ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who reports that the first day of her last menstrual cycle was July 28th
Question 1 of 5
A nurse is using Nägele's Rule to calculate the expected delivery date of a client who reports that the first day of her last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client's expected delivery date?
Correct Answer: B
Rationale: Nägele's Rule: July 28 plus 7 days is August 4, minus 3 months is May 4, plus 1 year is May 5. Other dates are incorrect.
Extract:
A client in active labor, contractions started 1 hr ago, 80% effaced, 8 cm dilated
Question 2 of 5
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: B
Rationale: Rapid labor increases postpartum hemorrhage risk due to potential uterine atony. Ectopic pregnancy, incompetent cervix, and hyperemesis are unrelated to active labor.
Extract:
A client following a chorionic villus sampling
Question 3 of 5
A nurse is planning care for a client following a chorionic villus sampling. The nurse should recognize that the client is at risk for developing which of the following complications?
Correct Answer: B
Rationale: Chorionic villus sampling carries a risk of infection due to invasive placental tissue sampling. Anemia, late decelerations, and placental insufficiency are not typical complications.
Extract:
A postpartum client about caring for her 3-day-old male newborn at home
Question 4 of 5
A nurse is providing discharge teaching to a postpartum client about caring for her 3-day-old male newborn at home. Which of the following statements should the nurse make to the client?
Correct Answer: D
Rationale: Avoiding foreskin retraction prevents injury in uncircumcised newborns. Antibiotic ointment, tight swaddling with legs extended, and expecting fewer than six urinations are incorrect.
Extract:
Four newborns
Question 5 of 5
A nurse in a newborn nursery is receiving change-of-shift report for four newborns. Which of the following newborns should the nurse assess first?
Correct Answer: C
Rationale: Tachypnea at 10 hours suggests respiratory distress, requiring urgent assessment. No meconium by 24 hours, feeding issues, and blood-tinged discharge are less immediate.