ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
A client requesting a prescription for a transdermal contraceptive patch
Question 1 of 5
A nurse in a provider's office is collecting data from a client who is requesting a prescription for a transdermal contraceptive patch. The nurse should recognize which of the following client findings is a contraindication for this method of contraception?
Correct Answer: C
Rationale: A weight of 98 kg (BMI likely over 30) reduces the efficacy of the transdermal contraceptive patch, making it a contraindication, unlike normal BP, peptic ulcer disease, or past miscarriage.
Extract:
A client with a 5-day-old newborn who is breastfeeding
Question 2 of 5
A nurse in a clinic is reinforcing teaching about signs of effective breastfeeding with a client who has a 5-day-old newborn. Which of the following statements by the client demonstrates an understanding of the teaching?
Correct Answer: A
Rationale: Feeling the baby swallow confirms effective milk transfer, unlike persistent tenderness (latch issue), one daily bowel movement (variable), or six wet diapers (hydration, not transfer).
Extract:
A client about the care of their newborn's umbilical cord
Question 3 of 5
A nurse is reinforcing teaching with a client about the care of their newborn's umbilical cord. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Odor from the cord suggests infection, requiring provider notification, unlike covering with diaper (traps moisture), soap cleaning (disrupts drying), or expecting bleeding (abnormal).
Extract:
A full-term newborn who is 1 day old
Question 4 of 5
A nurse is caring for a full-term newborn who is 1 day old. Which of the following laboratory findings should the nurse report to the provider?
Correct Answer: A
Rationale: Hgb 9.5 g/dL is low for a newborn, indicating possible anemia, requiring reporting, unlike normal platelets, glucose, or WBC counts.
Extract:
A newborn who is large for gestational age
Question 5 of 5
A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A,B,E
Rationale: LGA newborns need ecchymosis checks (birth trauma risk), breastfeeding (glucose regulation), and glucose monitoring (hypoglycemia risk), unlike meconium sampling or transfusions (not routine).