ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?
Correct Answer: A
Rationale: The correct answer is A: Late decelerations. Late decelerations indicate uteroplacental insufficiency, which can lead to fetal distress. Oxytocin can further decrease uteroplacental perfusion, worsening the late decelerations. This finding should be reported to the provider immediately to prevent fetal compromise.
Incorrect choices:
B: Moderate variability of the FHR is a reassuring sign of fetal well-being and does not contraindicate the initiation of oxytocin.
C: Cessation of uterine dilation may indicate a prolonged labor but is not a contraindication for oxytocin infusion.
D: Prolonged active phase of labor may require augmentation with oxytocin, so it is not a contraindication on its own.
Question 2 of 5
A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B: Temperature. Amniotomy involves breaking the amniotic sac, increasing the risk of infection. Monitoring the client's temperature is crucial to detect early signs of infection, such as fever. Maintaining a normal temperature is essential to prevent maternal and fetal complications. O2 saturation, blood pressure, and urinary output are important assessments but do not take priority over monitoring the client's temperature post-amniotomy.
Extract:
A nurse is reviewing the provider's prescription in the adolescent's medical chart
Exhibit 1
History and Physical, Adolescent is sexually active with two current partners.
IUD in place, Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
Question 3 of 5
The nurse should first implement --- and ---
Correct Answer: B, C
Rationale: The correct answer is B, C. First, administering doxycycline is essential in treating Chlamydia, as it is the first-line antibiotic. Next, administering ceftriaxone is crucial for treating concurrent gonorrhea infections. Providing education on medications (
A) can come after the initial treatment. Administering metronidazole alone (E) does not address Chlamydia or gonorrhea. Administering metronidazole and educating on condom use (
D) is not the first step in managing Chlamydia and gonorrhea infections.
Extract:
Question 4 of 5
A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Have calcium gluconate readily available. Magnesium sulfate IV can lead to magnesium toxicity, causing decreased neuromuscular activity, including respiratory depression. Calcium gluconate is the antidote for magnesium sulfate toxicity as it antagonizes the effects of magnesium on the neuromuscular system. Having it readily available can help in case of an emergency.
Choice A is incorrect as fluid intake should not be restricted in preeclampsia.
Choice C is incorrect as assessing deep tendon reflexes every 6 hours is not directly related to managing magnesium sulfate infusion.
Choice D is incorrect as monitoring intake and output every 4 hours is not specific to the management of magnesium sulfate infusion.
Question 5 of 5
A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?
Correct Answer: A
Rationale: The correct answer is A: Late decelerations. Late decelerations indicate uteroplacental insufficiency, which can lead to fetal distress. Oxytocin can further decrease uteroplacental perfusion, worsening the late decelerations. This finding should be reported to the provider immediately to prevent fetal compromise.
Incorrect choices:
B: Moderate variability of the FHR is a reassuring sign of fetal well-being and does not contraindicate the initiation of oxytocin.
C: Cessation of uterine dilation may indicate a prolonged labor but is not a contraindication for oxytocin infusion.
D: Prolonged active phase of labor may require augmentation with oxytocin, so it is not a contraindication on its own.