ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a client who is experiencing uterine atony immediately following delivery. The client fails to respond to oxytocin administration.
Question 1 of 5
The nurse should anticipate the use of which of the following medications?
Correct Answer: D
Rationale: Methylergonovine is an uterotonic used to treat uterine atony by promoting contractions to control bleeding when oxytocin fails. Betamethasone aids fetal lung maturity, hydralazine treats hypertension, and terbutaline relaxes the uterus.
Extract:
A nurse is caring for a client who is at 8 weeks of gestation and has an ectopic pregnancy.
Question 2 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Sharp pelvic pain is a hallmark of ectopic pregnancy due to implantation outside the uterus, often in the fallopian tube. Bright red discharge, scaphoid abdomen, or elevated blood pressure are not typical.
Extract:
A nurse is caring for a newborn who has neonatal abstinence syndrome.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Minimizing handling reduces stimulation and distress in newborns with neonatal abstinence syndrome. Extended leg swaddling increases discomfort, large feedings risk aspiration, and eye contact may overstimulate.
Extract:
A nurse in the labour and delivery unit is planning care for a client who has human immunodeficiency virus (HIV). Following the birth of the newborn.
Question 4 of 5
Which of the following is an appropriate action for the nurse to take?
Correct Answer: C
Rationale: Cleansing the newborn immediately after delivery reduces the risk of HIV transmission by removing maternal blood or fluids. IV antibiotics are not routine for HIV exposure, breastfeeding is contraindicated, and contact precautions are unnecessary as HIV is not spread by casual contact.
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home.
Question 5 of 5
Which of the following statements should the nurse make to the client?
Correct Answer: B
Rationale: Notifying the pediatrician for fewer than six wet diapers daily ensures adequate hydration monitoring. Extended leg swaddling risks hip dysplasia, foreskin retraction is harmful, and antibiotic ointment is unnecessary for the cord.