ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 1 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Administering broad-spectrum antibiotics prevents infection, critical due to the high risk of meningitis from leaking cerebrospinal fluid. Temperature monitoring is secondary, povidone-iodine damages neural tissue, and surgical closure typically occurs within 24-48 hours.
Extract:
A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. The mother states, 'No, the baby is too tired to be held.'
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Demonstrating how to hold the newborn respects the mother's concerns while promoting safe feeding and bonding, allowing practice to build confidence. Taking the baby to the nursery, insisting on holding, or pushing breastfeeding disregards her preferences and may undermine trust.
Extract:
A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception.
Question 3 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Increasing calcium intake is advised with medroxyprogesterone due to potential bone density loss, indicating understanding. Injections are every 12-13 weeks, not 8, one shot is given, and spotting is a common side effect not requiring discontinuation.
Extract:
A nurse is planning care for a client who is pregnant and has HIV.
Question 4 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Bathing the newborn before skin-to-skin contact removes maternal fluids, reducing HIV transmission risk. Stopping antiretrovirals increases transmission risk, fetal scalp electrodes may cause abrasions, and pneumococcal immunization is not indicated for newborns.
Extract:
A nurse is discussing risk factors of postpartum haemorrhage with a newly licensed nurse.
Question 5 of 5
Which of the following conditions is a risk factor for postpartum haemorrhage that the nurse should include in the teaching?
Correct Answer: B
Rationale: Retained placental fragments prevent uterine contraction, increasing postpartum hemorrhage risk, and should be included in teaching. Hypertension, oligohydramnios, and meconium-stained fluid are not direct risk factors.