ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10.
Question 1 of 5
Using Nägele's Rule, which of the following is the client's estimated date of delivery?
Correct Answer: D
Rationale: Using Nägele's Rule, subtract 3 months from August 10 (May 10) and add 7 days, resulting in May 17. Other dates result from incorrect day additions.
Extract:
A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes mellitus. The test reveals no accelerations of fetal heart rate for 20 min.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Vibroacoustic stimulation is appropriate to stimulate fetal heart rate accelerations during a nonstress test if none are observed, as it may elicit a response indicating fetal well-being. Trendelenburg position, vaginal exams, or Coombs' tests are not indicated for a nonreactive nonstress test.
Extract:
A nurse is caring for a client who is in active labour 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.
Question 3 of 5
Which of the following complications should the nurse suspect?
Correct Answer: B
Rationale: Sudden severe pain, hypotension, pallor, and fetal bradycardia suggest uterine rupture, a life-threatening emergency. Amniotic fluid embolism causes respiratory distress, cord prolapse shows variable decelerations, and placenta previa involves painless bleeding.
Extract:
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated.
Question 4 of 5
The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: B
Rationale: Advanced labor (80% effaced, 8 cm dilated) increases the risk of postpartum hemorrhage due to rapid delivery or uterine atony. Incompetent cervix, ectopic pregnancy, and hyperemesis are unrelated to this stage.
Extract:
A nurse is caring for a client who is experiencing uterine atony immediately following delivery. The client fails to respond to oxytocin administration.
Question 5 of 5
The nurse should anticipate the use of which of the following medications?
Correct Answer: D
Rationale: Methylergonovine is an uterotonic used to treat uterine atony by promoting contractions to control bleeding when oxytocin fails. Betamethasone aids fetal lung maturity, hydralazine treats hypertension, and terbutaline relaxes the uterus.