ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is monitoring a client who is undergoing a nonstress test at 35 weeks of gestation.
Question 1 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 discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home.
Question 2 of 5
Which of the following statements should the nurse make to the client?
Correct Answer: B
Rationale: Notifying the pediatrician for fewer than six wet diapers daily ensures adequate hydration monitoring. Extended leg swaddling risks hip dysplasia, foreskin retraction is harmful, and antibiotic ointment is unnecessary for the cord.
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 3 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 has developed eclampsia.
Question 4 of 5
Which of the following actions should the nurse implement after the client experiences a convulsion?
Correct Answer: C
Rationale: Administering oxygen at 10 L/min post-convulsion ensures adequate brain and organ oxygenation in eclampsia. Trendelenburg risks cerebral blood flow, voiding is not immediate, and calcium gluconate is for magnesium toxicity, not eclampsia.
Extract:
A nurse is providing teaching to a client about the purpose of her upcoming indirect Coombs' test.
Question 5 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.