ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is in active labor, receiving oxytocin via IV infusion, with an internal fetal heart monitor showing early deceleration
Question 1 of 5
A nurse is caring for a client who is in active labor and is receiving oxytocin via IV infusion. The nurse has applied an internal fetal heart monitor and recognizes an early deceleration of the fetal heart rate tracing. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Early decelerations are normal, caused by head compression during contractions, and do not indicate fetal distress. The nurse should continue monitoring without intervention, as changing position, stopping oxytocin, or giving oxygen is unnecessary.
Extract:
A client whose baby has yellow discharge at the circumcision site
Question 2 of 5
A nurse is providing teaching to a client who reports that her baby has yellow discharge forming at the circumcision site. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: Yellow discharge is normal post-circumcision healing. Testing is unnecessary, wiping may irritate, and povidone-iodine isn't standard care.
Extract:
A client who has pelvic inflammatory disease and weighs 132 lb
Question 3 of 5
A nurse is preparing to administer gentamicin 2 mg/kg IM to a client who has pelvic inflammatory disease and weighs 132 lb. Available is gentamicin injection 40 mg/mL. How many mL should the nurse administer?
Correct Answer: C
Rationale: The client's weight is 59.8752 kg (132 lb × 0.4536). Dose is 2 mg/kg × 59.8752 = 119.7504 mg. Volume is 119.7504 mg ÷ 40 mg/mL = 2.99376 mL, rounded to 3 mL.
Extract:
Question 4 of 5
A nurse manager in a newborn nursery is reviewing infection control procedures with a group of newly hired nurses. Which of the following instructions should the nurse manager include in the teaching?
Correct Answer: C
Rationale: Spacing bassinets 3 feet apart reduces infection spread. Airborne precautions aren't standard, sterile fields are unnecessary for heelsticks, and masks don't replace visitor policies.
Extract:
A client who is in labor
Question 5 of 5
A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: A
Rationale: An urge to have a bowel movement may indicate the transition phase and imminent delivery, prompting reassessment. Excitement, flushed skin, sacral discomfort, and intense contractions are normal in labor.