ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.
Question 1 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 assessing a full-term newborn.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A heart rate of 72/min is significantly lower than the normal range for a newborn (120 to 160 beats per minute) and indicates bradycardia, which should be reported to the provider as it may suggest an underlying issue. Blood pressure of 80/50 mm Hg, respiratory rate of 55/min, and temperature of 36.5°C are all within normal ranges for a full-term newborn.
Extract:
A nurse is providing teaching to a postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn.
Question 3 of 5
Which of the following instructions should the nurse give the client?
Correct Answer: A
Rationale: Maintaining scheduled mealtimes is essential for a postpartum client with type 1 diabetes who is breastfeeding to stabilize blood glucose levels. Checking blood glucose every 8 hours is insufficient; more frequent monitoring is needed. Insulin requirements may decrease postpartum, not increase, and limiting carbohydrates to 30 grams per day is too restrictive for breastfeeding energy needs.
Extract:
A nurse is providing teaching about increasing dietary fibre to an antepartum client who reports constipation.
Question 4 of 5
Which of the following food selections has the highest fibre content per cup?
Correct Answer: C
Rationale: Lentils have the highest fibre content per cup compared to oatmeal, cabbage, and asparagus, providing both soluble and insoluble fibre to promote bowel regularity and alleviate constipation. Oatmeal and cabbage have moderate fibre, while asparagus has less.
Extract:
A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes mellitus. The test reveals no accelerations of fetal heart rate for 20 min.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Vibroacoustic stimulation is appropriate to stimulate fetal heart rate accelerations during a nonstress test if none are observed, as it may elicit a response indicating fetal well-being. Trendelenburg position, vaginal exams, or Coombs' tests are not indicated for a nonreactive nonstress test.