ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A 20-year-old client who is at 12 weeks of gestation
Question 1 of 5
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Amniocentesis detects genetic disorders, not just fetal sex, and is typically done after 15 weeks. Same-day scheduling, CVS, or age restrictions are incorrect.
Extract:
The parents of a newborn about the Plastibell circumcision technique
Question 2 of 5
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Yellow exudate is normal post-Plastibell circumcision healing. Dark red tissue may be normal, the ring stays 7-10 days, and snug diapers aren't advised.
Extract:
A newborn who was exposed to cocaine in utero
Question 3 of 5
A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Cocaine exposure often causes a high-pitched cry due to neurological irritability. Hypotonicity, increased head circumference, and decreased startle response are not typical.
Extract:
A client who is at 32 weeks of gestation and has cholelithiasis
Question 4 of 5
A nurse is providing dietary teaching to a client who is at 32 weeks of gestation and has cholelithiasis. Which of the following foods should the nurse recommend for the client to include in her diet?
Correct Answer: A
Rationale: Baked chicken is a lean protein with healthy fats, helping the gallbladder contract without exacerbating cholelithiasis. French fries, whole milk, and bacon cheeseburgers contain unhealthy fats that can worsen gallbladder issues.
Extract:
A client who reports spontaneous rupture of membranes, fetal bradycardia, umbilical cord protruding
Question 5 of 5
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: Applying upward pressure on the presenting part relieves cord compression, addressing fetal bradycardia. Covering the cord, oxygen, and fluids are secondary actions.