ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who has human immunodeficiency virus (HIV), following the birth of the newborn
Question 1 of 5
A nurse on the labor and delivery unit is planning care for a client who has human immunodeficiency virus (HIV). Which of the following is an appropriate action for the nurse to take following the birth of the newborn?
Correct Answer: A
Rationale: Cleansing the newborn immediately reduces HIV transmission risk by removing maternal secretions. Contact precautions are unnecessary, antibiotics don't prevent HIV, and breastfeeding is contraindicated in developed countries for HIV-positive mothers.
Extract:
A newborn delivered with a nuchal cord
Question 2 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: C
Rationale: Facial petechiae result from pressure during delivery with a nuchal cord. Other options are unrelated to nuchal cord complications.
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 3 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Antibiotics prevent infection from CSF leakage. Povidone-iodine is harmful, surgery is urgent, and rectal temperature risks complications.
Extract:
A client who is at 34 weeks of gestation and has a positive contraction stress test
Question 4 of 5
A nurse is caring for a client who is at 34 weeks of gestation and has a positive contraction stress test. The nurse should expect which of the following interventions?
Correct Answer: A
Rationale: A positive contraction stress test indicates fetal compromise, often requiring cesarean birth. Nifedipine stops contractions, IV fluids don't address fetal distress, and delaying with a nonstress test is inappropriate.
Extract:
Question 5 of 5
A nurse is teaching a newly hired nurse about Apgar scoring. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Measuring muscle tone is part of Apgar scoring. Apgar is assessed at 1 and 5 minutes, a score of 8 is good, and resuscitation shouldn't wait for scoring.