ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain.
Question 1 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.
Extract:
A nurse is caring for a client who has bladder distention following a vaginal birth.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Assisting the client to the bathroom encourages natural voiding to relieve bladder distention, the first step to avoid invasive measures. Sitz baths, catheterization, or warm water are secondary if voiding fails.
Extract:
A nurse is providing teaching to a postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn.
Question 3 of 5
Which of the following instructions should the nurse give the client?
Correct Answer: A
Rationale: Maintaining scheduled mealtimes is essential for a postpartum client with type 1 diabetes who is breastfeeding to stabilize blood glucose levels. Checking blood glucose every 8 hours is insufficient; more frequent monitoring is needed. Insulin requirements may decrease postpartum, not increase, and limiting carbohydrates to 30 grams per day is too restrictive for breastfeeding energy needs.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A cool sitz bath reduces swelling and pain for a fourth-degree laceration. Methylergonovine treats uterine atony, warm compresses may increase swelling, and povidone-iodine risks irritation.
Extract:
A nurse is teaching a newly licensed nurse about the uses of ultrasonography in the first trimester of pregnancy.
Question 5 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.