ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client with maternal cytomegalovirus
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: 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 newborn immediately following birth with a large amount of mucus in the mouth and nose
Question 2 of 5
A nurse is caring for a newborn immediately following birth and notes a large amount of mucus in the newborn's mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe.
Correct Answer: A,B,D,C
Rationale: Correct sequence: Compress the bulb (
A), suction mouth first (
B), then nose (
D), and assess for bradycardia (
C) to monitor for vagal stimulation.
Extract:
A client who has bladder distention following a vaginal birth
Question 3 of 5
A nurse is caring for a client who has bladder distention following a vaginal birth. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Assisting to the bathroom is the least invasive first step to relieve bladder distention. Catheterization is invasive, warm water may not ensure emptying, and sitz baths address perineal healing, not distention.
Extract:
A client who is undergoing a nonstress test at 35 weeks of gestation
Question 4 of 5
A nurse is monitoring a client who is undergoing a nonstress test at 35 weeks of gestation. Which of the following findings requires intervention by the nurse?
Correct Answer: C
Rationale: Three contractions in 20 minutes suggest preterm labor, requiring intervention. One acceleration needs more monitoring, short contractions are normal, and a 20-beat peak is reassuring.
Extract:
A client who is at 8 weeks of gestation and has an ectopic pregnancy
Question 5 of 5
A nurse is caring for a client who is at 8 weeks of gestation and has an ectopic pregnancy. Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: Sharp pelvic pain is the hallmark of ectopic pregnancy due to tubal stretching or rupture. Elevated blood pressure, bright red discharge, and scaphoid abdomen are not typical.