ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is 2 days postpartum and wants to continue using her diaphragm for contraception
Question 1 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Postpartum changes may alter diaphragm fit, requiring a refit. Oil-based lubricants damage diaphragms, sterile water is incorrect, and it should stay in for 6 hours.
Extract:
A newborn who is scheduled to start phototherapy using a lamp
Question 2 of 5
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Ensuring eyes are shielded protects from light damage during phototherapy. Glucose water, clothing, and lotion are inappropriate as they interfere with treatment or hydration.
Extract:
A newborn who was delivered with a nuchal cord
Question 3 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: A
Rationale: Facial petechiae result from pressure of a nuchal cord. Erythema toxicum, periauricular papillomas, and telangiectatic nevi are unrelated to nuchal cord.
Extract:
A client who reports spontaneous rupture of membranes, fetal bradycardia, umbilical cord protruding
Question 4 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 5 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.