ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 1 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: B
Rationale: A third-degree perineal laceration is a contraindication to suppositories, as they may cause trauma or delay healing in the perineal area. Abdominal distention may benefit from suppositories, vaginal candidiasis is unrelated, and afterpain does not affect suppository use.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 2 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 caring for a client who has pregestational diabetes mellitus.
Question 3 of 5
Which of the following clinical findings should indicate to the nurse that the client has hyperglycemia?
Correct Answer: B
Rationale: Increased urination (polyuria) is a classic symptom of hyperglycemia due to osmotic diuresis from elevated blood glucose. Dizziness and sweating are more typical of hypoglycemia, and double vision is not directly related.
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: A postpartum client needs a diaphragm refit due to vaginal changes after delivery to ensure effectiveness. Gentle soap is correct but not the priority, the diaphragm should stay in for 6 hours, and oil-based lubricants damage it.
Extract:
A nurse is planning care for a client who is pregnant and has HIV.
Question 5 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.