ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client who is postpartum and has preeclampsia
Question 1 of 5
A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to the provider?
Correct Answer: A platelet count of 50,000/mm3 indicates thrombocytopenia, a serious complication of preeclampsia, requiring immediate reporting due to bleeding risks.
Rationale:
Extract:
Client who is pregnant, fetal position as left occipital anterior
Question 2 of 5
A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined the fetal position as left occipital anterior. To which of the following areas of the client's abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart?
Correct Answer: In left occipital anterior position, the fetal heart is best heard in the left lower quadrant, where the fetal back is closest to the maternal abdomen.
Rationale:
Extract:
Client with last menstrual cycle started on November 27th
Question 3 of 5
A nurse is calculating a client's expected date of birth using Nägele's rule. The client tells the nurse that her last menstrual cycle started on November 27th. Which of the following dates is the client's expected date of birth?
Correct Answer: Using Nägele's rule (LMP + 1 year - 3 months + 7 days), November 27th yields an expected delivery date of September 3rd.
Rationale:
Extract:
Client who reports that her menstrual period is 2 weeks late
Question 4 of 5
A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make?
Correct Answer: Exploring the client's menstrual cycle history acknowledges other causes of a missed period, such as stress or hormonal changes, and helps guide further assessment.
Rationale:
Extract:
Client in labor, undergoing amniotomy
Question 5 of 5
A DDA nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?
Correct Answer: Monitoring temperature is the priority post-amniotomy to detect infection, indicated by a temperature of 38°C or higher, which requires immediate reporting
Rationale: