ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse on an antepartum unit is receiving change-of-shift report for four clients.
Question 1 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 assessing a client who is 6 hr postpartum and has endometritis.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Uterine tenderness is a common finding in endometritis due to uterine inflammation or infection. A temperature of 37.4°C is normal, a WBC count of 9,000/mm³ is not elevated as expected in infection, and scant lochia is normal, not indicative of endometritis.
Extract:
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Assessing the newborn's latch is critical to identify if improper positioning causes sore nipples, allowing correction to alleviate discomfort. Limiting breastfeeding time, offering formula, or spacing feedings 4 hours apart may reduce milk supply or nutrition.
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 4 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 caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain.
Question 5 of 5
Which of the following findings should the nurse report to the provider following this medication?
Correct Answer: C
Rationale: A respiratory rate of 100/min is abnormally high and suggests respiratory compromise, a potential side effect of butorphanol, requiring reporting. Blood pressure, fetal heart variability, and urinary output are within acceptable ranges.