ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is at 28 weeks of gestation and has a prescription for terbutaline to prevent preterm labor
Question 1 of 5
A nurse is caring for a client who is at 28 weeks of gestation and has a prescription for terbutaline to prevent preterm labor. Which of the following adverse effects should the nurse instruct the client to report?
Correct Answer: C
Rationale: Terbutaline can cause tachycardia; a heart rate over 120/min should be reported. Swollen feet, warmth, and slight cramping are not typical adverse effects requiring immediate report.
Extract:
A client who is postpartum and has a boggy uterus with heavy lochia
Question 2 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 newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 3 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Antibiotics prevent infection from CSF leakage. Povidone-iodine is harmful, surgery is urgent, and rectal temperature risks complications.
Extract:
A client with maternal cytomegalovirus
Question 4 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 can be transmitted via newborn saliva and urine, requiring hygiene precautions. Airborne precautions aren't needed, acyclovir treats herpes, not CMV, and CMV doesn't cause genital lesions.
Extract:
A prenatal client
Question 5 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.