ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
A client who delivered vaginally 3 hr ago
Question 1 of 5
A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hr ago. Which of the following manifestations is a possible indication of postpartum hemorrhage?
Correct Answer: A
Rationale: Elevated respiratory rate (32/min) may signal compensation for blood loss in hemorrhage, unlike fever (infection), normal pulse, or high BP (pain/anxiety).
Extract:
A client who is at 12 weeks of gestation
Question 2 of 5
A nurse is auscultating fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation. Where should the nurse expect to auscultate the fetal heart tones?
Correct Answer: C
Rationale: At 12 weeks, the uterus is low in the pelvis, so fetal heart tones are best heard above the left iliac crest, not in umbilical, suprapubic, or right abdominal areas.
Extract:
An adolescent postoperative following a cesarean birth receiving morphine
Question 3 of 5
A nurse is collecting data from an adolescent who is postoperative following a cesarean birth and is receiving morphine for pain. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: A respiratory rate of 11/min indicates morphine-induced respiratory depression, a life-threatening priority, over urinary retention, normal BP, or blurred vision.
Extract:
Preparing to collect a blood specimen from a newborn via a heel stick
Question 4 of 5
A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Identify the sequence of steps the nurse should follow.
Correct Answer: A,E,B,C,D
Rationale: Correct sequence: confirm identity, warm heel (improves flow), cleanse site, pierce heel, apply pressure to collect blood, ensuring safety and accuracy.
Extract:
A client who is at 24 weeks of gestation with a glucose value of 130 mg/dL
Question 5 of 5
A nurse is reviewing the results of a 1-hr glucose screening test for a client who is at 24 weeks of gestation. The client's glucose value is 130 mg/dL. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A 130 mg/dL result requires a 3-hour glucose tolerance test to confirm gestational diabetes, unlike routine visits, home monitoring, or repeating the 1-hour test.