ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client receiving oxytocin for labor induction with late decelerations on fetal heart rate tracing
Question 1 of 5
A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor tracing. which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing the client in a lateral position improves uteroplacental blood flow, addressing late decelerations, which indicate potential fetal distress due to reduced oxygenation.
Extract:
Client 6 hr postpartum with endometritis
Question 2 of 5
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Uterine tenderness is a common finding in endometritis, indicating infection of the endometrial lining, often accompanied by foul-smelling lochia or fever.
Extract:
Newborn whose mother had primary cytomegalovirus (CMV) infection during pregnancy
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: B
Rationale: Congenital CMV infection commonly causes hearing loss in newborns, along with potential vision impairment and developmental delays, but not macrosomia, urinary tract infections, or cataracts.
Extract:
Client at 38 weeks of gestation with spontaneous rupture of membranes and palpable umbilical cord
Question 4 of 5
A nurse is admitting a client who is at 38 weeks of gestation following spontaneous rupture of membranes. The nurse performs a vaginal examination and palpates the umbilical cord. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Exerting continuous upward pressure on the presenting part relieves pressure on a prolapsed umbilical cord, improving fetal oxygenation until emergency delivery can be performed.
Extract:
Postpartum client with type 1 diabetes mellitus breastfeeding newborn
Question 5 of 5
A nurse is providing teaching to a postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn. Which of the following instructions should the nurse give the client?
Correct Answer: C
Rationale: Maintaining scheduled mealtimes helps stabilize blood glucose levels, which is critical for a breastfeeding client with type 1 diabetes to prevent hypoglycemia.