ATI RN
ATI Maternal Newborn 2019 NGN Questions
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 1 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 caring for a newborn who has neonatal abstinence syndrome.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Minimizing handling reduces stimulation and distress in newborns with neonatal abstinence syndrome. Extended leg swaddling increases discomfort, large feedings risk aspiration, and eye contact may overstimulate.
Extract:
A nurse is teaching a newly hired nurse about Apgar scoring.
Question 3 of 5
Which of the following statements by the newly hired nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Measuring muscle tone is part of Apgar scoring (appearance, pulse, grimace, activity, respiration). Apgar is assessed at 1 and 5 minutes, a score of 8 is normal, and resuscitation should not wait for scoring.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 4 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 admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated.
Question 5 of 5
The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: B
Rationale: Advanced labor (80% effaced, 8 cm dilated) increases the risk of postpartum hemorrhage due to rapid delivery or uterine atony. Incompetent cervix, ectopic pregnancy, and hyperemesis are unrelated to this stage.