ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A client who has human immunodeficiency virus (HIV), following the birth of the newborn
Question 1 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 in active labor, receiving oxytocin via IV infusion, with an internal fetal heart monitor showing early deceleration
Question 2 of 5
A nurse is caring for a client who is in active labor and is receiving oxytocin via IV infusion. The nurse has applied an internal fetal heart monitor and recognizes an early deceleration of the fetal heart rate tracing. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Early decelerations are normal, caused by head compression during contractions, and do not indicate fetal distress. The nurse should continue monitoring without intervention, as changing position, stopping oxytocin, or giving oxygen is unnecessary.
Extract:
A client who is in labor
Question 3 of 5
A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: A
Rationale: An urge to have a bowel movement may indicate the transition phase and imminent delivery, prompting reassessment. Excitement, flushed skin, sacral discomfort, and intense contractions are normal in labor.
Extract:
A prenatal client
Question 4 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:
Question 5 of 5
A charge nurse is teaching a newly licensed nurse about Rho(D) immune globulin administration. Which of the following should the charge nurse include as an indication for the administration of Rho(D) immune globulin?
Correct Answer: C
Rationale: Amniocentesis risks fetal-maternal hemorrhage, necessitating Rho(
D) immune globulin in Rh-negative mothers to prevent isoimmunization.