ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A postpartum client who has a prescription for a rubella immunization
Question 1 of 5
A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization. Which of the following client statements indicates understanding of the teaching?
Correct Answer: C
Rationale: Avoiding pregnancy for 1 month post-rubella vaccine prevents fetal harm from the live virus. It's a single dose, joint pain is common, and breastfeeding is safe.
Extract:
A client who is primigravid and is scheduled to have an abdominal ultrasound
Question 2 of 5
A nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: A full bladder improves visualization in early pregnancy ultrasounds. Fasting, avoiding lotion, or stool softeners are not required.
Extract:
A client who is 2 days postpartum following a vaginal delivery and reports constipation
Question 3 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.
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 4 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 who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion
Question 5 of 5
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Absent deep-tendon reflexes indicate magnesium toxicity, requiring immediate reporting. Decreased contractions are expected, 35 mL/hr urine is normal, and elevated BP is from preeclampsia.