ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous
Question 1 of 5
A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?
Correct Answer: A
Rationale: Low blood pressure (88/58 mm Hg) contraindicates terbutaline due to risk of worsening hypotension. Other findings are normal.
Extract:
A client who is pregnant and has HIV
Question 2 of 5
A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Bathing the newborn before skin-to-skin contact reduces HIV transmission risk by removing maternal fluids. Fetal scalp electrodes increase infection risk, stopping antiretrovirals is harmful, and pneumococcal immunization is not standard for HIV-exposed newborns.
Extract:
A client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus
Question 3 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.
Extract:
A newborn
Question 4 of 5
A nurse is performing an assessment of a newborn's Babinski reflex. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The Babinski reflex in newborns shows dorsiflexion of the great toe and fanning of other toes when the sole is stroked, a normal finding. Other responses indicate abnormal reflexes.
Extract:
A postpartum client about caring for her 3-day-old male newborn at home
Question 5 of 5
A nurse is providing discharge teaching to a postpartum client about caring for her 3-day-old male newborn at home. Which of the following statements should the nurse make to the client?
Correct Answer: D
Rationale: Avoiding foreskin retraction prevents injury in uncircumcised newborns. Antibiotic ointment, tight swaddling with legs extended, and expecting fewer than six urinations are incorrect.