ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate.
Question 1 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 is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Diagnostic results: Escherichia coli infection resulting in necrotizing enterocolitis, Hgb 10g/dL, Platelet counts 50,000 mm3, WBC count 4,000 mm3.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Measuring abdominal circumference every 12 hours monitors necrotizing enterocolitis progression, indicated by distention. Decompression may be needed but is not universal, iron formula is inappropriate, and nitric oxide is for respiratory issues.
Extract:
A nurse is monitoring a client who is undergoing a nonstress test at 35 weeks of gestation.
Question 3 of 5
Which of the following findings requires intervention by the nurse?
Correct Answer: C
Rationale: One acceleration in 20 minutes suggests a nonreactive nonstress test, requiring intervention to assess fetal well-being. A 20-beat FHR peak is normal, and mild contractions are not concerning unless painful.
Extract:
A nurse is providing teaching to a client about the purpose of her upcoming indirect Coombs' test.
Question 4 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The indirect Coombs' test-detects Rh-positive antibodies in maternal blood, indicating potential Rh incompatibility. It does not assess hypoglycemia, amniotic fluid, or blood flow.
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.