ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who reports spontaneous rupture of membranes, fetal bradycardia, umbilical cord protruding
Question 1 of 5
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: Applying upward pressure on the presenting part relieves cord compression, addressing fetal bradycardia. Covering the cord, oxygen, and fluids are secondary actions.
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 newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 3 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Antibiotics prevent infection from CSF leakage. Surgery is urgent (within 24-48 hr), povidone-iodine is harmful, and rectal temperature risks trauma.
Extract:
A client following a chorionic villus sampling
Question 4 of 5
A nurse is planning care for a client following a chorionic villus sampling. The nurse should recognize that the client is at risk for developing which of the following complications?
Correct Answer: B
Rationale: Chorionic villus sampling carries a risk of infection due to invasive placental tissue sampling. Anemia, late decelerations, and placental insufficiency are not typical complications.
Extract:
A client who is 2 days postpartum following a vaginal delivery and reports constipation
Question 5 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: D
Rationale: A third-degree perineal laceration involves the anal sphincter, making suppositories risky due to potential pain or disruption. Other findings don't contraindicate suppository use.