ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A prenatal client
Question 1 of 5
A nurse is teaching a prenatal client about listeriosis and dietary modifications during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Grilled chicken is safe as it's cooked, unlike hot dogs, seafood salad, or soft cheese, which risk Listeria contamination.
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 has human immunodeficiency virus (HIV), following the birth of the newborn
Question 3 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 client who is at 39 weeks of gestation and has mild preeclampsia
Question 4 of 5
A nurse is caring for a client who is at 39 weeks of gestation and has mild preeclampsia. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: B
Rationale: Fluid restriction is inappropriate for mild preeclampsia as it may worsen volume depletion. Magnesium sulfate, daily weights, and BP monitoring are standard.
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 5 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.