ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client in second trimester concerned about preparing 2-year-old for new sibling
Question 1 of 5
A nurse in a clinic is caring for a client who is in her second trimester of pregnancy. The client expresses concern about preparing her 2-year-old child for a new sibling. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Requiring scheduled interactions between the toddler and baby fosters familiarity and inclusion, helping the toddler adjust positively to the new sibling.
Extract:
Newborn with breast tissue that has a flat areola with no bud
Question 2 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:
Client with yellow discharge at newborn circumcision site
Question 3 of 5
A nurse is providing teaching to a client who reports that her baby has yellow discharge forming at the circumcision site. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: Yellow discharge is common 24-72 hours post-circumcision due to normal exudate formation, and does not require testing or aggressive cleaning unless signs of infection appear.
Extract:
Full-term newborn receiving phototherapy
Question 4 of 5
A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Avoiding lotion or ointment during phototherapy prevents heat absorption and potential burns, as these can exacerbate skin irritation or drying caused by the treatment.
Extract:
Client with maternal hypotension post-epidural
Question 5 of 5
A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering a bolus of lactated Ringer's increases blood volume, correcting hypotension caused by epidural-induced vasodilation, improving maternal and fetal perfusion.