ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Question 1 of 5
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Order the Items
Source Container
Correct Answer: B, C, D, A
Rationale: The correct order for performing Leopold maneuvers is B, C, D, A. Firstly, palpating the fundus (
B) helps determine the fetal part. Next, determining the location of the fetal back (
C) guides the nurse to find the fetal back. Palpating for the fetal part at the inlet (
D) helps identify its presentation. Lastly, identifying the attitude of the head (
A) completes the assessment. Other choices are not relevant to the sequential assessment in Leopold maneuvers.
Question 2 of 5
A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B. Failure to pass meconium stool within the first 24-48 hours after birth can indicate a possible intestinal obstruction or other issues that need immediate attention. Reporting this finding to the provider is crucial for further evaluation and intervention.
Choices A, C, and D are normal findings in newborns and do not require immediate reporting. E, F, and G are not applicable in this context.
Question 3 of 5
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because folic acid is crucial during pregnancy to prevent birth defects like spina bifida. It is recommended to take 600 micrograms daily.
Choice A is incorrect as the recommended protein intake is 71 grams/day.
Choice B is important but doesn't address nutrition specifically.
Choice C is unnecessary and could lead to excessive weight gain.
Question 4 of 5
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Substernal retractions. Substernal retractions indicate respiratory distress in a newborn, which can be a serious issue requiring immediate medical attention. Acrocyanosis (choice
B) is a common finding in newborns and is not concerning. Overlapping suture lines (choice
C) can be normal in newborns and typically resolve on their own. A head circumference of 33 cm (13 in) (choice
D) is within the normal range for a newborn.
Question 5 of 5
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. Hypoglycemia in a late preterm newborn can lead to respiratory distress due to decreased glucose levels affecting cellular function and energy production. Hypertonia (choice
A) is not typically associated with hypoglycemia in newborns. Increased feeding (choice
B) may be a response to hypoglycemia but is not a direct manifestation. Hyperthermia (choice
C) is not a common sign of hypoglycemia.
Therefore, the correct choice is D as it directly reflects the impact of low glucose levels on respiratory function.