ATI LPN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10.
Question 1 of 5
Using Nägele's Rule, which of the following is the client's estimated date of delivery?
Correct Answer: D
Rationale: Using Nägele's Rule, subtract 3 months from August 10 (May 10) and add 7 days, resulting in May 17. Other dates result from incorrect day additions.
Extract:
A nurse is assessing a client who has preeclampsia during a prenatal visit.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Urine protein of 3+ indicates significant proteinuria, a hallmark of preeclampsia, requiring reporting. Blood glucose of 110 mg/dL, hemoglobin of 13 g/dL, and 2+ reflexes are normal findings.
Extract:
A nurse is caring for a newborn who has neonatal abstinence syndrome.
Question 3 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 caring for a client who has maternal hypotension following the placement of an epidural.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering a bolus of lactated Ringer's treats hypotension by increasing blood volume, counteracting epidural-induced vasodilation. Knee-chest position, terbutaline, or low-flow oxygen are not appropriate for this scenario.
Extract:
A nurse is performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud.
Question 5 of 5
The nurse should identify that this finding indicates which of the following conditions?
Correct Answer: C
Rationale: A flat areola with no bud suggests a congenital anomaly in breast tissue development, requiring further evaluation. Preterm infants have immature tissue, low hormones affect size, and ambiguity involves unclear sex characteristics.