ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsia.
Question 1 of 5
The nurse should recognize which of the following manifestations as an adverse reaction to the medication?
Correct Answer: A
Rationale: Urine output of 20 mL/hr indicates possible magnesium sulfate toxicity, affecting kidney function, and requires immediate attention. Hypertension is expected in preeclampsia, hyperglycemia is unrelated, and a respiratory rate of 16/min is normal.
Extract:
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase her intake of vitamin B12.
Question 2 of 5
Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: Fortified soy milk is a reliable vegan source of vitamin B12, essential for nerve function and blood cell production. Citrus fruits, brown rice, and carrots do not contain B12.
Extract:
A nurse on an antepartum unit is receiving change-of-shift report for four clients.
Question 3 of 5
Which of the following clients should the nurse assess first?
Correct Answer: A
Rationale: Epigastric pain and headache at 34 weeks suggest preeclampsia, a serious condition requiring immediate assessment. Nausea at 12 weeks, painful urination, and cramping with spotting are less urgent.
Extract:
A nurse is caring for a client who has had a pudendal nerve block.
Question 4 of 5
The nurse should monitor which of the following findings has an adverse effect?
Correct Answer: B
Rationale: A pudendal nerve block numbs the perineum, reducing the ability to bear down, which can complicate delivery. Fetal bradycardia, hypertension, and hyperstimulation are not typical adverse effects.
Extract:
A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor tracing.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Placing the client in a lateral position improves uteroplacental blood flow, addressing late decelerations indicating fetal hypoxia. Decreasing IV fluids, low-flow oxygen, or misoprostol do not correct the underlying issue.