ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who is at 37 weeks of gestation and has suspected intrauterine growth restriction
Question 1 of 5
A nurse is reviewing the medical record of a client who is at 37 weeks of gestation and has suspected intrauterine growth restriction. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A biophysical profile assesses fetal well-being in suspected IUGR. Oxygen isn't indicated, vaginal exams don't assess IUGR, and betamethasone is for preterm lung maturity.
Extract:
A client who has human immunodeficiency virus (HIV), following the birth of the newborn
Question 2 of 5
A nurse on the labor and delivery unit is planning care for a client who has human immunodeficiency virus (HIV). Which of the following is an appropriate action for the nurse to take following the birth of the newborn?
Correct Answer: A
Rationale: Cleansing the newborn immediately reduces HIV transmission risk by removing maternal secretions. Contact precautions are unnecessary, antibiotics don't prevent HIV, and breastfeeding is contraindicated in developed countries for HIV-positive mothers.
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 3 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. Povidone-iodine is harmful, surgery is urgent, and rectal temperature risks complications.
Extract:
A client with maternal cytomegalovirus
Question 4 of 5
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: D
Rationale: CMV can be transmitted via newborn saliva and urine, requiring hygiene precautions. Airborne precautions aren't needed, acyclovir treats herpes, not CMV, and CMV doesn't cause genital lesions.
Extract:
A client who is at 32 weeks of gestation
Question 5 of 5
A nurse is providing teaching to a client who is at 32 weeks of gestation. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Weekly blood pressure checks help detect preeclampsia early. Ibuprofen is unsafe, frequent urination is needed, and back sleeping risks aortocaval compression.