ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse in a clinic is caring for a client who is in her second trimester of pregnancy. The client expresses concern about preparing her 2-year-old child for a new sibling.
Question 1 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Letting the toddler see the baby's arrival helps them feel involved and excited. Moving to a new bed too early may cause stress, avoiding prenatal visits excludes the toddler, and requiring scheduled interactions may create resistance.
Extract:
A nurse in the labour and delivery unit is planning care for a client who has human immunodeficiency virus (HIV). Following the birth of the newborn.
Question 2 of 5
Which of the following is an appropriate action for the nurse to take?
Correct Answer: C
Rationale: Cleansing the newborn immediately after delivery reduces the risk of HIV transmission by removing maternal blood or fluids. IV antibiotics are not routine for HIV exposure, breastfeeding is contraindicated, and contact precautions are unnecessary as HIV is not spread by casual contact.
Extract:
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate.
Question 3 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 at 8 weeks of gestation and has an ectopic pregnancy.
Question 4 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Sharp pelvic pain is a hallmark of ectopic pregnancy due to implantation outside the uterus, often in the fallopian tube. Bright red discharge, scaphoid abdomen, or elevated blood pressure are not typical.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 5 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.