ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is reviewing the medical records of four clients who have an acid-base imbalance.
Question 1 of 5
The nurse should recognize that which of the following clients is at risk for respiratory alkalosis?
Correct Answer: C
Rationale: Salicylate intoxication causes hyperventilation, reducing PaCOâ‚‚ and leading to respiratory alkalosis. Thiazide diuretics and vomiting cause metabolic alkalosis, while hypoventilation leads to respiratory acidosis.
Extract:
A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes mellitus. The test reveals no accelerations of fetal heart rate for 20 min.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Vibroacoustic stimulation is appropriate to stimulate fetal heart rate accelerations during a nonstress test if none are observed, as it may elicit a response indicating fetal well-being. Trendelenburg position, vaginal exams, or Coombs' tests are not indicated for a nonreactive nonstress test.
Extract:
A nurse is teaching a newly hired nurse about Apgar scoring.
Question 3 of 5
Which of the following statements by the newly hired nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Measuring muscle tone is part of Apgar scoring (appearance, pulse, grimace, activity, respiration). Apgar is assessed at 1 and 5 minutes, a score of 8 is normal, and resuscitation should not wait for scoring.
Extract:
A nurse is reviewing the laboratory report for a client who is in active labor. The client tested positive for group B streptococcus B-hemolytic.
Question 4 of 5
Which of the following medications should the nurse plan to administer to the client?
Correct Answer: C
Rationale: Ampicillin is the CDC-recommended first-line antibiotic for group B streptococcus prophylaxis to prevent neonatal infection. Doxycycline and fluconazole are ineffective against GBS, and cefotetan is a second-line option.
Extract:
A nurse is developing an educational program about hemolytic disease in newborns for a group of newly licensed nurses.
Question 5 of 5
Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?
Correct Answer: C
Rationale: Hemolytic disease occurs when an Rh-negative mother carries an Rh-positive fetus, leading to antibody formation against fetal red blood cells. Other combinations do not cause Rh incompatibility.