondary, betamethasone is for lung maturity, and kick counts are preventive.
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 4 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Antibiotics prevent infection from CSF leakage. Povidone-iodine is harmful, surgery is urgent, and rectal temperature risks complications.
Extract:
A client who practices a vegan diet, trying to increase intake of vitamin B2
Question 5 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B2. Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: Fortified soy milk is a good source of vitamin B2 (riboflavin) for vegans, providing about 45% of the daily requirement per cup. Raw carrots, citrus fruits, and brown rice contain minimal riboflavin, insufficient for significant intake.