ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
An adolescent client offering her newborn a bottle
Question 1 of 5
A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. When the nurse offers to pick the newborn up and place him in the client's arms, the mother states, 'No, the baby is too tired to be held.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Demonstrating proper holding builds confidence and bonding without forcing the client. Insisting, persuading to breastfeed, or taking the baby to the nursery may undermine her autonomy.
Extract:
A client who practices a vegan diet and is trying to increase intake of vitamin B2
Question 2 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B2. Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: Fortified soy milk is a rich vegan source of vitamin B2 (riboflavin). Brown rice, carrots, and citrus fruits have negligible amounts.
Extract:
A client who has placenta previa
Question 3 of 5
A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Painless vaginal bleeding is the hallmark of placenta previa due to the placenta covering the cervix. Headaches, hypertonicity, or a rigid abdomen are more associated with other conditions like preeclampsia or abruption.
Extract:
A client who is at 28 weeks of gestation and has preeclampsia
Question 4 of 5
A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Magnesium sulfate is used in preeclampsia to prevent seizures (eclampsia). It doesn't stabilize fetal heart rate, improve perfusion, or increase cardiac output.
Extract:
A client who is 24 hours postpartum and has decided not to breastfeed
Question 5 of 5
A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breastfeed. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Applying ice packs reduces swelling and discomfort from engorgement. Warm water or pumping stimulates milk production, worsening engorgement, and a supportive bra is better than a loose one to manage discomfort.