ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client in active labor testing positive for group B streptococcus
Question 1 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:
Client at 12 weeks of gestation
Question 2 of 5
A nurse is assessing a client who is at 12 weeks of gestation. The nurse should report which of the following findings to the provider as an indication of an imminent spontaneous abortion?
Correct Answer: A
Rationale: Cervical dilation at 12 weeks is a sign of cervical incompetence and indicates an imminent spontaneous abortion, requiring immediate reporting to the provider.
Extract:
Newly hired nurse learning about Apgar scoring
Question 3 of 5
A nurse is teaching a newly hired nurse about Apgar scoring. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Measuring the newborn's muscle tone is part of the Apgar scoring process, which evaluates heart rate, respiratory effort, muscle tone, reflex irritability, and color to assess the newborn's condition.
Extract:
Postpartum client with vital signs: temperature 37° C (98.6° F), pulse 78/min, respiratory rate 12/min, blood pressure 124/80 mm Hg, pulse oximetry 100%
Question 4 of 5
A nurse is assessing a postpartum client during a follow-up visit. The nurse is teaching the client about postpartum depression. The nurse should encourage the client to and to help prevent postpartum depression.
Correct Answer: A,B
Rationale: Eating a well-balanced diet and exercising for 30 minutes per day can help reduce stress and improve mood by releasing endorphins, which are hormones that can help to improve mood and reduce stress, thus preventing postpartum depression.
Extract:
Client with pudendal nerve block
Question 5 of 5
A nurse is caring for a client who has had a pudendal nerve block. The nurse should monitor for which of the following findings as an adverse effect?
Correct Answer: C
Rationale: Fetal bradycardia is a potential adverse effect of a pudendal nerve block, as the anesthesia may affect fetal heart rate, requiring close monitoring.