ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client with preeclampsia during a prenatal visit
Question 1 of 5
A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Urine protein of 3+ indicates severe proteinuria, which is a sign of preeclampsia and can lead to kidney damage. The nurse should report this finding to the provider as it may require medication or delivery intervention.
Extract:
Newborn scheduled to start phototherapy using a lamp
Question 2 of 5
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Ensuring the newborn's eyes are closed beneath the shield is critical during phototherapy to prevent eye damage from the bright lights. This is a standard intervention to protect the newborn's vision.
Extract:
Newborn with breast tissue that has a flat areola with no bud
Question 3 of 5
A nurse is performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud. The nurse should identify that this finding indicates which of the following conditions?
Correct Answer: B
Rationale: A flat areola with no breast bud is a characteristic finding in preterm newborns. Breast tissue development correlates with gestational age, and the lack of a breast bud indicates prematurity.
Extract:
Newborn immediately following birth with a large amount of mucus in mouth and nose
Question 4 of 5
A nurse is caring for a newborn immediately following birth and notes a large amount of mucus in the newborn's mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe.
Order the Items
Source Container
Correct Answer: B,D,C,A
Rationale: The correct sequence is: compress the bulb syringe, place it in the newborn's mouth, suction the nose, and assess for reflex bradycardia. This order clears the airway effectively while minimizing the risk of aspiration and vagal stimulation.
Extract:
Client at 39 weeks of gestation with fetus in left occipitoanterior position
Question 5 of 5
A nurse is assessing a client who is at 39 weeks of gestation and determines that the fetus is in a left occipitoanterior position. On which of the following sites should the nurse place the external fetal monitor to hear the point of maximum impulse of the fetal heart rate?
Correct Answer: C
Rationale: In the left occipitoanterior position, the fetal back is on the left side of the maternal abdomen, and the heart sounds are best heard in the left lower quadrant, where the fetal heart is closest.