ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L, a client with preeclampsia and creatinine 1.1 mg/dL, a client with diabetes mellitus and HbA1C 5.8%, a client with placenta previa and hematocrit 35%
Question 1 of 5
A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: Severe hyponatremia (110 mEq/L) risks neurological complications, requiring urgent assessment. Other conditions are less immediately threatening.
Extract:
A newborn with pulse oximetry 91%, irregular respiratory rate, beginning to cough, respiratory rate 32/min
Question 2 of 5
A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?
Correct Answer: A
Rationale: Pulse oximetry of 91% suggests hypoxia, indicating a need for suctioning. Irregular rate, coughing, and 32/min rate are normal or not urgent.
Extract:
A newborn whose mother had gestational diabetes mellitus
Question 3 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: C
Rationale: Jitteriness is a common sign of hypoglycemia in newborns, especially those born to mothers with gestational diabetes. Other options have different causes.
Extract:
A client who is in active labor, reports sudden severe lower abdominal pain, drop in blood pressure, cool skin, pallor, fetal heart rate shows prolonged bradycardia
Question 4 of 5
A nurse is caring for a client who is in active labor and reports sudden, severe lower abdominal pain. The nurse observes a drop in the client's blood pressure and notes cool skin and pallor. The fetal heart rate tracing shows prolonged bradycardia. Which of the following complications should the nurse suspect?
Correct Answer: A
Rationale: Uterine rupture matches symptoms of severe pain, hypotension, pallor, and fetal bradycardia. Other complications have different presentations.
Extract:
A client whose baby has yellow discharge at the circumcision site
Question 5 of 5
A nurse is providing teaching to a client who reports that her baby has yellow discharge forming at the circumcision site. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: Yellow discharge is normal post-circumcision healing. Testing is unnecessary, wiping may irritate, and povidone-iodine isn't standard care.