ATI RN Maternal Newborn Online Practice 2019 B with NGN Complete Exam With All Correct Answers

ATI RN Maternal Newborn Online Practice 2019 B with NGN Complete Exam With All Correct Answers + Rationale

A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make?

A. "You can miss your period for several other reasons. Describe your typical menstrual cycle."

B. "If you have been sexually active and haven't used protection, it is likely that you are pregnant."

C. "Let's check to see if you have any other signs of pregnancy. Have you noticed any abdominal enlargement yet?"

D. "Because you have missed your period, you should try taking a home pregnancy test before you start worrying." {{Answer:-A. "You can miss your period for several other reasons. Describe your typical menstrual cycle."

Amenorrhea is a presumptive sign of pregnancy, not a positive sign. Therefore, the nurse should explore the client's menstrual cycle to determine other necessary interventions.

A nurse at a provider's office is caring for a client who is 28 years of age.

Select the 3 findings that require immediate follow-up.

History and Physical

Day 1 at 1000:

Gravida 3, Para 2, Abortion 1

Asthma (managed with levalbuterol inhaler as needed)

Pelvic inflammatory disease (PID)

Spontaneous vaginal delivery X 2 (hypertension with first pregnancy at 20 years of age)

Voluntary termination of pregnancy (3rd pregnancy)

Nurses' Notes

Day 1 at 1000:

Client presents to the office with concerns of late menses, abdominal pain, and scant dark red vaginal spotting. Client reports menstrual period is usually regular and is 2 weeks late. Last menstrual period: 2/20/XX. Client reports occasional dull abdominal pain and rates it as 2 on a 0 to 10 pain scale. Client is alert and oriented, appears anxious. Speech clear. Skin warm and dry to touch. Heart rate regular at 90/min. Respirations even and non-labored. Lungs slight inspiratory wheezes. Bowel sounds hyperactive in all four quadrants. Abdomen tender to touch right lower quadrant. Perineal pad with scant amount of dark red vaginal spotting.

Vital Signs

Day 1 at 1000:

Temperature 37.2° C (98.9° F), Heart rate 90/min, Respirations 16/min, Blood pressure 120/74 mm Hg, Oxygen saturation 97% room air

A. Heart rate

B. Abdomen assessment

C. Respiratory assessment

D. Vaginal spotting

E. Bowel sounds

F. Menstrual period

G. Oxygen saturation

H. Temperature {{Answer:-B. Abdomen assessment