ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client on labor and delivery unit with human immunodeficiency virus (HIV)
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: C
Rationale: Cleansing the newborn immediately after delivery reduces the risk of HIV transmission by removing blood and bodily fluids that may contain the virus. This is a critical step to minimize exposure.
Extract:
Client in active labor with two prior cesarean births
Question 2 of 5
A nurse is admitting a client who is in active labor and has had two prior cesarean births. The nurse should identify that the client is at increased risk for which of the following complications?
Correct Answer: D
Rationale: Two prior cesarean births increase the risk of uterine rupture during labor, a serious complication that can lead to maternal hemorrhage and fetal distress.
Extract:
Client 1 day postpartum and breastfeeding with sore nipples
Question 3 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Assessing the newborn's latch is the most appropriate action, as sore nipples are commonly caused by an improper latch, which can be corrected with education and support to prevent further trauma.
Extract:
Client with uterine atony post-delivery, unresponsive to oxytocin
Question 4 of 5
A nurse is caring for a client who is experiencing uterine atony immediately following delivery. The client fails to respond to oxytocin administration. The nurse should anticipate the use of which of the following medications?
Correct Answer: B
Rationale: Methylergonovine is used to treat uterine atony unresponsive to oxytocin by promoting uterine contractions to control postpartum hemorrhage.
Extract:
Newborn immediately following birth with a large amount of mucus in mouth and nose
Question 5 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: B,D,C,A
Rationale: The correct sequence is: compress the bulb syringe, place it in the newborn's mouth, suction the nose, and assess for reflex bradycardia. This order clears the airway effectively while minimizing the risk of aspiration and vagal stimulation.