ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy, acquired CMV transplacentally
Question 1 of 5
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: C
Rationale: Congenital CMV commonly causes hearing loss in newborns. Macrosomia, cataracts, and urinary tract infections are not typical manifestations.
Extract:
A client with maternal cytomegalovirus
Question 2 of 5
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: D
Rationale: CMV can be transmitted via newborn saliva and urine, requiring hygiene precautions. Airborne precautions aren't needed, acyclovir treats herpes, not CMV, and CMV doesn't cause genital lesions.
Extract:
A client who has maternal hypotension following the placement of an epidural
Question 3 of 5
A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A bolus of lactated Ringer's increases intravascular volume to counter hypotension. Oxygen at 2 L/min is ineffective, knee-chest position may worsen uterine blood flow, and terbutaline is for preterm labor, not hypotension.
Extract:
A client who is postpartum and has a boggy uterus with heavy lochia
Question 4 of 5
A nurse is caring for a client who is postpartum and has a boggy uterus with heavy lochia. Which of the following medications should the nurse expect to administer?
Correct Answer: B
Rationale: Oxytocin promotes uterine contractions to reduce bleeding from a boggy uterus. Terbutaline and nifedipine relax the uterus, and clomiphene is for ovulation induction.
Extract:
A client who is in active labor, administered butorphanol IV bolus for pain
Question 5 of 5
A nurse is caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain. Which of the following findings should the nurse report to the provider following this medication?
Correct Answer: B
Rationale: Butorphanol can cause respiratory depression, and a respiratory rate of 10/min is below the normal range of 12 to 20 breaths per minute, indicating a need to report. Urinary output of 120 mL in 2 hr is normal, moderate fetal heart rate variability is reassuring, and blood pressure of 136/88 mm Hg is slightly elevated but not an immediate concern related to butorphanol.