ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
20-year-old client at 12 weeks of gestation requesting amniocentesis
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: D
Rationale: Amniocentesis is primarily used to detect genetic or congenital disorders, not just to determine fetal sex, and is typically performed between 15-20 weeks, so the nurse should clarify its purpose.
Extract:
Newly hired nurse learning about Apgar scoring
Question 2 of 5
A nurse is teaching a newly hired nurse about Apgar scoring. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Measuring the newborn's muscle tone is part of the Apgar scoring process, which evaluates heart rate, respiratory effort, muscle tone, reflex irritability, and color to assess the newborn's condition.
Extract:
Client 3 hr post vaginal delivery
Question 3 of 5
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings places the client at risk for postpartum hemorrhage?
Correct Answer: A,C
Rationale: Labor induction with oxytocin and vacuum-assisted delivery increase the risk of postpartum hemorrhage due to potential uterine atony and trauma to the birth canal.
Extract:
Client 1 day postpartum and breastfeeding with sore nipples
Question 4 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Assessing the newborn's latch is the most appropriate action, as sore nipples are commonly caused by an improper latch, which can be corrected with education and support to prevent further trauma.
Extract:
Newborn with leaking myelomeningocele
Question 5 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Administering broad-spectrum antibiotics prevents infection through the leaking myelomeningocele, a priority to protect the newborn from meningitis.