ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
A client who is pregnant with a vaginal culture positive for chlamydia
Question 1 of 5
A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia. Which of the following medications should the nurse plan to administer?
Correct Answer: A
Rationale: Amoxicillin is safe and effective for chlamydia in pregnancy, unlike tetracycline (fetal harm), metronidazole (bacterial vaginosis), or acyclovir (herpes).
Extract:
A client who is 2 hr postpartum with an episiotomy and hemorrhoids
Question 2 of 5
A nurse is reinforcing teaching about perineal care to a client who is 2 hr postpartum and has an episiotomy and hemorrhoids. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Witch hazel pads provide soothing relief for episiotomy and hemorrhoid discomfort, unlike heat (increases inflammation), numbing spray before cleansing (interferes), or short sitz baths (less effective).
Extract:
A client with hyperemesis gravidarum
Question 3 of 5
A nurse is caring for a client who has hyperemesis gravidarum. The nurse should identify that the client is at risk for which of the following conditions?
Correct Answer: D
Rationale: Hyperemesis gravidarum causes severe vomiting, leading to ketonuria from fat breakdown due to dehydration and starvation, not hypertension, leukopenia, or hydramnios (excess amniotic fluid).
Extract:
A client who is postpartum with excessive vaginal bleeding
Question 4 of 5
A nurse is caring for a client who is postpartum and experiencing excessive vaginal bleeding. Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: Oxytocin promotes uterine contractions to control postpartum hemorrhage, unlike nifedipine (hypertension), terbutaline (preterm labor), or betamethasone (fetal lung maturity).
Extract:
A client with a 5-day-old newborn who is breastfeeding
Question 5 of 5
A nurse in a clinic is reinforcing teaching about signs of effective breastfeeding with a client who has a 5-day-old newborn. Which of the following statements by the client demonstrates an understanding of the teaching?
Correct Answer: A
Rationale: Feeling the baby swallow confirms effective milk transfer, unlike persistent tenderness (latch issue), one daily bowel movement (variable), or six wet diapers (hydration, not transfer).