ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is assessing a client who is at 12 weeks of gestation.
Question 1 of 5
The nurse should report which of the following findings to the provider as an indication of an imminent spontaneous abortion?
Correct Answer: C
Rationale: Cervical dilation at 12 weeks is abnormal and suggests an imminent spontaneous abortion, requiring urgent reporting. Scant spotting may be normal, elevated hCG is expected, and slight cramps are common in early pregnancy.
Extract:
A nurse is teaching a newly licensed nurse about the uses of ultrasonography in the first trimester of pregnancy.
Question 2 of 5
Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale: Ultrasound in the first trimester is primarily used to determine gestational age, confirm viability, and assess for anomalies. Biophysical profiles, placental maturity, and growth restriction are evaluated later in pregnancy.
Extract:
A nurse is assessing a newborn whose mother had gestational diabetes mellitus.
Question 3 of 5
The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: Jitteriness is a common sign of hypoglycemia in newborns due to low glucose affecting neurological function. Abdominal distention, petechiae, and increased muscle tone are not typical hypoglycemia symptoms.
Extract:
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate.
Question 4 of 5
Which of the following clinical findings should the nurse instruct the client to report?
Correct Answer: C
Rationale: Increased muscle weakness is a sign of magnesium sulfate toxicity and should be reported, as it may necessitate dose adjustment. Increased fetal movement is positive, urinary output may increase normally, and respiratory rate increase is not typical.
Extract:
A nurse in a clinic is caring for a client who is in her second trimester of pregnancy. The client expresses concern about preparing her 2-year-old child for a new sibling.
Question 5 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Letting the toddler see the baby's arrival helps them feel involved and excited. Moving to a new bed too early may cause stress, avoiding prenatal visits excludes the toddler, and requiring scheduled interactions may create resistance.