ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is in active labor and has gonorrhea
Question 1 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 in labor and just received epidural anesthesia, blood pressure is 90/50 mm Hg
Question 2 of 5
A nurse is caring for a client who is in labor and just received epidural anesthesia. The client's blood pressure is 90/50 mm Hg. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Turning the client to her side improves blood flow, countering hypotension from epidural anesthesia. Amnioinfusion, monitoring alone, or naloxone don't address the immediate issue.
Extract:
A client who is 2 days postpartum and wants to continue using her diaphragm for contraception
Question 3 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Postpartum changes may alter diaphragm fit, requiring a refit. Oil-based lubricants damage diaphragms, sterile water is incorrect, and it should stay in for 6 hours.
Extract:
A client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion
Question 4 of 5
A nurse is caring for a client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy?
Correct Answer: B
Rationale: Monitoring serum magnesium levels prevents toxicity during tocolytic therapy. Coombs test, liver enzymes, and uric acid are unrelated to magnesium sulfate management.
Extract:
A client who is receiving oxytocin to induce labor
Question 5 of 5
A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs?
Correct Answer: A
Rationale: Six contractions in 10 minutes indicate hyperstimulation, risking fetal distress, so oxytocin should be stopped. Normal contraction duration, moderate variability, and early decelerations are reassuring.