ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is reviewing the medical record for a client who is receiving treatment for gestational diabetes mellitus.
Question 1 of 5
Which of the following medications should the nurse expect to administer?
Correct Answer: D
Rationale: Glyburide is used for gestational diabetes to control blood glucose when diet is insufficient. Levothyroxine treats hypothyroidism, nifedipine manages hypertension, and chlorpromazine is for psychiatric conditions.
Extract:
A nurse is caring for a client who has had a pudendal nerve block.
Question 2 of 5
The nurse should monitor which of the following findings has an adverse effect?
Correct Answer: B
Rationale: A pudendal nerve block numbs the perineum, reducing the ability to bear down, which can complicate delivery. Fetal bradycardia, hypertension, and hyperstimulation are not typical adverse effects.
Extract:
A nurse is assessing a full-term newborn upon admission to the nursery.
Question 3 of 5
Which of the following clinical findings should the nurse report to the provider?
Correct Answer: B
Rationale: Single palmar creases may indicate genetic conditions like Down syndrome and should be reported for further evaluation. Rust-stained urine (urate crystals), subconjunctival hemorrhage, and transient circumoral cyanosis are common and usually benign in newborns.
Extract:
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate.
Question 4 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 providing teaching about increasing dietary fibre to an antepartum client who reports constipation.
Question 5 of 5
Which of the following food selections has the highest fibre content per cup?
Correct Answer: C
Rationale: Lentils have the highest fibre content per cup compared to oatmeal, cabbage, and asparagus, providing both soluble and insoluble fibre to promote bowel regularity and alleviate constipation. Oatmeal and cabbage have moderate fibre, while asparagus has less.