ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Newborn scheduled to start phototherapy using a lamp
Question 1 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:
Client with bladder distention post vaginal birth
Question 2 of 5
A nurse is caring for a client who has bladder distention following a vaginal birth. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Pouring warm water over the perineum is a non-invasive first step to promote relaxation and urination, reducing bladder distention without the risks of catheterization.
Extract:
Client with preeclampsia receiving magnesium sulfate
Question 3 of 5
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?
Correct Answer: C
Rationale: Increased muscle weakness may indicate magnesium sulfate toxicity, which can lead to serious complications like respiratory depression, and should be reported immediately.
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 in labor
Question 5 of 5
A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: C
Rationale: An urge to have a bowel movement during contractions may indicate fetal descent and progression to the second stage of labor, requiring immediate reassessment for cervical dilation and delivery readiness.