ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
Four newborns
Question 1 of 5
A nurse in a newborn nursery is receiving change-of-shift report for four newborns. Which of the following newborns should the nurse assess first?
Correct Answer: C
Rationale: Tachypnea at 10 hours suggests respiratory distress, requiring urgent assessment. No meconium by 24 hours, feeding issues, and blood-tinged discharge are less immediate.
Extract:
A client to induce labor
Question 2 of 5
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Verifying informed consent ensures ethical administration of dinoprostone. Avoiding urination, room temperature, or semi-Fowler's position are unnecessary.
Extract:
A client who is 24 hours postpartum and has decided not to breastfeed
Question 3 of 5
A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breastfeed. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Applying ice packs reduces swelling and discomfort from engorgement. Warm water or pumping stimulates milk production, worsening engorgement, and a supportive bra is better than a loose one to manage discomfort.
Extract:
A client who is receiving medroxyprogesterone IM for contraception
Question 4 of 5
A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Increasing calcium intake counters bone density loss from medroxyprogesterone. Spotting is common, injections are every 3 months, and only one shot is given per dose.
Extract:
A client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus
Question 5 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus. Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: C
Rationale: MRSA requires contact precautions to prevent skin-to-skin or surface transmission. Droplet, protective environment, and airborne precautions are inappropriate for MRSA.