Questions 61

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ATI RN maternal newborn 2019 with NGN Exam 2 Questions

Extract:

A client whose last menstrual period was August 10


Question 1 of 5

A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele's Rule, which of the following is the client's estimated date of delivery?

Correct Answer: C

Rationale: Using Nägele's Rule: August 10 minus 3 months is May 10, plus 7 days is May 17.

Extract:


Question 2 of 5

A nurse is teaching a newly hired nurse about Apgar scoring. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

Correct Answer: D

Rationale: Measuring muscle tone is part of Apgar scoring. Apgar is assessed at 1 and 5 minutes, a score of 8 is good, and resuscitation shouldn't wait for scoring.

Extract:

A client who is postpartum and has a boggy uterus with heavy lochia


Question 3 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 prenatal client


Question 4 of 5

A nurse is teaching a prenatal client about listeriosis and dietary modifications during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: A

Rationale: Grilled chicken is safe as it's cooked, unlike hot dogs, seafood salad, or soft cheese, which risk Listeria contamination.

Extract:

A client who has human immunodeficiency virus (HIV), following the birth of the newborn


Question 5 of 5

A nurse on the labor and delivery unit is planning care for a client who has human immunodeficiency virus (HIV). Which of the following is an appropriate action for the nurse to take following the birth of the newborn?

Correct Answer: A

Rationale: Cleansing the newborn immediately reduces HIV transmission risk by removing maternal secretions. Contact precautions are unnecessary, antibiotics don't prevent HIV, and breastfeeding is contraindicated in developed countries for HIV-positive mothers.

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