ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client with maternal hypotension post-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: B
Rationale: Administering a bolus of lactated Ringer's increases blood volume, correcting hypotension caused by epidural-induced vasodilation, improving maternal and fetal perfusion.
Extract:
Newborn nursery staff learning about 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 transmission can occur through newborn saliva and urine, requiring contact precautions, not airborne, and no genital lesions or acyclovir are associated.
Extract:
Newborn with neonatal abstinence syndrome
Question 3 of 5
A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Minimizing handling reduces stimulation, which can aggravate withdrawal symptoms in newborns with neonatal abstinence syndrome, promoting comfort and stability.
Extract:
2-day-old newborn born at 35 weeks with Escherichia coli infection, necrotizing enterocolitis, Hgb 10g/dL, platelet count 50,000 mm, WBC count 4,000 mm3, oxygen saturation 90%, shallow respirations 70/min, rigid extremities, grimacing, irritability, decreased activity, abdominal distension, three bloody stools, superficial rash on abdominal wall, fist clenching on palpation
Question 4 of 5
A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The nurse should insert an orogastric decompression tube with low wall suction to relieve abdominal distention caused by necrotizing enterocolitis, reducing pain and preventing further complications.
Extract:
Client receiving oxytocin for labor induction with late decelerations on fetal heart rate tracing
Question 5 of 5
A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor tracing. which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing the client in a lateral position improves uteroplacental blood flow, addressing late decelerations, which indicate potential fetal distress due to reduced oxygenation.