ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is at 6 weeks of gestation and reports nausea and vomiting
Question 1 of 5
A nurse is caring for a client who is at 6 weeks of gestation and reports nausea and vomiting. Which of the following recommendations should the nurse make?
Correct Answer: C
Rationale: Cool-temperature foods are easier to tolerate with nausea. High-fat foods, avoiding bedtime snacks, or extra meal liquids may worsen symptoms.
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 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. Surgery is urgent (within 24-48 hr), povidone-iodine is harmful, and rectal temperature risks trauma.
Extract:
A client who is in active labor and has gonorrhea
Question 4 of 5
A nurse is caring for a client who is in active labor and has gonorrhea. For which of the following potential complications of gonorrhea should the nurse monitor?
Correct Answer: A
Rationale: Gonorrhea increases risk of chorioamnionitis, an infection of the amniotic sac. Vaginal lacerations, oligohydramnios, and excessive bleeding are not directly linked to gonorrhea.
Extract:
A client who is 24 hours postpartum and has decided not to breastfeed
Question 5 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.