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.
Question 2 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 client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus
Question 3 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus. Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: C
Rationale: MRSA requires contact precautions to prevent skin-to-skin or surface transmission. Droplet, protective environment, and airborne precautions are inappropriate for MRSA.
Extract:
A client who is at 28 weeks of gestation and has preeclampsia
Question 4 of 5
A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Magnesium sulfate is used in preeclampsia to prevent seizures (eclampsia). It doesn't stabilize fetal heart rate, improve perfusion, or increase cardiac output.
Extract:
A client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion
Question 5 of 5
A nurse is caring for a client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy?
Correct Answer: B
Rationale: Monitoring serum magnesium levels prevents toxicity during tocolytic therapy. Coombs test, liver enzymes, and uric acid are unrelated to magnesium sulfate management.