ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is at 30 weeks of gestation
Question 1 of 5
A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply.)
Correct Answer: A,E
Rationale: Inactivated influenza and Tdap (diphtheria-acellular pertussis) are recommended during pregnancy to protect mother and baby. HPV, varicella, and MMR are contraindicated due to live virus risks.
Extract:
A postpartum client about caring for her 3-day-old male newborn at home
Question 2 of 5
A nurse is providing discharge teaching to a postpartum client about caring for her 3-day-old male newborn at home. Which of the following statements should the nurse make to the client?
Correct Answer: D
Rationale: Avoiding foreskin retraction prevents injury in uncircumcised newborns. Antibiotic ointment, tight swaddling with legs extended, and expecting fewer than six urinations are incorrect.
Extract:
A client following a chorionic villus sampling
Question 3 of 5
A nurse is planning care for a client following a chorionic villus sampling. The nurse should recognize that the client is at risk for developing which of the following complications?
Correct Answer: B
Rationale: Chorionic villus sampling carries a risk of infection due to invasive placental tissue sampling. Anemia, late decelerations, and placental insufficiency are not typical complications.
Extract:
A client who is 24 hours postpartum and has decided not to breastfeed
Question 4 of 5
A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breastfeed. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Applying ice packs reduces swelling and discomfort from engorgement. Warm water or pumping stimulates milk production, worsening engorgement, and a supportive bra is better than a loose one to manage discomfort.
Extract:
None
Question 5 of 5
A nurse is discussing risk factors of postpartum hemorrhage with a newly licensed nurse. Which of the following conditions is a risk factor for postpartum hemorrhage that the nurse should include in the teaching?
Correct Answer: C
Rationale: Retained placental fragments prevent uterine contraction, leading to excessive bleeding, a primary cause of postpartum hemorrhage. Pregnancy-induced hypertension, meconium-stained fluid, and oligohydramnios are not direct risk factors for postpartum hemorrhage.