ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor tracing.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Placing the client in a lateral position improves uteroplacental blood flow, addressing late decelerations indicating fetal hypoxia. Decreasing IV fluids, low-flow oxygen, or misoprostol do not correct the underlying issue.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 2 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 assessing a newborn whose mother had gestational diabetes mellitus.
Question 3 of 5
The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: Jitteriness is a common sign of hypoglycemia in newborns due to low glucose affecting neurological function. Abdominal distention, petechiae, and increased muscle tone are not typical hypoglycemia symptoms.
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 providing teaching to a client who reports that her baby has yellow discharge forming at the circumcision site.
Question 5 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.