ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
A client who is at 34 weeks of gestation reporting a sudden gush of vaginal fluid
Question 1 of 5
A nurse in a provider's office is collecting data from a client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid. Which of the following manifestations is the priority?
Correct Answer: B
Rationale: Fetal heart tones of 98/min indicate distress, prioritizing immediate action over discharge (infection), meconium (variable risk), or fever (less urgent).
Extract:
A client who is pregnant with a vaginal culture positive for chlamydia
Question 2 of 5
A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia. Which of the following medications should the nurse plan to administer?
Correct Answer: A
Rationale: Amoxicillin is safe and effective for chlamydia in pregnancy, unlike tetracycline (fetal harm), metronidazole (bacterial vaginosis), or acyclovir (herpes).
Extract:
A client who is postpartum with excessive vaginal bleeding and a boggy uterus
Question 3 of 5
A nurse is caring for a client who is postpartum. The client is experiencing excessive vaginal bleeding and has a boggy uterus. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Fundal massage is the first action to address uterine atony, which causes a boggy uterus and bleeding, by promoting contraction, before medications, bladder emptying, or oxygen.
Extract:
A client with a 5-day-old newborn who is breastfeeding
Question 4 of 5
A nurse in a clinic is reinforcing teaching about signs of effective breastfeeding with a client who has a 5-day-old newborn. Which of the following statements by the client demonstrates an understanding of the teaching?
Correct Answer: A
Rationale: Feeling the baby swallow confirms effective milk transfer, unlike persistent tenderness (latch issue), one daily bowel movement (variable), or six wet diapers (hydration, not transfer).
Extract:
A newborn whose mother has hepatitis B
Question 5 of 5
A nurse is assisting with the care of a newborn whose mother has hepatitis B. Which of the following actions should the nurse plan to take when administering the hepatitis B vaccine?
Correct Answer: C
Rationale: Giving the hepatitis B vaccine within 24 hours prevents transmission, unlike incorrect angle (90°), consent (standard but not primary), or gluteal site (vastus lateralis used).