ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is at 16 weeks of gestation
Question 1 of 5
A client who is at 16 weeks of gestation asks a nurse how to prepare her toddler to have a younger sibling. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Holding the newborn during introduction minimizes toddler jealousy and fosters bonding. Time-outs, late crib transitions, or suggesting less attention may increase insecurity.
Extract:
Four newborns
Question 2 of 5
A nurse in a newborn nursery is receiving change-of-shift report for four newborns. Which of the following newborns should the nurse assess first?
Correct Answer: C
Rationale: Tachypnea at 10 hours suggests respiratory distress, requiring urgent assessment. No meconium by 24 hours, feeding issues, and blood-tinged discharge are less immediate.
Extract:
None
Question 3 of 5
A nurse is discussing risk factors of postpartum hemorrhage with a newly licensed nurse. Which of the following conditions is a risk factor for postpartum hemorrhage that the nurse should include in the teaching?
Correct Answer: C
Rationale: Retained placental fragments prevent uterine contraction, leading to excessive bleeding, a primary cause of postpartum hemorrhage. Pregnancy-induced hypertension, meconium-stained fluid, and oligohydramnios are not direct risk factors for postpartum hemorrhage.
Extract:
A client who is in the latent phase of the first stage of labor and is in pain
Question 4 of 5
A nurse is caring for a client who is in the latent phase of the first stage of labor and is in pain. Which of the following nursing interventions are appropriate to reduce pain? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Counterpressure, ambulation, nitrous oxide, and sitting upright reduce pain in early labor. Leopold maneuvers assess fetal position, not pain.
Extract:
A client following a vaginal delivery of a term fetal demise
Question 5 of 5
A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Offering to bathe and dress the baby respects the client's grieving process. Suggesting naming, holding, or future pregnancies may impose assumptions and cause distress.