ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client with pregestational type 1 diabetes mellitus
Question 1 of 5
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: Continuing insulin during nausea and vomiting ensures stable blood glucose levels, critical for maternal and fetal health, reflecting an understanding of diabetes management in pregnancy.
Rationale:
Extract:
Client in labor, undergoing amniotomy
Question 2 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:
Extract:
Client at 38 weeks of gestation, in first stage of labor
Question 3 of 5
A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of the following assessment findings should the nurse report to the provider first?
Correct Answer: A contraction lasting 2 minutes is excessively long, risking fetal hypoxia due to reduced uterine blood flow, requiring immediate reporting.
Rationale:
Extract:
Client in active labor, 7 cm cervical dilation, 100% effacement, fetus at 1+ station, amniotic membranes intact, sudden urge to push
Question 4 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 who is Rh negative
Question 5 of 5
A nurse is teaching a client who is Rh negative about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: Rho(D) immune globulin is administered after procedures like amniocentesis to prevent Rh sensitization in Rh-negative mothers, indicating the client's understanding.
Rationale: