ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who has maternal hypotension following the placement of an epidural
Question 1 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 full-term newborn
Question 2 of 5
A nurse is assessing a full-term newborn. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A heart rate of 72/min is below the normal range (120-160/min) and may indicate distress, requiring reporting. Other findings are within normal limits.
Extract:
A client who is at 38 weeks of gestation and reports persistent headaches
Question 3 of 5
A nurse is assessing a client who is at 38 weeks of gestation and reports persistent headaches. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Persistent headaches may indicate preeclampsia, so checking blood pressure is the first step. Acetaminophen, urine protein, and neurological assessments follow if needed.
Extract:
A newborn who is 1 hour old, respiratory rate 50/min, heart rate 130/min, axillary temperature 36.1°C (97°F)
Question 4 of 5
A nurse is caring for a newborn who is 1 hour old and has a respiratory rate of 50/min, a heart rate of 130/min, and an axillary temperature of 36.1°C (97°F). Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Applying a cap prevents heat loss from the head, addressing the risk of hypothermia at 36.1°C. Bathing increases heat loss, repositioning is insufficient, and oxygen saturation isn't directly related to temperature.
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.