ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
A client in labor with an epidural infusion and blood pressure 80/40 mm Hg
Question 1 of 5
A nurse is assisting with the care of a client who is in labor and has an epidural infusion for pain management. The client's blood pressure is 80/40 mm Hg. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A fluid bolus treats epidural-induced hypotension, unlike methylergonovine (hemorrhage), bladder emptying (secondary), or knee-chest position (less effective).
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:
Preparing to collect a specimen for newborn screening
Question 3 of 5
A nurse is preparing to collect a specimen for newborn screening. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Warming the heel improves blood flow for screening, unlike inner heel puncture (outer preferred), leaving open (bandage needed), or post-puncture antiseptic (interferes).
Extract:
A client receiving epidural anesthesia
Question 4 of 5
A nurse is collecting data from a client who is receiving epidural anesthesia. Which of the following findings indicates an adverse effect of this method of pain management?
Correct Answer: C
Rationale: Tachypnea may indicate high epidural spread affecting respiratory muscles, a serious adverse effect, unlike tachycardia, fever, or hypertension, which are less specific.
Extract:
A term newborn who is 12 hr old
Question 5 of 5
A nurse is collecting data from a term newborn who is 12 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Grunting indicates respiratory distress, requiring immediate reporting, unlike normal abdominal breathing, respiratory rate, or irregular respirations in newborns.