ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is assessing a client who is 6 hr postpartum and has endometritis.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Uterine tenderness is a common finding in endometritis due to uterine inflammation or infection. A temperature of 37.4°C is normal, a WBC count of 9,000/mm³ is not elevated as expected in infection, and scant lochia is normal, not indicative of endometritis.
Extract:
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Verifying that informed consent is obtained before administering any medication or procedure is a crucial nursing responsibility. Informed consent ensures that the client is fully aware of the risks, benefits, and alternatives, and gives permission for the procedure to take place. Placing the client in a semi-Fowler's position is not necessary, as it does not enhance the medication's effectiveness. Instructing the client to avoid urinary elimination is inappropriate and could cause discomfort. Allowing the medication to reach room temperature is not required for dinoprostone inserts per standard protocols.
Extract:
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Allowing the baby to feed at least every 3 hours ensures adequate nutrition and stimulates milk production. Water supplementation is unnecessary, limiting feeding time to 5-10 minutes may reduce intake, and expecting only 2-4 wet diapers is too low; 6 or more are typical.
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 reviewing the laboratory report for a client who is in active labor. The client tested positive for group B streptococcus B-hemolytic.
Question 5 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.