ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client in active labor with two prior cesarean births
Question 1 of 5
A nurse is admitting a client who is in active labor and has had two prior cesarean births. The nurse should identify that the client is at increased risk for which of the following complications?
Correct Answer: D
Rationale: Two prior cesarean births increase the risk of uterine rupture during labor, a serious complication that can lead to maternal hemorrhage and fetal distress.
Extract:
Newborn with leaking myelomeningocele
Question 2 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: Administering broad-spectrum antibiotics prevents infection through the leaking myelomeningocele, a priority to protect the newborn from meningitis.
Extract:
Newborn immediately following birth with a large amount of mucus in mouth and nose
Question 3 of 5
A nurse is caring for a newborn immediately following birth and notes a large amount of mucus in the newborn's mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe.
Correct Answer: B,D,C,A
Rationale: The correct sequence is: compress the bulb syringe, place it in the newborn's mouth, suction the nose, and assess for reflex bradycardia. This order clears the airway effectively while minimizing the risk of aspiration and vagal stimulation.
Extract:
Client at 38 weeks of gestation with spontaneous rupture of membranes and palpable umbilical cord
Question 4 of 5
A nurse is admitting a client who is at 38 weeks of gestation following spontaneous rupture of membranes. The nurse performs a vaginal examination and palpates the umbilical cord. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Exerting continuous upward pressure on the presenting part relieves pressure on a prolapsed umbilical cord, improving fetal oxygenation until emergency delivery can be performed.
Extract:
Client at 8 weeks of gestation with ectopic pregnancy
Question 5 of 5
A nurse is caring for a client who is at 8 weeks of gestation and has an ectopic pregnancy. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Sharp pelvic pain is a classic sign of ectopic pregnancy, caused by stretching or rupture of the fallopian tube where the embryo is implanted.