ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who had a vaginal delivery 3 hr ago
Question 1 of 5
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: A,D,E
Rationale: History of uterine atony, labor induction with oxytocin, and vacuum-assisted delivery increase the risk of postpartum hemorrhage due to uterine fatigue or trauma. Human papillomavirus does not affect uterine bleeding risk, and a newborn weight of 2.948 kg is normal and not a risk factor.
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 2 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 who is in active labor, reports sudden severe lower abdominal pain, drop in blood pressure, cool skin, pallor, fetal heart rate shows prolonged bradycardia
Question 3 of 5
A nurse is caring for a client who is in active labor and reports sudden, severe lower abdominal pain. The nurse observes a drop in the client's blood pressure and notes cool skin and pallor. The fetal heart rate tracing shows prolonged bradycardia. Which of the following complications should the nurse suspect?
Correct Answer: A
Rationale: Uterine rupture matches symptoms of severe pain, hypotension, pallor, and fetal bradycardia. Other complications have different presentations.
Extract:
A client at 34 weeks of gestation with epigastric pain and headache, a client at 12 weeks with nausea, a client at 38 weeks with painful urination, a client at 39 weeks with cramping and spotting
Question 4 of 5
A nurse on an antepartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: Epigastric pain and headache suggest preeclampsia, a serious condition needing immediate assessment. Other symptoms are less urgent.
Extract:
A newborn who has neonatal abstinence syndrome
Question 5 of 5
A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Minimizing handling reduces stimulation in NAS, easing withdrawal symptoms. Extended legs, eye contact, and larger feedings may overwhelm the newborn.