ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client with pelvic inflammatory disease, weight 132 lbs
Question 1 of 5
A nurse is preparing to administer gentamicin to a client with pelvic inflammatory disease. The prescribed dosage is 2 mg/kg IM. The client weighs 132 lbs. Available is gentamicin injection with a concentration of 40 mg/mL. How many mL of gentamicin should the nurse administer?
Correct Answer: B
Rationale: Converting 132 lbs to 60 kg (132 ÷ 2.2), the dose is 2 mg/kg × 60 kg = 120 mg. At 40 mg/mL, 120 mg ÷ 40 mg/mL = 3 mL, so the nurse administers 3 mL.
Extract:
Client 1 day postpartum and breastfeeding with sore nipples
Question 2 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Assessing the newborn's latch is the most appropriate action, as sore nipples are commonly caused by an improper latch, which can be corrected with education and support to prevent further trauma.
Extract:
Client 12 hr postpartum with fourth-degree perineal laceration
Question 3 of 5
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A cool sitz bath reduces swelling and provides pain relief for a fourth-degree perineal laceration, promoting comfort and healing in the immediate postpartum period.
Extract:
Newborn whose mother had primary cytomegalovirus (CMV) infection during pregnancy
Question 4 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 with preeclampsia receiving magnesium sulfate
Question 5 of 5
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?
Correct Answer: C
Rationale: Increased muscle weakness may indicate magnesium sulfate toxicity, which can lead to serious complications like respiratory depression, and should be reported immediately.