ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 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: B
Rationale: The correct answer is B: Transmission can occur via the saliva and urine of the newborn. Maternal cytomegalovirus can be transmitted to the newborn through saliva, urine, and other bodily fluids. This is important information for the nurses to understand as they care for both the mother and the newborn.
A: Mothers do not receive prophylactic treatment with acyclovir for cytomegalovirus; therefore, this is incorrect.
C: Lesions are not visible on the mother's genitalia with cytomegalovirus, so this option is incorrect.
D: Airborne precautions are not necessary for cytomegalovirus transmission, making this option incorrect.
By understanding how cytomegalovirus can be transmitted, nurses can take appropriate precautions to prevent spread to the newborn.
Question 2 of 5
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus ß-hemolytic (GBS). The client is multigravida and multipara with no history of GBS. She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D: We need to know if you are positive for GBS at the time of delivery. This is the appropriate response because GBS status can change during pregnancy, and it is crucial to know the status closer to delivery to determine if antibiotics are needed during labor to prevent transmission to the newborn.
Choice A is incorrect as GBS is often asymptomatic in pregnant women.
Choice B is incorrect because past negative results do not guarantee current negative status.
Choice C is incorrect because GBS status can change over time.
Question 3 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Clomiphene citrate is a commonly used medication for infertility that can cause hormonal changes leading to breast tenderness. This adverse effect is important for the client to be aware of. Tinnitus (
B), urinary frequency (
C), and chills (
D) are not typically associated with clomiphene citrate use and are not commonly reported side effects.
Therefore, they are incorrect choices.
Question 4 of 5
A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Massage the client's fundus. This is the first action the nurse should take because excessive vaginal bleeding postpartum could indicate uterine atony, which is a common cause of postpartum hemorrhage. Massaging the fundus helps stimulate uterine contractions, which can help control bleeding. This should be done before administering medications like oxytocin (
B) or providing oxygen (
D), as addressing the underlying cause is crucial. Emptying the bladder (
C) is important but comes after addressing the uterine atony.
Question 5 of 5
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer 500 mL lactated Ringer’s IV bolus. This action is necessary to address the ongoing vaginal bleeding, as it suggests hypovolemia. Administering IV fluids will help restore blood volume and stabilize the client's condition.
Choice A is incorrect because replacing the surgical dressing does not address the underlying cause of the bleeding.
Choice B, evaluating urinary output, may be important but is not the priority in this situation.
Choice C, applying an ice pack to the incision site, is not appropriate for controlling post-cesarean bleeding.