ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client with uterine atony post-delivery, unresponsive to oxytocin
Question 1 of 5
A nurse is caring for a client who is experiencing uterine atony immediately following delivery. The client fails to respond to oxytocin administration. The nurse should anticipate the use of which of the following medications?
Correct Answer: B
Rationale: Methylergonovine is used to treat uterine atony unresponsive to oxytocin by promoting uterine contractions to control postpartum hemorrhage.
Extract:
Client 3 hr post vaginal delivery
Question 2 of 5
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings places the client at risk for postpartum hemorrhage?
Correct Answer: A,C
Rationale: Labor induction with oxytocin and vacuum-assisted delivery increase the risk of postpartum hemorrhage due to potential uterine atony and trauma to the birth canal.
Extract:
Client with pudendal nerve block
Question 3 of 5
A nurse is caring for a client who has had a pudendal nerve block. The nurse should monitor for which of the following findings as an adverse effect?
Correct Answer: C
Rationale: Fetal bradycardia is a potential adverse effect of a pudendal nerve block, as the anesthesia may affect fetal heart rate, requiring close monitoring.
Extract:
Newborn at risk for hemolytic disease
Question 4 of 5
A nurse is developing an educational program about hemolytic disease in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?
Correct Answer: C
Rationale: Hemolytic disease occurs when an Rh-negative mother carries an Rh-positive fetus, leading to antibody production against fetal red blood cells, causing anemia and other complications.
Extract:
Client with uterine atony post-delivery, unresponsive to oxytocin
Question 5 of 5
A nurse is caring for a client who is experiencing uterine atony immediately following delivery. The client fails to respond to oxytocin administration. The nurse should anticipate the use of which of the following medications?
Correct Answer: B
Rationale: Methylergonovine is used to treat uterine atony unresponsive to oxytocin by promoting uterine contractions to control postpartum hemorrhage.