ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client 12 hr postpartum with fourth-degree perineal laceration
Question 1 of 5
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A cool sitz bath reduces swelling and provides pain relief for a fourth-degree perineal laceration, promoting comfort and healing in the immediate postpartum period.
Extract:
Client at 20 weeks of gestation with type 1 diabetes mellitus
Question 2 of 5
A nurse is reviewing the laboratory results of a client who is at 20 weeks of gestation and has type 1 diabetes mellitus. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A BUN of 25 mg/dL is elevated (normal 7-20 mg/dL) and may indicate renal impairment, which is concerning in a pregnant client with type 1 diabetes and should be reported.
Extract:
Client in active labor receiving butorphanol IV bolus
Question 3 of 5
A nurse is caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain. Which of the following findings should the nurse report to the provider following this medication?
Correct Answer: C
Rationale: A respiratory rate of 100/min indicates tachypnea, potentially signaling maternal distress or hypoxia, requiring immediate reporting to evaluate the cause.
Extract:
Client in active labor testing positive for group B streptococcus
Question 4 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:
Postpartum client with type 1 diabetes mellitus breastfeeding newborn
Question 5 of 5
A nurse is providing teaching to a postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn. Which of the following instructions should the nurse give the client?
Correct Answer: C
Rationale: Maintaining scheduled mealtimes helps stabilize blood glucose levels, which is critical for a breastfeeding client with type 1 diabetes to prevent hypoglycemia.