ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
Four clients on a postpartum unit
Question 1 of 5
A nurse working on a postpartum unit is collecting data from four clients. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Low urinary output (125 mL/4 hr) suggests dehydration or renal issues, prioritizing reporting over calf redness (possible DVT), normal contractions, or frequent pad changes.
Extract:
A client receiving epidural anesthesia
Question 2 of 5
A nurse is collecting data from a client who is receiving epidural anesthesia. Which of the following findings indicates an adverse effect of this method of pain management?
Correct Answer: C
Rationale: Tachypnea may indicate high epidural spread affecting respiratory muscles, a serious adverse effect, unlike tachycardia, fever, or hypertension, which are less specific.
Extract:
A client who is at 32 weeks of gestation for fundal height measurement
Question 3 of 5
A nurse is assisting in obtaining the fundal height measurement for a client who is at 32 weeks of gestation. Which of the following images indicates where the nurse should expect the client's fundus to be located?
Correct Answer: C
Rationale: At 32 weeks, the fundus is about 32 cm above the symphysis pubis, matching the gestational age, unlike earlier stages.
Extract:
Preparing to administer metronidazole 2 g PO with 500 mg tablets
Question 4 of 5
A nurse is preparing to administer metronidazole 2 g PO. The amount available is 500 mg tablets. How many tablets should the nurse administer?
Correct Answer: D
Rationale: 2,000 mg (2 g) ÷ 500 mg = 4 tablets, rounded to the nearest whole number.
Extract:
A newborn who is large for gestational age
Question 5 of 5
A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A,B,E
Rationale: LGA newborns need ecchymosis checks (birth trauma risk), breastfeeding (glucose regulation), and glucose monitoring (hypoglycemia risk), unlike meconium sampling or transfusions (not routine).