ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a client who has maternal hypotension following the placement of an epidural.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering a bolus of lactated Ringer's treats hypotension by increasing blood volume, counteracting epidural-induced vasodilation. Knee-chest position, terbutaline, or low-flow oxygen are not appropriate for this scenario.
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 2 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 performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud.
Question 3 of 5
The nurse should identify that this finding indicates which of the following conditions?
Correct Answer: C
Rationale: A flat areola with no bud suggests a congenital anomaly in breast tissue development, requiring further evaluation. Preterm infants have immature tissue, low hormones affect size, and ambiguity involves unclear sex characteristics.
Extract:
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate.
Question 4 of 5
Which of the following clinical findings should the nurse instruct the client to report?
Correct Answer: C
Rationale: Increased muscle weakness is a sign of magnesium sulfate toxicity and should be reported, as it may necessitate dose adjustment. Increased fetal movement is positive, urinary output may increase normally, and respiratory rate increase is not typical.
Extract:
A nurse is caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain.
Question 5 of 5
Which of the following findings should the nurse report to the provider following this medication?
Correct Answer: C
Rationale: A respiratory rate of 100/min is abnormally high and suggests respiratory compromise, a potential side effect of butorphanol, requiring reporting. Blood pressure, fetal heart variability, and urinary output are within acceptable ranges.