ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A cool sitz bath reduces swelling and pain for a fourth-degree laceration. Methylergonovine treats uterine atony, warm compresses may increase swelling, and povidone-iodine risks irritation.
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 providing teaching to a client who reports that her baby has yellow discharge forming at the circumcision site.
Question 3 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: Yellow discharge is normal 24-72 hours post-circumcision as part of healing. Testing is unnecessary unless infection is suspected, povidone-iodine may irritate, and wiping may disrupt healing.
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 4 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 1 day postpartum and breastfeeding her newborn. The client reports sore nipples.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Assessing the newborn's latch is critical to identify if improper positioning causes sore nipples, allowing correction to alleviate discomfort. Limiting breastfeeding time, offering formula, or spacing feedings 4 hours apart may reduce milk supply or nutrition.