ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Newborn with neonatal abstinence syndrome
Question 1 of 5
A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Minimizing handling reduces stimulation, which can aggravate withdrawal symptoms in newborns with neonatal abstinence syndrome, promoting comfort and stability.
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:
Client with uterine atony post-delivery, unresponsive to oxytocin
Question 3 of 5
A nurse is caring for a client who is experiencing uterine atony immediately following delivery. The client fails to respond to oxytocin administration. The nurse should anticipate the use of which of the following medications?
Correct Answer: B
Rationale: Methylergonovine is used to treat uterine atony unresponsive to oxytocin by promoting uterine contractions to control postpartum hemorrhage.
Extract:
Client in active labor testing positive for group B streptococcus
Question 4 of 5
A nurse is reviewing the laboratory report for a client who is in active labor. The client tested positive for group B streptococcus S-hemolytic. Which of the following medications should the nurse plan to administer to the client?
Correct Answer: C
Rationale: Ampicillin is administered intravenously during labor to prevent transmission of group B streptococcus to the newborn, reducing the risk of neonatal sepsis.
Extract:
Term newborn
Question 5 of 5
A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine position, which of the following methods should the nurse use to elicit the Moro reflex?
Correct Answer: C
Rationale: Making a loud noise above the newborn elicits the Moro reflex, characterized by arm extension and crying, indicating neurological health.