ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is at 8 weeks of gestation and has an ectopic pregnancy
Question 1 of 5
A nurse is caring for a client who is at 8 weeks of gestation and has an ectopic pregnancy. Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: Sharp pelvic pain is the hallmark of ectopic pregnancy due to tubal stretching or rupture. Elevated blood pressure, bright red discharge, and scaphoid abdomen are not typical.
Extract:
Question 2 of 5
A charge nurse is teaching a newly licensed nurse about Rho(D) immune globulin administration. Which of the following should the charge nurse include as an indication for the administration of Rho(D) immune globulin?
Correct Answer: C
Rationale: Amniocentesis risks fetal-maternal hemorrhage, necessitating Rho(
D) immune globulin in Rh-negative mothers to prevent isoimmunization.
Extract:
A newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy, acquired CMV transplacentally
Question 3 of 5
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: C
Rationale: Congenital CMV commonly causes hearing loss in newborns. Macrosomia, cataracts, and urinary tract infections are not typical manifestations.
Extract:
Question 4 of 5
A nurse is providing teaching to a client about postpartum care. Which of the following information should the nurse include?
Correct Answer: B
Rationale: Breast engorgement occurs 3-5 days postpartum, causing firmness and tenderness. Lochia changes color, breastfeeding isn't reliable contraception, and Kegels can start earlier.
Extract:
A client who has human immunodeficiency virus (HIV), following the birth of the newborn
Question 5 of 5
A nurse on the labor and delivery unit is planning care for a client who has human immunodeficiency virus (HIV). Which of the following is an appropriate action for the nurse to take following the birth of the newborn?
Correct Answer: A
Rationale: Cleansing the newborn immediately reduces HIV transmission risk by removing maternal secretions. Contact precautions are unnecessary, antibiotics don't prevent HIV, and breastfeeding is contraindicated in developed countries for HIV-positive mothers.