ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Postpartum client with vital signs: temperature 37° C (98.6° F), pulse 78/min, respiratory rate 12/min, blood pressure 124/80 mm Hg, pulse oximetry 100%
Question 1 of 5
A nurse is assessing a postpartum client during a follow-up visit. The nurse is teaching the client about postpartum depression. The nurse should encourage the client to and to help prevent postpartum depression.
Correct Answer: A,B
Rationale: Eating a well-balanced diet and exercising for 30 minutes per day can help reduce stress and improve mood by releasing endorphins, which are hormones that can help to improve mood and reduce stress, thus preventing postpartum depression.
Extract:
Client in active labor testing positive for group B streptococcus
Question 2 of 5
A nurse is reviewing the laboratory report for a client who is in active labor. The client tested positive for group B streptococcus S-hemolytic. Which of the following medications should the nurse plan to administer to the client?
Correct Answer: C
Rationale: Ampicillin is administered intravenously during labor to prevent transmission of group B streptococcus to the newborn, reducing the risk of neonatal sepsis.
Extract:
Four clients on an antepartum unit
Question 3 of 5
A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The client with hyperemesis gravidarum and a sodium level of 110 mEq/L should be assessed first, as severe hyponatremia can lead to seizures and brain damage, requiring immediate intervention.
Extract:
Newborn with leaking myelomeningocele
Question 4 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:
Client at 80% effaced and 8 cm dilated with contractions starting 1 hr ago
Question 5 of 5
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: B
Rationale: Rapid labor progression (8 cm dilation in 1 hour) increases the risk of postpartum hemorrhage due to potential uterine atony or trauma from a precipitous delivery.